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.

Ermin Kreso (NPI 1679584916)

Field	Value
Entity Type	Individual
Organization	Ermin Kreso
Address	496 S Dayton St
City	Denver
State	CO
ZIP	80247
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicare	$41.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	180	$120	$21.2K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	620	$20	$14.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	$130	$4.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	110	$10	$860
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	20	$10	$210

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Ermin Kreso — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	281	3,230	40	$110	$8.1K
G0439	1,208	1,900	50	$90	$7K
36415	394	1,040	70	$10	$2.8K
G2212	2	190	50	$20	$1.9K
93000	533	910	20	$10	$890

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Permanente Medical Group, P.C.	CO	Internal Medicine Physician	$0	$23.2M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$8M
Phoenix Medical Supply Specialists, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$5.2M
Dustin Ridout	CO	Urology Physician	$191.2K	$0
Abigail Russo	CO	Occupational Therapist	$111.6K	$0
Jennifer Sbicca	CO	Dermatology Physician	$105K	$0
Daniel Barry	CO	Internal Medicine Physician	$89.1K	$0
Alison Sandberg	CO	Diagnostic Radiology Physician	$81.2K	$0
Charles Vaughn	CO	Podiatrist	$6.1K	$35.7K
Maribeth Milford	CO	Anesthesiology Physician	$5.4K	$0

Ermin Kreso — Billing Profile & Reimbursement Data

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Ermin Kreso — 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