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.

Cedar Point Health LLC (NPI 1902804032)

Cedar Point Health LLC is a internal medicine physician provider located in Montrose, Colorado. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Cedar Point Health LLC
Address	3330 S Rio Grande Ave Ste 300
City	Montrose
State	CO
ZIP	81401
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 12, 2005

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	34,630	$60	$2M
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…	21,470	$70	$1.5M
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…	15,450	$90	$1.3M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	4,830	$40	$169.1K
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…	2,260	$60	$137.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,360	$80	$104.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	7,310	$10	$102.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	5,050	$10	$70.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,530	$20	$38K
S9088	Services provided in an urgent care center (list in addition to code for service)	8,820	$1	$35.3K

Showing 1–10 of 36

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

Cedar Point Health LLC — 8 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

36 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…	51	2,520	330	$100	$352K
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…	71	2,630	430	$90	$268.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	517	1,670	550	$100	$229.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	339	590	200	$80	$119.9K
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,…	153	690	140	$90	$118.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	115	130	120	$140	$73.8K
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…	7	880	110	$80	$64.9K
99204	The provider sees a new 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 provider…	396	990	90	$120	$57.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	340	510	80	$130	$55.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	199	280	160	$50	$36.3K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tracy Carter	CO	Ophthalmology Physician	$245.8K	$0
Ryan Wisler	WA	Internal Medicine Physician	$185.8K	$0
Joel Gates	CO	Family Medicine Physician	$173.9K	$0
Michael Brezinsky	CO	Internal Medicine Physician	$149.7K	$0
Kevin Pulsipher	CO	Family Medicine Physician	$94.3K	$0
Justin Tanner	CO	Internal Medicine Physician	$59.7K	$0
Dalton Barton	UT	Physician Assistant	$50.5K	$0
Susan Dockins	CO	Family Nurse Practitioner	$42.6K	$2.5K
Elizabeth Singleton	CO	Physician Assistant	$45.1K	$0
Kimberly Macdermott	NH	Family Nurse Practitioner	$22.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Toc, Inc	CO	Home Health Agency	$0	$17M
Community Options, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$15.1M
Pediatric Associates Prof LLC	CO	Pediatrics Physician	$0	$7M
Olathe Community Clinic Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$6.6M
Montrose Memorial Hospital, Inc	CO	Emergency Medicine Physician	$0	$4.8M
Montrose Memorial Hospital, Inc	CO	General Acute Care Hospital	$0	$4.2M
Smiles4kids	CO	Dentist	$0	$4.1M
Community Options, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$3.8M
Treasured Teeth PC	CO	Pediatric Dentistry	$0	$3.7M
Montrose Rural Fire Protection District No 1	CO	Land Ambulance	$426.9K	$964.3K

Cedar Point Health LLC — Billing Profile & Reimbursement Data

Sign up for Cedar Point Health LLC — Billing Profile & Reimbursement Data policy alerts

Cedar Point Health LLC — Billing Profile & Reimbursement Data

Sign up for Cedar Point Health LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References