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.

Mark Young (NPI 1477561900)

Field	Value
Entity Type	Individual
Organization	Mark Young
Address	401 23rd St Ste 207
City	Glenwood Springs
State	CO
ZIP	81601
Taxonomy	Anesthesiology Physician
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicare	$12.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40	$140	$5K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	150	$30	$3.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	40	$50	$2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	40	$30	$1.3K
93041	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service…	40	$10	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Mark Young — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96365	148	170	100	$50	$9.5K
99215	1,722	3,230	40	$110	$8.1K
G2212	30	190	50	$20	$1.9K
96374	5	30	30	$30	$1.2K
93041	1	10	40	$1	$190

Nearby Providers

Other providers in the same ZIP code as Mark Young, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maura Stack Oden LLC	CO	Community/Behavioral Health Agency	$0	$22.9M
Mountain Valley Developmental Services	CO	Case Management Agency	$0	$15.7M
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.9M
All Kids Dental Pediatrics And Orthodontics	CO	Pediatric Dentistry	$0	$8.7M
Swann Clinic For Behavioral Health	CO	Behavior Analyst	$0	$5.3M
Valley View Hospital Association	CO	General Acute Care Hospital	$0	$4.5M
Pediatric Psychology Services Of Colorado	CO	Clinical Psychologist	$0	$3.5M
Lola Sawyer	CO	Diagnostic Radiology Physician	$130.7K	$379K
Matthew Ehrlich	CO	Ophthalmology Physician	$250K	$0
Carl Valentin	CO	Diagnostic Radiology Physician	$84.9K	$135.2K

Mark Young — Billing Profile & Reimbursement Data

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Mark Young — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References