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.

Brighton Community Emergency Physicians Lpa (NPI 1639454242)

Field	Value
Entity Type	Organization
Organization	Brighton Community Emergency Physicians Lpa
Address	1600 Prairie Center Parkway
City	Brighton
State	CO
ZIP	80601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 14, 2011

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	22,640	$110	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,750	$80	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13,260	$50	$623.1K
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…	30	$190	$5.6K

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

Brighton Community Emergency Physicians Lpa — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	21	210	730	$120	$966.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	48	290	1,390	$110	$958.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	42	270	1,290	$100	$937.1K
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…	79	100	110	$150	$271.5K

Nearby Providers

Other providers in the same ZIP code as Brighton Community Emergency Physicians Lpa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salud Family Health	CO	Federally Qualified Health Center (FQHC)	$0	$17M
Brighton Community Hospital Association	CO	General Acute Care Hospital	$0	$13.1M
Advanced Urgent Care LLC	CO	Urgent Care Clinic/Center	$0	$9.8M
Positive Approach, Inc.	CO	Preferred Provider Organization	$0	$8.5M
Brighton Pediatrics, P.C.	CO	Pediatrics Physician	$0	$5.5M
Platte Valley Ambulance Service LLC	CO	Land Ambulance	$381.3K	$3.3M
Salud Family Health	CO	Federally Qualified Health Center (FQHC)	$0	$3.5M
Stephan Shane	CO	Internal Medicine Physician	$97.7K	$195.1K
Sean Manion	CO	Urology Physician	$173.9K	$0
Behzad Molavi	CO	Interventional Cardiology Physician	$132.2K	$0

Brighton Community Emergency Physicians Lpa — Billing Profile & Reimbursement Data

Sign up for Brighton Community Emergency Physicians Lpa — Billing Profile & Reimbursement Data policy alerts

Brighton Community Emergency Physicians Lpa — Billing Profile & Reimbursement Data

Sign up for Brighton Community Emergency Physicians Lpa — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References