Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidOptumcare Colorado Medical Group, LLC
    Ask Trek AI about this page

    Optumcare Colorado Medical Group, LLC — Billing Profile & Reimbursement Data

    NPI 1619009388 · Colorado Springs, CO · Clinical Medical Laboratory

    Customize your policy alerts

    Sign up for Optumcare Colorado Medical Group, LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Optumcare Colorado Medical Group, LLC is a clinical medical laboratory provider located in Colorado Springs, Colorado. This profile covers 57 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOptumcare Colorado Medical Group, LLC
    Address1633 Medical Center Pt
    CityColorado Springs
    StateCO
    ZIP80907
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 9, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$315K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    57 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…3,210$20$51.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.4,760$10$47.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.3,360$10$43.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…4,200$10$33.6K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…890$30$25.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…2,540$10$22.9K
    G0103Prostate cancer screening; prostate specific antigen test (psa)580$20$11K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,210$10$9.7K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…350$20$6.3K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…710$10$5.7K

    Showing 1–10 of 57

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    57 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8388051090$40$23.7K
    8267071040$30$16.7K
    8230638030$30$14.5K
    8448182040$20$10.1K
    8440374020$30$10K
    80053525080$10$10K
    84443420050$20$9.5K
    80061419050$10$9.1K
    85025624070$10$7.3K
    80069810110$10$6.2K

    Showing 1–10 of 57

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Optumcare Colorado Medical Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optumcare Colorado Medical Group LLCCOGeneral Practice Physician$0$8.8M
    Jeffrey PerkinsCORheumatology Physician$678.2K$0
    Daniel ErhardtCORheumatology Physician$547.9K$0
    Nicole SwavelyCORheumatology Physician$379.8K$0
    Prateek ChaudharyCORheumatology Physician$330K$0
    James HaugCODiagnostic Radiology Physician$326.9K$0
    Robert SchreinerCORheumatology Physician$303.9K$0
    Jill GibsonCORheumatology Physician$303.3K$0
    Hazem UbaissiCOPulmonary Disease Physician$200.2K$0
    Carson MaynardCORheumatology Physician$189.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Optumcare Colorado Medical Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Physicians Home CareCOIn Home Supportive Care Agency$0$247.9M
    A Circle Of Care Colorado, LLC.COIn Home Supportive Care Agency$0$101.8M
    Goodwill Of ColoradoCOHome Health Agency$0$33.3M
    Stellar Care And Services, LLCCOChild Intellectual and/or Developmental Disabilities Respite Care$0$31M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    American Medical Response Of Colorado IncCOAmbulance$3.4M$21.6M
    Special Kids Special FamiliesCODevelopmentally Disabled Services Day Training Agency$0$24.8M
    Lucas IncCORespite Care$0$23.6M
    Achieve Whole Recovery, PCCOSpecialist$0$22.7M
    Loving Care Agency, Inc.COIn Home Supportive Care Agency$0$18.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Optumcare Colorado Medical Group, LLC — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado