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.

Mountain Family Health Centers (NPI 1578862983)

Field	Value
Entity Type	Organization
Organization	Mountain Family Health Centers
Address	195 W 14th Ste C
City	Rifle
State	CO
ZIP	81650
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 24, 2011

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	14,770	$360	$5.3M
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…	5,720	$160	$926.6K
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…	4,050	$120	$497.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,000	$200	$195.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	770	$90	$70.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	300	$190	$56.5K
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…	250	$160	$40.6K
D0330	N/A	900	$40	$33.1K
D0274	N/A	1,510	$20	$30.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	960	$30	$28.8K

Showing 1–10 of 57

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

Mountain Family Health Centers — 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	28	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…	307	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…	411	2,630	430	$90	$268.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,016	1,670	550	$100	$229.3K
T1015	Clinic visit/encounter, all-inclusive	7	30	180	$60	$213.5K
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…	151	240	550	$110	$208.5K
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…	162	260	380	$100	$161.6K
D2392	Post 2 surface resin‑based composite	335	690	290	$130	$148K
H0031	Mental health assessment, by non-physician	118	130	210	$140	$125K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	121	590	200	$80	$119.9K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mountain Family Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.9M
Lauren Philmus	CO	Physician Assistant	$26.9K	$0

Nearby Providers

Other providers in the same ZIP code as Mountain Family Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand River Hospital District	CO	Rural Health Clinic/Center	$0	$14M
Grand River Hospital District	CO	Critical Access Hospital	$0	$3.6M
Colorado River Fire Rescue	CO	Land Ambulance	$182.8K	$358.8K
Garrett Caputo	CO	Emergency Medicine Physician	$283.8K	$0
Event Medical Solutions Unlimited PLLC	CO	Ambulance	$164.7K	$0
Eileen Daly	CO	Emergency Medicine Physician	$91.2K	$0
Justin Knight	CO	Emergency Medicine Physician	$85.5K	$0

Mountain Family Health Centers — Billing Profile & Reimbursement Data

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Mountain Family Health Centers — 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