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.

Planned Parenthood Of The Rocky Mountains, Inc (NPI 1881743631)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of The Rocky Mountains, Inc
Address	7155 E 38th Ave
City	Denver
State	CO
ZIP	80207
Taxonomy	Ambulatory Family Planning Facility
NPI Enumerated	January 10, 2007
NPI Deactivated	November 20, 2019

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S4993	Contraceptive pills for birth control	21,040	$150	$3.1M
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…	5,640	$110	$620.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	7,610	$70	$563K
87806	The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood.	16,580	$20	$397.8K
J1050	Injection, medroxyprogesterone acetate, 1 mg	4,050	$80	$308.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	14,560	$10	$116.5K
99201	Deleted code, effective Jan. 1, 2021	2,070	$40	$91K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,210	$70	$87K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	23,440	$1	$70.3K
A4550	Surgical trays	1,290	$50	$62K

Showing 1–10 of 29

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

Planned Parenthood Of The Rocky Mountains, Inc — 9 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	238	2,520	330	$100	$352K
S4993	Contraceptive pills for birth control	1	20	580	$150	$333.2K
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…	304	2,630	430	$90	$268.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	128	690	140	$90	$118.4K
87806	The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood.	1	10	1,830	$30	$77.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	687	880	110	$80	$64.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	24	260	160	$30	$24.8K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3	10	20	$610	$23.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	89	130	50	$100	$20.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	11	280	70	$70	$20K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of The Rocky Mountains, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physicians Incorporated	CO	Internal Medicine Physician	$0	$190.8M
Children's Hospital Colorado	CO	Children's Hospital	$0	$114.9M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
University Of Colorado Hospital Authority	CO	General Acute Care Hospital	$0	$58.1M
Johns Hopkins University	MD	Emergency Medicine Physician	$0	$21.1M
Children's Hospital Colorado	CO	Children's Hospital	$0	$17.8M
University Physicians Incorporated	CO	Pediatrics Physician	$0	$7.8M
Children's Hospital Colorado	CO	Children's Hospital	$0	$7.3M
University Physicians Incorporated	CO	Clinical Medical Laboratory	$0	$6.7M
University Of Colorado Hospital Authority	CO	General Acute Care Hospital	$0	$3.8M

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Of The Rocky Mountains, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$7.9M

Planned Parenthood Of The Rocky Mountains, Inc — Billing Profile & Reimbursement Data

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Planned Parenthood Of The Rocky Mountains, 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