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.

Colorado West Emergency Physicians, LLC (NPI 1780626069)

Field	Value
Entity Type	Organization
Organization	Colorado West Emergency Physicians, LLC
Address	2635 N 7th St
City	Grand Junction
State	CO
ZIP	81501
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	61,180	$100	$6.1M
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.	38,840	$70	$2.7M
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.	26,420	$40	$1M
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…	3,960	$150	$602.4K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	27,630	$1	$82.9K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	150	$20	$3.4K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	340	$10	$3K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	30	$20	$700
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	20	$30	$410
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	10	$20	$240

Showing 1–10 of 15

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

Colorado West Emergency Physicians, LLC — 3 of 10 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

15 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.	8	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.	30	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.	21	270	1,290	$100	$937.1K
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…	10	100	110	$150	$271.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	27	90	120	$30	$17.9K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	90	$1	$12.1K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	6	10	30	$30	$3.3K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	1	10	90	$20	$2.2K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	1	10	20	$30	$410
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	1	10	10	$20	$240

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Colorado West Emergency Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Valley Emergency Physicians Inc	UT	Emergency Medicine Physician	$0	$4.7M
Richard Sorensen	UT	Emergency Medicine Physician	$71.8K	$2.4K
Andrew D'alessandro	CO	Emergency Medicine Physician	$53.7K	$0
Forrest Wells	UT	Emergency Medicine Physician	$47.5K	$0
Wesley Williams	OR	Emergency Medicine Physician	$46.5K	$0
Melissa Knight	CO	Emergency Medical Services (Emergency Medicine) Physician	$45.6K	$0
Tadd Ferguson	CO	Emergency Medical Services (Emergency Medicine) Physician	$37.4K	$0
Brent Fowler	CO	Emergency Medicine Physician	$36.5K	$0
Peter Dahlheimer	CO	Emergency Medical Services (Emergency Medicine) Physician	$35.9K	$0
David Pettit	CO	Emergency Medical Services (Emergency Medicine) Physician	$35.6K	$0

Nearby Providers

Other providers in the same ZIP code as Colorado West Emergency Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado West Regional Mental Health, Inc.	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.2M
Mesa Developmental Services Dba Strive	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$59.6M
Tazco, Inc.	CO	Taxi	$0	$39.7M
Hilltop Health Services Corporation	CO	Adult Day Care Clinic/Center	$0	$27.7M
Hilltop Health Services Corporation	CO	Professional Counselor	$0	$24.2M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Martha Amos	CO	Mental Health Counselor	$0	$14.6M
St. Mary's Hospital And Medical Center, Inc.	CO	General Acute Care Hospital	$0	$14.5M
Mls Senior Care	CO	Homemaker	$0	$9M
Amos Counseling LLC	CO	Mental Health Counselor	$0	$6.5M

Colorado West Emergency Physicians, LLC — Billing Profile & Reimbursement Data

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Colorado West Emergency Physicians, LLC — 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