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.

Rocky Mountain Vein Institute Professional LLC (NPI 1457685398)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Vein Institute Professional LLC
Address	115 E Riverwalk Unit 200
City	Pueblo
State	CO
ZIP	81003
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	September 24, 2009

Payer Source	Total Paid
Medicaid	$9.8M
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
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	4,090	$1,430	$5.8M
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	620	$1,380	$850.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	6,810	$120	$810.9K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	7,690	$80	$607.7K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	5,150	$110	$540.3K
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…	6,900	$50	$372.8K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	4,240	$70	$284.3K
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…	1,560	$80	$126.4K
99204	The provider sees a new 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 provider…	1,150	$110	$121.4K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	870	$110	$97.9K

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

Rocky Mountain Vein Institute Professional LLC — 7 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
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	1	10	710	$1,390	$1.4M
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	1	10	440	$1,200	$528K
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…	261	2,520	330	$100	$352K
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…	758	2,630	430	$90	$268.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	86	110	160	$70	$124.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	302	690	140	$90	$118.4K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	1	10	90	$100	$98.7K
99203	The provider sees a new 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 provider…	259	880	110	$80	$64.9K
99204	The provider sees a new 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 provider…	87	990	90	$120	$57.9K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	1	30	140	$80	$55.4K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rocky Mountain Vein Institute Professional LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gordon Gibbs	CO	Vascular & Interventional Radiology Physician	$1.2M	$0
Thomas Eidson	TX	Phlebology Physician	$627.8K	$0
Jennifer Medina	CO	Family Nurse Practitioner	$469.8K	$0
Paul Rochon	CO	Vascular & Interventional Radiology Physician	$420.6K	$0
Timothy Cawlfield	CO	Family Medicine Physician	$335.5K	$0
Sarah Roark	CO	Acute Care Nurse Practitioner	$285K	$0
Sarah Howe	CO	Nurse Practitioner	$246K	$0
Samuel Putnam	MS	Vascular & Interventional Radiology Physician	$168.6K	$0
Jessica Hartzler	MO	Physician Assistant	$161.3K	$0
Melissa Dunn	CO	Obstetrics & Gynecology Physician	$112.1K	$0

Nearby Providers

Other providers in the same ZIP code as Rocky Mountain Vein Institute Professional LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoplecare Of Southern Colorado, LLC	CO	In Home Supportive Care Agency	$0	$34.2M
Parkview Medical Center, Inc.	CO	General Acute Care Hospital	$0	$20.7M
Pueblo Community Resources Co. Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Park West Dental PC	CO	General Practice Dentistry	$0	$13.5M
Interim Healthcare Of Southeastern Colorado, Inc.	CO	In Home Supportive Care Agency	$0	$8.7M
Lincare Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Community Residential & Respite, LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Pueblo Pulmonary Associates	CO	Pulmonary Disease Physician	$0	$5.3M
Southern Colorado Radiologists, P.C.	CO	Specialist	$0	$4.4M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.3M

Rocky Mountain Vein Institute Professional LLC — Billing Profile & Reimbursement Data

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Rocky Mountain Vein Institute Professional LLC — 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