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.

Rocky Mountain Clinics LLC (NPI 1598478059)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Clinics LLC
Address	2400 Midpoint Dr Ste 170
City	Fort Collins
State	CO
ZIP	80525
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	December 29, 2022

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	76,480	$170	$13M
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…	1,080	$100	$107K

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

Rocky Mountain Clinics LLC — 1 of 2 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

2 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…	2	40	900	$170	$1.5M
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…	4	20	270	$110	$107.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rocky Mountain Clinics LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocky Mountain Clinics LLC	CO	Addiction Medicine (Family Medicine) Physician	$0	$9.6M
Jeremy Edmonds	NM	Family Medicine Physician	$114.2K	$0

Nearby Providers

Other providers in the same ZIP code as Rocky Mountain Clinics LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$40.1M
Foothills Gateway Inc.	CO	In Home Supportive Care Agency	$0	$34.6M
Foothills Gateway, Inc.	CO	Case Manager/Care Coordinator	$0	$10.8M
Svc Dental Group, LLC	CO	Pediatric Dentistry	$0	$8.4M
Summitstone Health Partners	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.4M
The Residence At Oakridge, LLC	CO	Assisted Living Facility	$0	$6.9M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Reyes Corporation	CO	Community/Behavioral Health Agency	$0	$5.2M
Highpointe Services	CO	Developmentally Disabled Services Day Training Agency	$0	$5.1M
Alexander Home Healthcare LLC	CO	In Home Supportive Care Agency	$0	$3.8M

Rocky Mountain Clinics LLC — Billing Profile & Reimbursement Data

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Rocky Mountain Clinics 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

Related Providers

Nearby Providers

Frequently Asked Questions

References