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.

Colorado West Healthcare System (NPI 1497723407)

Colorado West Healthcare System is a general acute care hospital provider located in Grand Junction, Colorado. This profile covers 0 Medicare and 158 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Colorado West Healthcare System
Address	2351 G Rd
City	Grand Junction
State	CO
ZIP	81505
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

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

158 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	28,080	$120	$3.3M
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.	23,330	$100	$2.4M
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.	11,360	$150	$1.7M
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.	3,480	$440	$1.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,680	$400	$664.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7,790	$50	$389.6K
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.	23,400	$10	$257.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	4,010	$40	$176.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,480	$100	$148.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,170	$70	$145.5K

Showing 1–10 of 158

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

Colorado West Healthcare System — 0 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

158 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.	37	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.	34	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.	28	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.	16	70	410	$250	$881.6K
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…	2,378	2,520	330	$100	$352K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	16	40	110	$160	$326K
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…	232	310	1,750	$40	$319.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	23	120	130	$70	$266.2K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	12	20	170	$290	$242.4K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	12	20	590	$30	$230.4K

Showing 1–10 of 158

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Altman	CO	Cardiovascular Disease Physician	$274.6K	$0
Richard Garmany	CO	Cardiovascular Disease Physician	$169.5K	$110
Matthew Mcdiarmid	CO	Interventional Cardiology Physician	$164.9K	$0
Rajesh Sharma	CO	Interventional Cardiology Physician	$155.8K	$0
Enrique Orellana	CO	Cardiovascular Disease Physician	$153.5K	$620
Matthew Langston	CO	Interventional Pain Medicine Physician	$149.2K	$0
David Johansen	CO	Internal Medicine Physician	$136K	$1.8K
Behzad Molavi	CO	Interventional Cardiology Physician	$132.2K	$0
Florian Seeberger	CO	Internal Medicine Physician	$122.3K	$500
Joshua Thun	CO	Foot & Ankle Surgery Podiatrist	$107.4K	$13K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand Junction Regional Center	CO	Developmentally Disabled Services Day Training Agency	$0	$42.3M
Senior Care Service LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$9M
Pediatric Dental Specialists Of Western Co	CO	Pediatric Dentistry	$0	$6.7M
K2taxi, LLC	CO	Taxi	$0	$4.6M
Gj West Dental Prof LLC	CO	General Practice Dentistry	$0	$4.3M
Endoscopy Center Of Western Colorado Inc	CO	Ambulatory Surgical Clinic/Center	$549.2K	$261.6K
Canyon View Asc, LLC	CO	Ambulatory Surgical Clinic/Center	$438.3K	$14.9K
William Waterhouse	CO	Ophthalmology Physician	$357.3K	$24.4K
Kristin Sperle	CO	Nurse Practitioner	$364.2K	$0
Tracy Carter	CO	Ophthalmology Physician	$245.8K	$0

Colorado West Healthcare System — Billing Profile & Reimbursement Data

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Colorado West Healthcare System — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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