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.

Boulder Community Health (NPI 1821074196)

Field	Value
Entity Type	Organization
Organization	Boulder Community Health
Address	4747 Arapahoe Ave
City	Boulder
State	CO
ZIP	80303
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 19, 2005

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

86 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.	26,420	$120	$3.1M
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.	16,320	$100	$1.7M
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.	10,490	$110	$1.1M
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.	3,240	$230	$738.5K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	9,520	$20	$180.9K
0002A	N/A	1,850	$90	$157.2K
0001A	N/A	1,760	$80	$135.4K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	530	$160	$84K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,720	$40	$68.7K
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.	4,560	$20	$68.3K

Showing 1–10 of 86

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

Boulder Community Health — 4 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

86 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.	38	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.	29	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.	37	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.	17	70	410	$250	$881.6K
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…	2,369	2,630	430	$90	$268.2K
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.	90	120	130	$70	$266.2K
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.	52	130	280	$130	$228.2K
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.	46	100	220	$40	$189.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	32	60	360	$30	$183.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	35	70	350	$30	$150K

Showing 1–10 of 86

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boulder Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Eye Surgery Center Of Colorado, LLC	CO	Ambulatory Surgical Clinic/Center	$1.1M	$0
Jeffrey Perkins	CO	Rheumatology Physician	$678.2K	$0
Shiraz Moinuddin	CO	Rheumatology Physician	$676.9K	$0
Boulder Community Musculoskeletal Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$591.2K	$0
Endoscopy Center Of The Rockies LLC	CO	Ambulatory Surgical Clinic/Center	$454.4K	$95.7K
Thomas Minor	CO	Pulmonary Disease Physician	$519.5K	$0
Endoscopy Center Of The Rockies LLC	CO	Ambulatory Surgical Clinic/Center	$397.9K	$47.9K
Joseph Lutt	CO	Rheumatology Physician	$431.6K	$0
Foothills Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$315.2K	$76.9K
Christy Young	CO	Neurology Physician	$323.7K	$0

Nearby Providers

Other providers in the same ZIP code as Boulder Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Richard	CO	Radiation Oncology Physician	$1.9M	$0
Geeta Lalchandani-lalwani	CO	Ophthalmology Physician	$1.5M	$0
Austin Poole	CO	Hematology & Oncology Physician	$1.1M	$0
Gregory Britt	CO	Hematology & Oncology Physician	$1.1M	$0
Dario Pasalic	CO	Radiation Oncology Physician	$956.3K	$0
David Andorsky	CO	Hematology & Oncology Physician	$890K	$0
Leslie Busby	CO	Hematology & Oncology Physician	$863.7K	$0
Vlad Matei	CO	Retina Specialist (Ophthalmology) Physician	$791.9K	$0
Jenny Fox	CO	Hematology & Oncology Physician	$476.5K	$0
Mark Sitarik	CO	Hematology & Oncology Physician	$468.8K	$0

Boulder Community Health — Billing Profile & Reimbursement Data

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Boulder Community Health — 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