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.

Hca Healthone LLC (NPI 1821042979)

Key Findings

Field	Value
Entity Type	Organization
Organization	Hca Healthone LLC
Address	9191 Grant St
City	Thornton
State	CO
ZIP	80229
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

This provider has no Medicare billing on file and reports $30.6M in lifetime Medicaid revenue, making its observed commercial/public payer mix effectively single-payer Medicaid in the available data. Analysts should treat Medicaid activity as the primary source of fee-for-service claims when benchmarking or modeling revenue for HCA HEALTHONE LLC.

Revenue is highly concentrated in a small set of emergency and infusion codes: the precomputed top three Medicaid codes (99283, 99284, 96361) account for 77.3% of the provider's total Medicaid revenue. The two emergency-department evaluation & management codes 99283 ($10.3M, 33.8%) and 99284 ($9.9M, 32.5%) together dominate the revenue base, with 96361 (IV fluids, $3.4M, 11.0%) as the third contributor.

The code mix and dollar concentration point to a high-volume ED-centric operating profile for a General Acute Care Hospital: 99283 and 99284 are the top revenue drivers and together represent the majority of dollars, while 96361 indicates frequent administration of IV fluids for dehydration or emergent resuscitation. Ancillary service lines that commonly support ED throughput—imaging and high-volume lab tests—also appear across the top codes, consistent with an emergency-care throughput model.

HCA HEALTHONE LLC is a statewide outlier on ED volume for multiple codes: 99283 ranks #4 of 285 providers in-state (99th percentile; extreme outlier) and 99284 ranks #5 of 267 providers in-state (98th percentile; extreme outlier). These rankings indicate the provider is a major ED volume hub in Colorado relative to peers and substantially exceeds typical state activity for those codes.

Several high-frequency, low-reimbursement ancillary codes underscore heavy patient throughput and routine ED testing: 80053 shows 67.3K claims ($1M revenue) and ranks #6 of 181 providers in-state (97th percentile; notably above typical), 93005 has 38.3K claims ($38.3K revenue) and ranks #5 of 92 (96th percentile; notably above typical), and 71045 reports 36.6K claims ($36.6K revenue) and ranks #10 of 149 (94th percentile). These volumes suggest consistent use of lab panels, ECGs, and chest x‑rays as part of core ED workflows.

The provider also posts extreme outlier behavior in specific lab testing volume despite lower dollar share: 84484 (troponin) contributed $439.3K (1.4% of Medicaid revenue) and ranks #1 of 65 providers in-state (100th percentile; extreme outlier). High troponin testing alongside dominant ED E/M codes is consistent with large-scale chest pain and acute cardiac rule-out activity in the ED.

Not all high-ranking services are high-dollar: 96374 shows 59.8K claims at $1 avg paid/claim for $59.8K in revenue and ranks #2 of 90 providers in-state (99th percentile; extreme outlier). The combination of many $1 technical or screening claims with a small set of high-dollar ED E/M codes indicates the hospital’s revenue picture is driven by E/M complexity while routine technical items scale with patient counts.

Operational tenure is long: the NPI was enumerated 2006-05-22 (~20 years ago), so current patterns reflect a provider with roughly two decades of presence in the state. That tenure, combined with the facility’s rank and percentile performance on core ED codes, supports interpreting HCA HEALTHONE LLC as an established, high-throughput emergency-care provider within Colorado’s Medicaid network.

Medicaid: Complete Services Breakdown

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

108 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.	83,460	$120	$10.3M
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.	89,680	$110	$9.9M
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.	12,380	$270	$3.4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,350	$180	$1.3M
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.	10,190	$110	$1.1M
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.	67,280	$20	$1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,810	$190	$889.5K
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.	4,300	$130	$550.9K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	27,460	$20	$439.3K
80320	The lab analyst measures the amount of or detects the presence of alcohol present in a patient specimen, which commonly may be blood, other body fluid, or tissue.	3,730	$90	$339.2K

Showing 1–10 of 108

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

Hca Healthone LLC — 7 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

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	36	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.	56	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.	4	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.	5	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.	7	70	410	$250	$881.6K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	114	120	700	$120	$843.2K
A0425	Ground mileage, per statute mile	189	280	990	$20	$636.8K
G0378	Hospital observation service, per hour	9	30	70	$150	$290.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	18	80	830	$70	$274.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	12	120	130	$70	$266.2K

Showing 1–10 of 108

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
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Oliver Behavioral Consultants LLC	CO	Behavior Analyst	$0	$16.6M
Rocky Mountain Youth Medical & Nursing Consultants Inc	CO	Pediatrics Physician	$0	$16.2M
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

Hca Healthone LLC — Billing Profile & Reimbursement Data

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Hca Healthone LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$24.4M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$19.6M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$13.3M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$10.9M
Hca-healthone, LLC	CO	Ambulance	$0	$6.6M