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.

Inner City Health Center (NPI 1578539979)

Field	Value
Entity Type	Organization
Organization	Inner City Health Center
Address	3800 York St
City	Denver
State	CO
ZIP	80205
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 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…	11,000	$120	$1.3M
D0999	N/A	4,560	$280	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,410	$230	$1.2M
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…	10,810	$90	$1M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	3,360	$270	$889.9K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	790	$270	$215.1K
H0023	Alcohol and/or drug outreach	440	$260	$114K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,100	$100	$111.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	960	$110	$104.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	870	$120	$100.5K

Showing 1–10 of 77

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

Inner City Health Center — 3 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	56	150	2,140	$260	$2M
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…	164	2,520	330	$100	$352K
H0004	Behavioral health counseling and therapy, per 15 minutes	44	290	480	$70	$280.8K
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…	174	2,630	430	$90	$268.2K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	39	100	320	$80	$229.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	96	240	550	$110	$208.5K
H0023	Alcohol and/or drug outreach	86	190	360	$60	$163.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	98	260	380	$100	$161.6K
D2392	Post 2 surface resin‑based composite	681	690	290	$130	$148K
H0031	Mental health assessment, by non-physician	97	130	210	$140	$125K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Inner City Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randall Craig	KS	Family Medicine Physician	$200	$0

Nearby Providers

Other providers in the same ZIP code as Inner City Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Coalition For The Homeless	CO	Federally Qualified Health Center (FQHC)	$0	$41.6M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$28.2M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$11.1M
Comprehensive Behavioral Health Center LLC	CO	Substance Use Disorder Rehabilitation Clinic/Center	$134.5K	$8.1M
Ronald Mcdonald House Charities Of Denver, Inc	CO	Non-emergency Medical Transport (VAN)	$0	$5.8M
Curtis Hagedorn	CO	Ophthalmology Physician	$1.5M	$0
Charles Wilson	CO	Ophthalmology Physician	$697.3K	$0
Professional Portable Radiologic Services, Inc.	CO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$169.7K	$0
Julia Losekamp	CO	Family Medicine Physician	$165.8K	$0
Jean Michel Grillon	CO	Diagnostic Radiology Physician	$163.3K	$0

Inner City Health Center — Billing Profile & Reimbursement Data

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Inner City Health Center — 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