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.

Critical Care Pulmonary And Sleep Associates Professional LLP (NPI 1437100039)

Field	Value
Entity Type	Organization
Organization	Critical Care Pulmonary And Sleep Associates Professional LLP
Address	274 Union Blvd Ste 200
City	Lakewood
State	CO
ZIP	80228
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30,300	$150	$4.5M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,710	$50	$279.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,010	$60	$240.5K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	420	$120	$51.8K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	190	$100	$17.9K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	830	$20	$12.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	300	$40	$10.9K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	70	$130	$8.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$70	$4.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	290	$10	$3.7K

Showing 1–10 of 17

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

Critical Care Pulmonary And Sleep Associates Professional LLP — 2 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,290	2,520	330	$100	$352K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1	100	110	$150	$271.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	414	2,630	430	$90	$268.2K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	12	30	150	$320	$193.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	220	340	$60	$188.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	452	720	130	$100	$110K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	9	30	160	$150	$96.8K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	29	60	140	$130	$77.7K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	6	10	160	$80	$62.7K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	18	80	260	$30	$25.7K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Critical Care Pulmonary And Sleep Associates Professional LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Taylor	CO	Critical Care Medicine (Internal Medicine) Physician	$85.4K	$0
Andrew Waas	CO	Critical Care Medicine (Internal Medicine) Physician	$75.1K	$0
Brendan Clark	CO	Critical Care Medicine (Internal Medicine) Physician	$73.1K	$0
Matthew Miller	OR	Critical Care Medicine (Internal Medicine) Physician	$64.8K	$0
Matthew Light	CO	Critical Care Medicine (Internal Medicine) Physician	$62.6K	$0
Anne Reihman	CO	Pulmonary Disease Physician	$62.3K	$0
Amanda Anderson-pleiss	CO	Acute Care Nurse Practitioner	$58.4K	$0
Laura Ludlow	CO	Medical Physician Assistant	$56.9K	$0
Rebecca Maxwell	CO	Nurse Practitioner	$56.4K	$0
Kolene Bailey	CO	Critical Care Medicine (Internal Medicine) Physician	$55.4K	$0

Nearby Providers

Other providers in the same ZIP code as Critical Care Pulmonary And Sleep Associates Professional LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	CO	Pharmacy	$108.9M	$19.9K
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$8.9M
Colorado Pain Practice, PLLC	CO	Pain Medicine (Anesthesiology) Physician	$0	$7.1M
Alert Response, LLC	CO	Emergency Response System Companies	$0	$5.8M
Colorado Imaging Associates P C	CO	Diagnostic Radiology Physician	$0	$5.6M
Catholic Health Initiatives Colorado	CO	Air Ambulance	$0	$4.4M
Nauman Moazzam	CO	Hematology & Oncology Physician	$3.6M	$0
Lisa Rozo	CO	Physical Therapist	$276.2K	$1.4M
Rocky Mountain Endoscopy Centers, LLC	CO	Ambulatory Surgical Clinic/Center	$571.7K	$511.4K
Tera Sabatino	CO	Family Nurse Practitioner	$805.8K	$0

Critical Care Pulmonary And Sleep Associates Professional LLP — Billing Profile & Reimbursement Data

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Critical Care Pulmonary And Sleep Associates Professional LLP — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References