Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Magnolia Medical Company (NPI 1427543586)

Magnolia Medical Company is a clinical medical laboratory provider located in Denver, Colorado. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Magnolia Medical Company
Address	10515 40th Avenue Suite 115
City	Denver
State	CO
ZIP	80239
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	June 29, 2018

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7,790	$120	$934.7K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4,550	$150	$668.4K
80349	The lab analyst measures the amount of or detects the presence of natural cannabinoids in a patient specimen.	17,860	$20	$267.9K
80356	The lab analyst measures the amount of or detects the presence of heroin metabolite in the patient specimen.	17,850	$20	$267.8K
80361	The lab analyst measures the amount of or detects the presence of one or more opiates, narcotic analgesics that depress the central nervous system, in the specimen.	17,850	$20	$267.8K
80364	The lab analyst measures the amount of or detects the presence of five or more opioids and opiate analogs, narcotic analgesics that depress the central nervous system, in the specimen.	17,850	$20	$267.8K
80365	The lab analyst measures the amount of or detects the presence of oxycodone, a synthetic opioid pain medication, in a patient specimen.	17,850	$20	$267.8K
80348	The lab analyst measures the amount of or detects the presence of buprenorphine in a patient specimen. Buprenorphine is a drug used to treat opioid addiction, to control acute pain in individuals who…	17,850	$20	$267.8K
80346	The lab analyst measures the amount of or detects the presence of one to twelve benzodiazepines, which are tranquilizers, in a patient specimen.	17,840	$20	$267.6K
80373	The lab analyst measures the amount of or detects the presence of tramadol, which is a centrally acting opioid pain medication, in the patient specimen.	17,840	$20	$267.6K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Magnolia Medical Company — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	21	40	900	$170	$1.5M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	10	1,620	$140	$296.6K
80370	The lab analyst measures the amount of or detects the presence of three or more skeletal muscle relaxants in the patient specimen. These drugs reduce the tone of skeletal muscles and thus alleviate…	5	10	3,110	$10	$171.8K
80375	The lab analyst measures the presence or amount of one to three definitive drugs, such as gold, in the patient specimen.	6	10	2,880	$10	$148.7K
80364	The lab analyst measures the amount of or detects the presence of five or more opioids and opiate analogs, narcotic analgesics that depress the central nervous system, in the specimen.	2	10	1,020	$20	$141.5K
80357	The lab analyst measures the amount of or detects the presence of ketamine and norketamine in the patient specimen.	7	10	3,570	$20	$122.5K
80360	The lab analyst measures the amount of or detects the presence of methylphenidate, which is a central nervous system stimulant that treats attention deficit disorders, in the patient specimen.	8	10	3,630	$20	$119.4K
80356	The lab analyst measures the amount of or detects the presence of heroin metabolite in the patient specimen.	2	20	2,810	$20	$114.2K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	1	20	270	$110	$107.1K
80368	The lab analyst measures the amount of or detects the presence of non–benzodiazepine sedative hypnotics in a patient specimen.	6	10	2,700	$20	$103.9K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeff Foster	CO	Acute Care Nurse Practitioner	$187.2K	$0
Pradeep Rai	CO	Surgery Physician	$98.7K	$0
Nitin Gupta	CO	Critical Care Medicine (Internal Medicine) Physician	$97.5K	$0
Jeannae Dergance	CO	Geriatric Medicine (Family Medicine) Physician	$88.6K	$0
Steven Ginsburg	CO	Nurse Practitioner	$64.9K	$0
Alma Silva-gutierrez	CO	Primary Care Nurse Practitioner	$26.9K	$0
Kristyn Kulick	MA	Physician Assistant	$6.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions LLC	CO	Parenteral & Enteral Nutrition Supplies (DME)	$0	$168.4M
Kaiser Foundation Health Plan Of Colorado	CO	Clinical Medical Laboratory	$118.8K	$19.8M
Queen's Care In Home Inc.	CO	Respite Care	$0	$18.4M
Peoples Day Services	CO	Developmentally Disabled Services Day Training Agency	$0	$15.4M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$15.2M
Peoplecare Of Eastern Colorado, LLC	CO	In Home Supportive Care Agency	$0	$8M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$5M
New Schryver LLC	CO	Clinical Medical Laboratory	$1.3M	$3.1M
Kan-di-ki LLC	CO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1M	$289.2K
Kan-di-ki LLC	CO	Diagnostic Ultrasound Physician	$80.1K	$0

Magnolia Medical Company — Billing Profile & Reimbursement Data

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Magnolia Medical Company — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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