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.

Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC (NPI 1588062764)

Field	Value
Entity Type	Organization
Organization	Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC
Address	13123 E 16th Ave
City	Aurora
State	CO
ZIP	80045
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	December 19, 2014

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	3,310	$600	$2M
L2280	Addition to lower extremity, molded inner boot	2,680	$470	$1.3M
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	1,220	$790	$962.1K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	5,500	$160	$902.2K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	2,830	$210	$580.8K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	4,170	$80	$341.7K
L3020	Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each	1,210	$280	$332.9K
L1930	Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment	910	$320	$288.7K
L2820	Addition to lower extremity orthosis, soft interface for molded plastic, below knee section	1,860	$110	$212K
L3202	Orthopedic shoe, oxford with supinator or pronator, child	2,250	$80	$186.7K

Showing 1–10 of 17

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

Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC — 13 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S1040	Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)	4	10	180	$2,490	$806.9K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	1	10	30	$600	$504.7K
L2280	Addition to lower extremity, molded inner boot	1	10	130	$480	$215.4K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	1	10	30	$770	$150.5K
L1930	Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment	1	10	460	$320	$146.9K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	1	10	350	$150	$120K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	10	230	$180	$93.2K
L3020	Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each	1	10	60	$210	$60.2K
L3202	Orthopedic shoe, oxford with supinator or pronator, child	1	10	100	$80	$38.7K
L2840	Addition to lower extremity orthosis, tibial length sock, fracture or equal, each	1	10	50	$70	$38.3K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physicians Incorporated	CO	Internal Medicine Physician	$0	$190.8M
Children's Hospital Colorado	CO	Children's Hospital	$0	$114.9M
University Of Colorado Hospital Authority	CO	General Acute Care Hospital	$0	$58.1M
University Physicians Incorporated	CO	Clinical Medical Laboratory	$0	$6.7M
Children's Optical, LLC	CO	Pediatric Optometrist	$0	$6.4M
Rmchs Management	CO	Pediatric Dentistry	$0	$4.4M
University Physicians Incorporated	CO	Clinical Medical Laboratory	$271.4K	$3.4M
Marisa Lau	CO	Ophthalmology Physician	$2M	$0
Jorge Monge Urrea	CO	Hematology & Oncology Physician	$1.9M	$18.9K
University Physicians Incorporated	CO	Clinical Medical Laboratory	$509.9K	$886.9K

Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC — Billing Profile & Reimbursement Data

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Prosthetic & Orthotic Group Pediatric Specialists - Colorado LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References