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    OpenPayerNPI Medicare & MedicaidPoudre Valley Health Care Inc
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    Poudre Valley Health Care Inc — Billing Profile & Reimbursement Data

    NPI 1881232692 · Windsor, CO · General Acute Care Hospital

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    Poudre Valley Health Care Inc is a general acute care hospital provider located in Windsor, Colorado. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPoudre Valley Health Care Inc
    Address701 Automation Dr
    CityWindsor
    StateCO
    ZIP80550
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedDecember 12, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)26,770$190$5.1M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)17,500$250$4.3M
    A0433Advanced life support, level 2 (als 2)5,690$230$1.3M
    A0425Ground mileage, per statute mile51,030$20$1.1M
    A0434Specialty care transport (sct)20$40$700
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest10$0$0
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)20$0$0
    A0428Ambulance service, basic life support, non-emergency transport, (bls)120$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)4050360$130$5.6M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)10130750$140$957.7K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)7120700$120$843.2K
    A0425Ground mileage, per statute mile8280990$20$636.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1920110$330$516.1K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest910120$10$385.4K
    A0433Advanced life support, level 2 (als 2)120120$170$183.3K
    A0434Specialty care transport (sct)1920140$280$125.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Poudre Valley Health Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Poudre Valley Health Care Inc.COGeneral Acute Care Hospital$0$19.9M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Poudre Valley Health Care,incCOClinic/Center$0$6.7M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Medical Center Of The RockiesCOGeneral Acute Care Hospital$0$4.8M
    Poudre Valley Health Care, IncCOMedical Specialty Clinic/Center$0$3.9M
    Charles JohnsonCOClinical Cardiac Electrophysiology Physician$273.2K$0
    Brian LancasterCOSports Medicine (Family Medicine) Physician$213.4K$0
    William MillerCOCardiovascular Disease Physician$151.6K$0
    Benjamin GirdlerCOUrology Physician$139.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Poudre Valley Health Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tender Hearts Home Healthcare, LLCCOHome Health Agency$0$24.1M
    The Otero CorporationCOAdult Care Home Facility$0$22.9M
    Carmel Community Living CorporationCODevelopmentally Disabled Services Day Training Agency$0$12.2M
    Jami GortonCOGerontology Nurse Practitioner$10.3M$0
    United Seating And Mobility, LLCCODurable Medical Equipment & Medical Supplies$0$5.5M
    Walgreen CoCOCommunity/Retail Pharmacy$133.6K$10.2K
    Michael CareyCOFamily Medicine Physician$111.2K$0
    Scott JohnsonCOPhysical Therapist$84.9K$0
    David SquicqueroCODiagnostic Radiology Physician$40.6K$0
    Agnes Carsen BahnCOFamily Medicine Physician$23.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Colorado Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Poudre Valley Health Care Inc — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado