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 1760492714)

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	August 9, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

137 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.	38,300	$120	$4.5M
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.	42,430	$110	$4.5M
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.	12,980	$300	$3.8M
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.	22,230	$110	$2.5M
S9480	Intensive outpatient psychiatric services, per diem	2,470	$210	$529K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	8,990	$50	$449.6K
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.	30,000	$10	$420K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	6,810	$60	$401.7K
0241U	N/A	4,020	$80	$333.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,760	$100	$287.1K

Showing 1–10 of 137

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

Poudre Valley Health Care Inc. — 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

137 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	7	50	360	$130	$5.6M
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.	12	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.	21	290	1,390	$110	$958.7K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	18	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.	31	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.	6	70	410	$250	$881.6K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	15	120	700	$120	$843.2K
A0425	Ground mileage, per statute mile	20	280	990	$20	$636.8K
S9480	Intensive outpatient psychiatric services, per diem	8	20	1,240	$220	$518.5K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	5	20	110	$330	$516.1K

Showing 1–10 of 137

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
Longs Peak Hospital	CO	General Acute Care Hospital	$0	$11.8M
Poudre Valley Health Care Inc	CO	General Acute Care Hospital	$0	$11.8M
Harmony Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$5.4M	$2.8M
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

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

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Poudre Valley Health Care 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