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.

Rocky Mountain Youth Medical & Nursing Consultants Inc (NPI 1730295296)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Youth Medical & Nursing Consultants Inc
Address	9197 Grant St Ste 200
City	Thornton
State	CO
ZIP	80229
Taxonomy	Pediatrics Physician
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

96 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…	63,770	$60	$3.7M
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.	54,490	$50	$2.5M
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…	24,110	$80	$2M
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…	21,940	$90	$1.9M
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…	15,670	$90	$1.3M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,320	$90	$1.1M
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	37,950	$20	$645.1K
D0190	N/A	28,340	$20	$425.1K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	3,010	$110	$342.7K
D0145	N/A	10,530	$30	$315.9K

Showing 1–10 of 96

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

Rocky Mountain Youth Medical & Nursing Consultants Inc — 17 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

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	22	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…	120	2,630	430	$90	$268.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,665	1,670	550	$100	$229.3K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	15	100	320	$80	$229.2K
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…	2	240	550	$110	$208.5K
H0023	Alcohol and/or drug outreach	89	190	360	$60	$163.1K
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…	2	260	380	$100	$161.6K
H0031	Mental health assessment, by non-physician	64	130	210	$140	$125K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	458	590	200	$80	$119.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	68	690	140	$90	$118.4K

Showing 1–10 of 96

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rocky Mountain Youth Medical & Nursing Consultants Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocky Mountain Youth Medical And Nursing Consultants, Inc	CO	Multi-Specialty Clinic/Center	$0	$4.3M

Nearby Providers

Other providers in the same ZIP code as Rocky Mountain Youth Medical & Nursing Consultants Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allegiance Home Care Inc	CO	In Home Supportive Care Agency	$0	$33.7M
A Better Life Experience Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$30.7M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$30.6M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Oliver Behavioral Consultants LLC	CO	Behavior Analyst	$0	$16.6M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$7.6M
Physician's Choice Medical, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Thornton Youth Dentistry, PC	CO	General Practice Dentistry	$0	$7.1M
H.e.a.r.t Counseling Center, LLC	CO	Community/Behavioral Health Agency	$0	$5.4M
Thornton Youth Vision, LLC	CO	Optometrist	$0	$5M

Rocky Mountain Youth Medical & Nursing Consultants Inc — Billing Profile & Reimbursement Data

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Rocky Mountain Youth Medical & Nursing Consultants Inc — 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