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.

University Of Colorado Hospital Authority (NPI 1477531580)

Field	Value
Entity Type	Organization
Organization	University Of Colorado Hospital Authority
Address	12605 E 16th Ave
City	Aurora
State	CO
ZIP	80045
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicaid	$58.1M
Medicare	$0

Key Findings

UNIVERSITY OF COLORADO HOSPITAL AUTHORITY has no Medicare billing on file and reports $58.1M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer Medicaid in this dataset. This asymmetric payer mix should be treated as a Medicaid-dominant profile for network planning and utilization analysis rather than a dual Medicare/Medicaid case mix.

The provider’s Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 49.9% of its total Medicaid revenue, and those three codes are emergency department visits 99285 ($10.1M, 78.7K claims, $128 avg paid/claim, 21.2% of total), 99284 ($6.9M, 55.5K claims, $125 avg paid/claim, 14.6% of total), and 99283 ($6.7M, 56.1K claims, $119 avg paid/claim, 14.1% of total). This concentration indicates a small set of high-volume ED services drive nearly half of Medicaid revenue.

The overall code mix indicates a heavy emergency department and observation-unit operation: 99285/99284/99283 are the top Medicaid revenue drivers and G0378 (hospital observation service, per hour) is also large ($3.5M, 21.8K claims) and ranks #1 in-state. High-volume ED evaluation/management plus observation billing and significant use of IV-fluid administration (96361, $6M, 22.8K claims) point to a care model built around acute care throughput, short-term observation stays, and treatment of dehydration and related acute medical needs.

Several individual CPT/HCPCS codes show statewide dominance or extreme volume relative to peers, signaling pockets of specialty or high-throughput service lines: G0378 ranks #1 of 27 providers in-state (100th percentile; extreme outlier), J0585 ranks #1 of 48 (100th percentile; extreme outlier), 64615 ranks #1 of 44 (100th percentile; extreme outlier), 0002A ranks #1 of 473 (100th percentile; extreme outlier), and 36415 ranks #2 of 680 (100th percentile; extreme outlier). These rank/percentile signals indicate the provider is a major in-state source for certain procedures and high-volume operational tasks (e.g., injections, specimen collection, observation hours).

Beyond emergency care, the billing mix shows substantial procedural and outpatient specialty activity: high-volume injections and infusion codes such as J0585 ($1.8M, 8.4K claims) and J0178 ($401.2K, 661 claims), ophthalmology/retinal procedures such as 67028 ($686.3K, 5.2K claims) and 92134 ($379.2K, 14.6K claims), and therapeutic procedures like 64615 ($795.8K, 4.2K claims). These items point to integrated specialty clinics and procedural throughput co-located with the hospital’s acute services rather than a pure ED-only profile.

The provider also reports very high-volume basic diagnostics and specimen collection consistent with a large hospital footprint: 85025 (137.1K claims, $411.4K revenue), 36415 (96.4K claims, $385.7K revenue), 80048 (82.3K claims, $740.8K revenue), and 93005 (71.4K claims, $356.8K revenue). These volumes suggest significant inpatient/outpatient laboratory and EKG throughput supporting both emergency and broader hospital services.

Behavioral health/intensive outpatient addiction services are a visible revenue line: H0015 appears with 8.2K claims, $232 avg paid/claim, $1.9M revenue (4.0% of Medicaid revenue) and ranks #2 of 47 providers in-state (98th percentile; notably above typical state volume). This indicates an established intensive outpatient program for substance use treatment operating at scale alongside acute care services.

The provider has an established tenure in federal enrollment—NPI enumerated (registered) on 2006-01-09 (~20 years ago)—which, together with high-volume ED, observation, procedure, and lab lines, supports interpreting this entity as a long-standing, high-throughput hospital serving a broad set of acute and specialty needs for the Medicaid population in Colorado.

Medicaid: Complete Services Breakdown

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

401 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.	78,710	$130	$10.1M
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.	55,540	$130	$6.9M
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.	56,110	$120	$6.7M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	22,840	$260	$6M
G0378	Hospital observation service, per hour	21,800	$160	$3.5M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8,250	$230	$1.9M
J0585	Injection, onabotulinumtoxina, 1 unit	8,380	$220	$1.8M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	6,920	$170	$1.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	47,750	$20	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	14,370	$60	$847.9K

Showing 1–10 of 401

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

University Of Colorado Hospital Authority — 18 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

401 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.	5	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.	12	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.	12	270	1,290	$100	$937.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	5	70	410	$250	$881.6K
J0178	Injection, aflibercept, 1 mg	4	20	180	$870	$465.7K
J0585	Injection, onabotulinumtoxina, 1 unit	1	50	340	$520	$452.1K
E0190	Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories	5	10	150	$250	$414.1K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	12	10	240	$120	$356.5K
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…	25	2,520	330	$100	$352K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	215	310	1,750	$40	$319.9K

Showing 1–10 of 401

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Colorado Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as University Of Colorado Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physicians Incorporated	CO	Internal Medicine Physician	$0	$190.8M
Children's Hospital Colorado	CO	Children's Hospital	$0	$114.9M
Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC	CO	Prosthetic/Orthotic Supplier	$0	$7.3M
University Physicians Incorporated	CO	Clinical Medical Laboratory	$0	$6.7M
Children's Optical, LLC	CO	Pediatric Optometrist	$0	$6.4M
Rmchs Management	CO	Pediatric Dentistry	$0	$4.4M
University Physicians Incorporated	CO	Clinical Medical Laboratory	$271.4K	$3.4M
Marisa Lau	CO	Ophthalmology Physician	$2M	$0
Jorge Monge Urrea	CO	Hematology & Oncology Physician	$1.9M	$18.9K
University Physicians Incorporated	CO	Clinical Medical Laboratory	$509.9K	$886.9K

University Of Colorado Hospital Authority — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References