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.

Poudre Valley Health Care Inc (NPI 1710542246)

Field	Value
Entity Type	Organization
Organization	Poudre Valley Health Care Inc
Address	1024 S Lemay Ave
City	Fort Collins
State	CO
ZIP	80524
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 9, 2019

Payer Source	Total Paid
Medicare	$11.8K
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
G9875	Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is…	20	$190	$4.3K
G9880	The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment…	20	$180	$2.9K
G9874	Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is…	20	$110	$2.6K
G9879	Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance…	10	$100	$1.1K
G9873	First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an…	20	$40	$890

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

Poudre Valley Health Care Inc — 0 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
G9875	1	10	20	$190	$4.3K
G9880	1	10	20	$180	$2.9K
G9874	1	10	20	$110	$2K
G9879	1	10	10	$100	$1.1K
G9873	1	10	20	$40	$780

Related Providers

Other providers that share a Tax Identification Number (TIN) with Poudre Valley Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Poudre Valley Health Care Inc.	CO	General Acute Care Hospital	$0	$19.9M
Poudre Valley Health Care Inc	CO	General Acute Care Hospital	$0	$11.8M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Poudre Valley Health Care,inc	CO	Clinic/Center	$0	$6.7M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Medical Center Of The Rockies	CO	General Acute Care Hospital	$0	$4.8M
Poudre Valley Health Care, Inc	CO	Medical Specialty Clinic/Center	$0	$3.9M
Charles Johnson	CO	Clinical Cardiac Electrophysiology Physician	$273.2K	$0
Brian Lancaster	CO	Sports Medicine (Family Medicine) Physician	$213.4K	$0
William Miller	CO	Cardiovascular Disease Physician	$151.6K	$0

Nearby Providers

Other providers in the same ZIP code as Poudre Valley Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Front Range Clinic Inc.	CO	Family Medicine Physician	$0	$43.3M
Salud Family Health	CO	Federal Public Health Clinic/Center	$0	$24.4M
Emergency Physicians Of The Rockies, PC	CO	Emergency Medicine Physician	$0	$13M
Chill, LLC	CO	Community/Behavioral Health Agency	$0	$11.7M
Ability In Motion, LLC	CO	Community/Behavioral Health Agency	$0	$8.3M
Summitstone Health Partners	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M
Fort Collins Kids Dentistry	CO	Pediatric Dentistry	$0	$3.5M
Elizabeth Chen	CO	Physician Assistant	$1.9M	$0
Andrew Kalajian	CO	Procedural Dermatology Physician	$762.2K	$0
Neil Grey	CO	Nuclear Radiology Physician	$648.4K	$0

Poudre Valley Health Care Inc — Billing Profile & Reimbursement Data

Sign up for Poudre Valley Health Care Inc — Billing Profile & Reimbursement Data policy alerts

Poudre Valley Health Care Inc — Billing Profile & Reimbursement Data

Sign up for Poudre Valley Health Care Inc — 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