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.

William Blanchet (NPI 1659466837)

Field	Value
Entity Type	Individual
Organization	William Blanchet
Address	2880 Folsom St
City	Boulder
State	CO
ZIP	80304
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicare	$251.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	4,200	$20	$75.6K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1,230	$40	$51.5K
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…	520	$100	$50.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	$130	$12.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$140	$10.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,030	$10	$8.3K
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…	120	$70	$8.2K
99443	N/A	70	$90	$6.5K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	140	$40	$5.5K
99442	N/A	90	$60	$5.3K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

William Blanchet — 3 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	47	140	2,580	$20	$68.8K
90662	206	1,230	40	$70	$15.2K
99214	308	8,160	80	$80	$11.3K
99457	20	40	130	$40	$9.6K
99454	1	40	120	$40	$9.4K
99215	922	3,230	40	$110	$8.1K
G0008	367	1,830	40	$30	$7.4K
G0439	561	1,900	50	$90	$7K
99213	2,111	7,200	70	$60	$6.6K
71250	350	410	70	$50	$4.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Campbell	CO	Physician Assistant	$86.5K	$0
Amy Campbell	CO	Internal Medicine Physician	$82.2K	$0
Jennifer Johnson	CO	Family Medicine Physician	$77.9K	$0

Nearby Providers

Other providers in the same ZIP code as William Blanchet, 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
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	CO	Ophthalmology Physician	$171.7K	$0

William Blanchet — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References