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.

Andrea Thornton (NPI 1629178512)

Field	Value
Entity Type	Individual
Organization	Andrea Thornton
Address	2635 N 7th St
City	Grand Junction
State	CO
ZIP	81501
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicare	$59.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	330	$170	$54.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$60	$4.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Andrea Thornton — 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. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	5	1,230	40	$170	$9.8K
99232	944	2,340	50	$60	$6.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Andrea Thornton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intermountain Medical Group Grand Junction, LLC	CO	Orthopaedic Surgery Physician	$0	$4M
Peter Weigel	NJ	Internal Medicine Physician	$1M	$0
Tamara Hopkins	MO	Hematology & Oncology Physician	$887.1K	$0
Zachary Arthurs	SC	Vascular Surgery Physician	$641.3K	$0
Seth Kareus	CO	Neurology Physician	$254K	$14.4K
John Moore	CO	Clinical Cardiac Electrophysiology Physician	$248.2K	$530
James Raley	GA	Surgery Physician	$238K	$0
Kyle Delong	CO	Medical Physician Assistant	$227K	$0
Daniel Sullivan	CO	Family Medicine Physician	$215.4K	$0
Julie Weintraub	CO	Radiation Oncology Physician	$212.2K	$0

Nearby Providers

Other providers in the same ZIP code as Andrea Thornton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado West Regional Mental Health, Inc.	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.2M
Mesa Developmental Services Dba Strive	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$59.6M
Tazco, Inc.	CO	Taxi	$0	$39.7M
Hilltop Health Services Corporation	CO	Adult Day Care Clinic/Center	$0	$27.7M
Hilltop Health Services Corporation	CO	Professional Counselor	$0	$24.2M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Martha Amos	CO	Mental Health Counselor	$0	$14.6M
St. Mary's Hospital And Medical Center, Inc.	CO	General Acute Care Hospital	$0	$14.5M
Colorado West Emergency Physicians, LLC	CO	Emergency Medicine Physician	$0	$10.6M
Mls Senior Care	CO	Homemaker	$0	$9M

Andrea Thornton — Billing Profile & Reimbursement Data

Sign up for Andrea Thornton — Billing Profile & Reimbursement Data policy alerts

Andrea Thornton — Billing Profile & Reimbursement Data

Sign up for Andrea Thornton — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References