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.

Front Range Clinic Inc. (NPI 1598135451)

Field	Value
Entity Type	Organization
Organization	Front Range Clinic Inc.
Address	1040 E Elizabeth St
City	Fort Collins
State	CO
ZIP	80524
Taxonomy	Family Medicine Physician
NPI Enumerated	October 4, 2015

Payer Source	Total Paid
Medicaid	$43.3M
Medicare	$0

Key Findings

FRONT RANGE CLINIC INC. is effectively a Medicaid-focused operation: lifetime Medicaid revenue is $43.3M and there is no Medicare billing on file. This makes the provider functionally single-payer in the available claims data, so Medicaid reimbursement policies and network placement will heavily shape its financial performance and utilization profile.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 51.9% of total Medicaid revenue. Those three codes are 99214 ($9M, 22.5%), G0483 ($7.6M, 19.0%), and J2315 ($4.1M, 10.4%), indicating a small number of service lines drive more than half of reported Medicaid dollars.

The clinical mix points to a primary-care plus behavioral-health/substance-use focus. High revenue for 99214 and supporting volume for 99213 indicate sustained, higher-complexity established patient office visits consistent with Family Medicine practice patterns, while J2315 (naltrexone depot) revenue of $4.1M signals significant medication-assisted treatment activity.

Laboratory and toxicology services are a major business line rather than incidental testing: G0483 shows 49.7K claims and $7.6M revenue, and presumptive testing under 80305 has 128.2K claims and $1.4M revenue. In combination with numerous 803xx definitive panels (many with large claim counts and each contributing materially to revenue), the provider appears to run high-volume drug testing workflows alongside clinical visits.

The provider is a statewide leader on multiple specific codes. 99214 ranks #2 of 2632 providers in-state (100th percentile; extreme outlier) for volume, J2315 ranks #1 of 29 providers in-state (100th percentile; extreme outlier), and G0483 ranks #3 of 38 providers in-state (95th percentile; notably above typical state volume). Numerous definitive drug-testing codes (e.g., 80348, 80356, 80354 and others) also rank #1 in-state with labels such as "100th percentile; extreme outlier," indicating dominant market share for toxicology services in Colorado.

The combination of high-claim, low-unit-price presumptive screens (80305: 128.2K claims, $11 avg paid/claim) and lower-claim, high-unit-price definitive panels (G0483: 49.7K claims, $152 avg paid/claim) shows a two-tier lab revenue strategy: large-volume screening funnels specimens into higher-revenue definitive testing. This mix implies substantial specimen handling and lab throughput capacity, and operational emphasis on SUD monitoring and medication management.

Because the top three codes account for 51.9% of Medicaid revenue, the practice’s financial performance appears sensitive to reimbursement or utilization changes for a few services (office E&M at 99214, definitive drug testing at G0483, and depot naltrexone at J2315). Any payer policy changes, prior-authorization shifts, or competitive moves around these codes could materially affect overall revenue more than changes in lower-volume services.

The provider has sustained presence in the market: the NPI was enumerated on 2015-10-04 (~11 years ago). Coupled with the very large claim volumes and dominant state rankings across multiple toxicology and treatment codes, this suggests an established operational footprint and capacity to manage high patient throughput and high-frequency lab workflows.

Medicaid: Complete Services Breakdown

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

54 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…	105,430	$90	$9M
G0483	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…	49,680	$150	$7.6M
J2315	Injection, naltrexone, depot form, 1 mg	3,870	$1,070	$4.1M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	128,180	$10	$1.4M
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…	20,260	$60	$1.2M
80348	The lab analyst measures the amount of or detects the presence of buprenorphine in a patient specimen. Buprenorphine is a drug used to treat opioid addiction, to control acute pain in individuals who…	58,770	$20	$881.5K
80354	The lab analyst measures the amount of or detects the presence of fentanyl in the patient specimen.	58,770	$20	$881.5K
80356	The lab analyst measures the amount of or detects the presence of heroin metabolite in the patient specimen.	58,770	$20	$881.5K
80365	The lab analyst measures the amount of or detects the presence of oxycodone, a synthetic opioid pain medication, in a patient specimen.	58,760	$20	$881.4K
80358	The lab analyst measures the amount of or detects the presence of methadone in the patient specimen.	58,760	$20	$881.4K

Showing 1–10 of 54

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

Front Range Clinic Inc. — 24 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	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	40	900	$170	$1.5M
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	4	10	180	$880	$762.3K
J2315	Injection, naltrexone, depot form, 1 mg	1	30	100	$1,080	$511.1K
80326	The lab analyst measures the amount of or detects the presence of five or more amphetamines, a central nervous system stimulant, in a patient specimen.	1	10	25,160	$20	$386.6K
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…	98	2,520	330	$100	$352K
H0004	Behavioral health counseling and therapy, per 15 minutes	133	290	480	$70	$280.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	106	170	940	$60	$276.5K
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…	2	2,630	430	$90	$268.2K
80347	The lab analyst measures the amount of or detects the presence of 13 or more benzodiazepines, which are tranquilizers, in a patient specimen.	1	10	940	$20	$185.3K
80370	The lab analyst measures the amount of or detects the presence of three or more skeletal muscle relaxants in the patient specimen. These drugs reduce the tone of skeletal muscles and thus alleviate…	1	10	3,110	$10	$171.8K

Showing 1–10 of 54

Nearby Providers

Other providers in the same ZIP code as Front Range Clinic Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salud Family Health	CO	Federal Public Health Clinic/Center	$0	$24.4M
Poudre Valley Health Care Inc.	CO	General Acute Care Hospital	$0	$19.9M
Emergency Physicians Of The Rockies, PC	CO	Emergency Medicine Physician	$0	$13M
Chill, LLC	CO	Community/Behavioral Health Agency	$0	$11.7M
Ability In Motion, LLC	CO	Community/Behavioral Health Agency	$0	$8.3M
Summitstone Health Partners	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M
Poudre Valley Health Care,inc	CO	Clinic/Center	$0	$6.7M
Poudre Valley Health Care, Inc	CO	Medical Specialty Clinic/Center	$0	$3.9M
Fort Collins Kids Dentistry	CO	Pediatric Dentistry	$0	$3.5M
Elizabeth Chen	CO	Physician Assistant	$1.9M	$0

Front Range Clinic Inc. — Billing Profile & Reimbursement Data

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Front Range Clinic Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References