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.

North Colorado Medical Center (NPI 1720004450)

Field	Value
Entity Type	Organization
Organization	North Colorado Medical Center
Address	1801 16th St
City	Greeley
State	CO
ZIP	80631
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicaid	$21.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

205 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	49,350	$130	$6.3M
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.	50,540	$120	$6.1M
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.	15,410	$110	$1.7M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	65,280	$20	$1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7,660	$90	$711.9K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	7,730	$70	$533.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2,350	$220	$517.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,280	$300	$377.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,710	$180	$304K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,510	$200	$301.1K

Showing 1–10 of 205

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

North Colorado Medical Center — 11 of 25 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

205 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	25	50	360	$130	$5.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	118	160	940	$40	$2.3M
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.	28	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.	15	290	1,390	$110	$958.7K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	50	130	750	$140	$957.7K
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.	16	270	1,290	$100	$937.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	21	70	410	$250	$881.6K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	45	120	700	$120	$843.2K
A0425	Ground mileage, per statute mile	71	280	990	$20	$636.8K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	13	20	110	$330	$516.1K

Showing 1–10 of 205

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Colorado Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Colorado Medical Center	CO	General Acute Care Hospital	$0	$8.2M
Lincoln Pao	CO	Radiation Oncology Physician	$745.3K	$0
Mark Howshar	WY	Body Imaging Physician	$478.7K	$0
Mark Dziemianowicz	CO	Radiation Oncology Physician	$293.3K	$0
Benjamin Fischer-valuck	IL	Radiation Oncology Physician	$153.2K	$0
Elizabeth Ceilley	CO	Radiation Oncology Physician	$94.1K	$0
Ravinder Clayton	AZ	Radiation Oncology Physician	$91K	$0
Emily Grade	AZ	Radiation Oncology Physician	$90.2K	$0
Kelly Sanderford	CO	Orthopaedic Surgery Physician	$89.7K	$0
Matthew Measel	CO	Hospitalist Physician	$89.7K	$0

Nearby Providers

Other providers in the same ZIP code as North Colorado Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Range Behavioral Health	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$73M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$13M
Schaefer Enterprises, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$13M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$10.8M
Emergency Professionals Of Colorado, PC	CO	Emergency Medicine Physician	$0	$10.7M
Birch Assisted Living	CO	Assisted Living Facility	$0	$7.5M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$6.7M
James Levine	CO	Rheumatology Physician	$1.7M	$0
American Medical Response Of Colorado Inc	CO	Land Ambulance	$176.5K	$1.2M
Suraj Singh	CO	Radiation Oncology Physician	$684K	$0

North Colorado Medical Center — Billing Profile & Reimbursement Data

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North Colorado Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References