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.

Carepoint Emergency Medicine, PLLC (NPI 1477140416)

Field	Value
Entity Type	Organization
Organization	Carepoint Emergency Medicine, PLLC
Address	4567 E 9th Ave
City	Denver
State	CO
ZIP	80220
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 23, 2020

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20,220	$110	$2.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,760	$80	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	2,420	$40	$96.9K

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

Carepoint Emergency Medicine, PLLC — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	25	210	730	$120	$966.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	124	290	1,390	$110	$958.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	41	270	1,290	$100	$937.1K

Nearby Providers

Other providers in the same ZIP code as Carepoint Emergency Medicine, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$10.9M
Blue Spruce Home Care Inc.	CO	Homemaker	$0	$8.9M
Mental Health Center Of Denver	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.9M
Blue Spruce Home Care Inc.	CO	In Home Supportive Care Agency	$0	$5.7M
Senior Housing Options, Inc.	CO	Assisted Living Facility	$0	$4.5M
Bending Birch Behavioral Services, LLC	CO	Behavior Analyst	$0	$4.1M
Rose Ambulatory Surgery Center LP	CO	Ambulatory Surgical Clinic/Center	$1.4M	$538.2K
Karen Sundby	CO	MOHS-Micrographic Surgery Physician	$1.1M	$0
Mabel Mardones	CO	Hematology & Oncology Physician	$866K	$0
Ralph Round	CO	Neurology Physician	$724.7K	$0

Carepoint Emergency Medicine, PLLC — Billing Profile & Reimbursement Data

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Carepoint Emergency Medicine, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References