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.

Usacs Of Colorado, Inc (NPI 1760415871)

Usacs Of Colorado, Inc is a emergency medicine physician provider located in Littleton, Colorado. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Usacs Of Colorado, Inc
Address	7700 S Broadway
City	Littleton
State	CO
ZIP	80122
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	92,240	$80	$7.1M
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.	59,250	$100	$6M
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.	55,870	$40	$2.5M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	25,960	$10	$155.8K
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…	710	$90	$62.7K
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…	930	$60	$58.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	380	$140	$54.5K
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…	180	$90	$16.2K
99204	The provider sees a new 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 provider…	80	$150	$12.2K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	40	$110	$4.2K

Showing 1–10 of 12

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

Usacs Of Colorado, Inc — 4 of 11 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

12 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.	9	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.	13	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.	4	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…	881	2,520	330	$100	$352K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	27	100	110	$150	$271.5K
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…	1,113	2,630	430	$90	$268.2K
99220	N/A	20	20	80	$100	$82.8K
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…	361	880	110	$80	$64.9K
99204	The provider sees a new 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 provider…	516	990	90	$120	$57.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8	190	660	$10	$39.5K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usacs Of Colorado Inc	CO	Emergency Medicine Physician	$0	$5.6M
Usacs Of Colorado Inc	KS	Emergency Medicine Physician	$0	$643.9K
Jason Younga	CO	Emergency Medicine Physician	$85.1K	$0
Yadavinder Sooch	CO	Emergency Medicine Physician	$50.4K	$0
Wesley Williams	OR	Emergency Medicine Physician	$46.5K	$0
Edward Riley	KS	Family Medicine Physician	$44.2K	$0
Kelli Danna	CO	Physician Assistant	$42.5K	$0
Amanda Kiessel	CO	Physician Assistant	$42.2K	$0
Mark Foster	CO	Physician Assistant	$41.1K	$0
Melissa Villars	NM	Emergency Medicine Physician	$35.9K	$950

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Recovery Group LLC	CO	Clinical Medical Laboratory	$0	$22M
Integrated Life Choices	CO	Developmentally Disabled Services Day Training Agency	$0	$7.6M
Pedo Three, Prof. LLC	CO	Pediatric Dentistry	$0	$5.9M
South Denver Musculoskeletal Surgical Partners, LLC	CO	Ambulatory Surgical Clinic/Center	$854.4K	$8.7K
Summit View Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$610K	$3.5K
James Fagelson	CO	Urology Physician	$218.2K	$0
Brad Bell	CO	Urology Physician	$188.6K	$0
Daniel Mazur	CO	Urology Physician	$184.6K	$0
Celinde Strohl	CO	Internal Medicine Physician	$172.3K	$0
John Adair Prall	CO	Neurological Surgery Physician	$170.7K	$0

Usacs Of Colorado, Inc — Billing Profile & Reimbursement Data

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Usacs Of Colorado, 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

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