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 Pain Practice, PLLC (NPI 1508285776)

Field	Value
Entity Type	Organization
Organization	Colorado Pain Practice, PLLC
Address	12596 W Bayaud Ave Ste 350
City	Lakewood
State	CO
ZIP	80228
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	April 15, 2014

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	43,930	$50	$2.2M
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	2,430	$220	$536.1K
01936	Deleted effective Jan. 1, 2022	2,640	$150	$387.6K
64633	In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	1,520	$250	$382.5K
01992	The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…	3,640	$100	$353.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	11,060	$30	$287.5K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3,630	$70	$257.6K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	2,600	$90	$233.9K
64634	In this add on procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes…	1,280	$170	$212.9K
A4550	Surgical trays	5,820	$30	$192K

Showing 1–10 of 75

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 Pain Practice, PLLC — 15 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

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	822	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…	23	2,630	430	$90	$268.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	197	680	1,160	$50	$223.5K
80357	The lab analyst measures the amount of or detects the presence of ketamine and norketamine in the patient specimen.	12	10	3,570	$20	$122.5K
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,…	509	690	140	$90	$118.4K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	9	20	270	$110	$107.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	8	90	800	$30	$103.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	44	630	830	$30	$102.9K
80373	The lab analyst measures the amount of or detects the presence of tramadol, which is a centrally acting opioid pain medication, in the patient specimen.	10	20	2,610	$20	$102K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	109	410	890	$40	$101.6K

Showing 1–10 of 75

Related Providers

Other providers that share a Tax Identification Number (TIN) with Colorado Pain Practice, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keerthi Prasad	TX	Vascular & Interventional Radiology Physician	$666.7K	$0
Sandeep Rao	AZ	Vascular & Interventional Radiology Physician	$634.9K	$0
Jason Krutsch	CO	Interventional Pain Medicine Physician	$335.8K	$0
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Robert Moghim	CO	Pain Medicine (Anesthesiology) Physician	$276.8K	$0
Chadi Yaacoub	IL	Anesthesiology Physician	$155.2K	$230
Hortense Ngoe	CO	Family Nurse Practitioner	$82.5K	$0
Teresa Affrunti	CO	Family Nurse Practitioner	$78.2K	$0
Elizabeth Hammond	CO	Family Nurse Practitioner	$77.8K	$0
Jaime Lecomte	AZ	Psychiatric/Mental Health Nurse Practitioner	$77.8K	$0

Nearby Providers

Other providers in the same ZIP code as Colorado Pain Practice, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	CO	Pharmacy	$108.9M	$19.9K
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$8.9M
Alert Response, LLC	CO	Emergency Response System Companies	$0	$5.8M
Colorado Imaging Associates P C	CO	Diagnostic Radiology Physician	$0	$5.6M
Critical Care Pulmonary And Sleep Associates Professional LLP	CO	Critical Care Medicine (Internal Medicine) Physician	$0	$5.2M
Catholic Health Initiatives Colorado	CO	Air Ambulance	$0	$4.4M
Nauman Moazzam	CO	Hematology & Oncology Physician	$3.6M	$0
Lisa Rozo	CO	Physical Therapist	$276.2K	$1.4M
Rocky Mountain Endoscopy Centers, LLC	CO	Ambulatory Surgical Clinic/Center	$571.7K	$511.4K
Tera Sabatino	CO	Family Nurse Practitioner	$805.8K	$0

Colorado Pain Practice, PLLC — Billing Profile & Reimbursement Data

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Colorado Pain Practice, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References