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.

Mountainland Pediatrics Inc (NPI 1619152576)

Field	Value
Entity Type	Organization
Organization	Mountainland Pediatrics Inc
Address	8889 Fox Dr
City	Thornton
State	CO
ZIP	80260
Taxonomy	Pediatrics Physician
NPI Enumerated	January 9, 2008

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,230	$60	$1.6M
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…	9,460	$90	$851.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,050	$90	$532.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,590	$100	$445.4K
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…	4,790	$90	$426.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,520	$20	$297.3K
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…	3,350	$80	$278K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	8,510	$20	$170.2K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	11,910	$10	$154.8K
D0190	N/A	8,420	$20	$126.3K

Showing 1–10 of 76

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

Mountainland Pediatrics Inc — 10 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	75	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…	199	2,630	430	$90	$268.2K
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…	44	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…	24	260	380	$100	$161.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	77	690	140	$90	$118.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10	290	160	$110	$111.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	86	230	170	$70	$92K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	16	280	510	$30	$77.4K
99203	The provider sees a new 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 provider…	372	880	110	$80	$64.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4	280	110	$120	$60.1K

Showing 1–10 of 76

Nearby Providers

Other providers in the same ZIP code as Mountainland Pediatrics Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hero Dental Of Denver PC	CO	Dentist	$0	$20.7M
Hero Vision Of Denver LLC	CO	Optometrist	$0	$16.5M
More Maitri, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$10.6M
Community Reach Center, Inc	CO	Community/Behavioral Health Agency	$0	$10.3M
Griffith Centers, Inc.	CO	Mental Health Counselor	$0	$8.2M
Addo Home Health Care,inc	CO	Home Health Agency	$0	$3.8M
Praveena Solipuram	CO	Hematology & Oncology Physician	$1.2M	$0
Eiko Browning	CO	Hematology & Oncology Physician	$675.6K	$0
Paul Rochon	CO	Vascular & Interventional Radiology Physician	$420.6K	$0
Joseph Simodynes	CO	Dermatology Physician	$236K	$0

Mountainland Pediatrics Inc — Billing Profile & Reimbursement Data

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Mountainland Pediatrics Inc — 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