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.

Niles Utlaut (NPI 1639233919)

Field	Value
Entity Type	Individual
Organization	Niles Utlaut
Address	1155 Alpine Ave
City	Boulder
State	CO
ZIP	80304
Taxonomy	Ophthalmology Physician
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicare	$171.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	770	$110	$81.6K
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…	900	$60	$57.7K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	440	$30	$13.1K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	900	$10	$9.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	170	$50	$7.8K
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…	20	$50	$830
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	20	$30	$440

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Niles Utlaut — 2 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92235	1	50	50	$110	$12.2K
92134	65	440	60	$30	$7.8K
99213	39	7,200	70	$60	$6.6K
92202	2	10	120	$10	$4.6K
99203	1,946	2,650	30	$70	$3.1K
92083	35	370	40	$40	$2.7K
92133	299	360	40	$20	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinica Campesina Family Health Services	CO	Clinic/Center	$0	$15.3M
Stuart Weisman	CO	Rheumatology Physician	$1.1M	$0
Shawn Allen	CO	MOHS-Micrographic Surgery Physician	$372.4K	$0
Stephen Siegel	CO	Urology Physician	$337.1K	$0
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$304.7K	$24.6K
Ken Kreidl	CO	Ophthalmology Physician	$270.2K	$0
William Blanchet	CO	Internal Medicine Physician	$251.3K	$0
Donald Mccormack	CO	Ophthalmology Physician	$226.1K	$0
Boulder Medical Center, PC	CO	Ambulatory Surgical Clinic/Center	$208K	$0
Cher LLC	CO	Diagnostic Radiology Physician	$143K	$49.6K

Niles Utlaut — Billing Profile & Reimbursement Data

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Niles Utlaut — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References