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.

Lutheran Hospital Association Of The San Luis Valley (NPI 1720269434)

Field	Value
Entity Type	Organization
Organization	Lutheran Hospital Association Of The San Luis Valley
Address	106 Blanca Ave
City	Alamosa
State	CO
ZIP	81101
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	November 21, 2007

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	17,560	$60	$1M
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.	8,290	$80	$654.5K
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…	8,120	$80	$633.1K
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.	11,790	$50	$530.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,300	$80	$522.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,740	$90	$328.9K
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.	9,910	$30	$287.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,440	$40	$195.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,690	$30	$126.6K
99203	The provider sees a new 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 provider…	1,420	$70	$104.8K

Showing 1–10 of 84

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

Lutheran Hospital Association Of The San Luis Valley — 3 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

84 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.	119	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.	54	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.	61	270	1,290	$100	$937.1K
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…	114	2,520	330	$100	$352K
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…	230	2,630	430	$90	$268.2K
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	130	280	$130	$228.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17	240	550	$110	$208.5K
99281	The provider sees a patient for the lowest level emergency department visit.	41	40	300	$150	$205K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	27	130	670	$50	$192.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	145	220	340	$60	$188.2K

Showing 1–10 of 84

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lutheran Hospital Association Of The San Luis Valley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Hospital Association Of The San Luis Valley	CO	General Acute Care Hospital	$0	$10.5M
Matthew Logsdon	CO	Hematology & Oncology Physician	$643.8K	$0
William Harrer	WA	Medical Oncology Physician	$348K	$0
Andrew Roth	IL	Obstetrics & Gynecology Physician	$116.6K	$161.3K
Jennifer Westmoreland	ND	Diagnostic Radiology Physician	$247.2K	$0
Joshiah Gordon	CO	Pulmonary Disease Physician	$232.6K	$0
Brett Young	CO	Diagnostic Radiology Physician	$213.1K	$0
Sulaiman Sultan	IL	Hospitalist Physician	$172.7K	$33.3K
Omar Hajibrahim	CO	Diagnostic Radiology Physician	$201.5K	$0
Kelly Fountain	FL	Diagnostic Radiology Physician	$190.1K	$0

Nearby Providers

Other providers in the same ZIP code as Lutheran Hospital Association Of The San Luis Valley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Luis Valley Community Mental Health Center	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Red Willows, Inc.	CO	Transportation Broker	$0	$12.6M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$10.8M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.8M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.6M
Slv Home Services Corp	CO	Home Health Agency	$0	$5.5M
Blue Peaks Developmental Services, Inc.	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Valley-wide Health Systems, Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$5.2M
Sweet Tooth Dental, PC	CO	Dentist	$0	$5.2M

Lutheran Hospital Association Of The San Luis Valley — Billing Profile & Reimbursement Data

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Lutheran Hospital Association Of The San Luis Valley — 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