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.

Mountain View Pain Specialists (NPI 1912403544)

Mountain View Pain Specialists is a pain medicine (physical medicine & rehabilitation) physician provider located in Lone Tree, 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	Mountain View Pain Specialists
Address	10375 Park Meadows Dr Ste 270
City	Lone Tree
State	CO
ZIP	80124
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	April 3, 2018

Payer Source	Total Paid
Medicaid	$9.9M
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
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…	42,130	$70	$2.9M
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…	29,110	$50	$1.4M
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…	9,470	$100	$937.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	6,670	$130	$834K
64484	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…	5,540	$100	$537.8K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4,110	$130	$533.6K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2,820	$150	$420K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	1,520	$250	$379.2K
77002	The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…	5,210	$60	$297.1K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	3,450	$70	$234.5K

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

Mountain View Pain Specialists — 12 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
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	13	40	900	$170	$1.5M
J0585	Injection, onabotulinumtoxina, 1 unit	27	50	340	$520	$452.1K
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…	69	2,520	330	$100	$352K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4	10	1,620	$140	$296.6K
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…	25	2,630	430	$90	$268.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	18	90	800	$30	$103.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	548	630	830	$30	$102.9K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	3	30	100	$220	$100.2K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	1	60	110	$170	$89.2K
77002	The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…	1	10	380	$50	$82K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shaun Gabriel	CO	Interventional Pain Medicine Physician	$889.8K	$0
Brina Wade	CO	Physician Assistant	$61.6K	$0
Hunter Powell	CO	Physician Assistant	$28.4K	$0
Shannon Khattak	CO	Physician Assistant	$18.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cochlear Americas	CO	Durable Medical Equipment & Medical Supplies	$27.4M	$134.9M
Home Medical Supplies, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$10.1M
Patrick Eulitt	CO	Medical Oncology Physician	$2.4M	$0
Lone Tree Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$2.3M	$20.8K
Insight Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$1.4M	$79.2K
The Surgery Center At Lone Tree, LLC	CO	Ambulatory Surgical Clinic/Center	$572.7K	$704.7K
Colorado Urologic Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$950.6K	$17.3K
Denver Cyberknife, LLC	CO	Radiation Oncology Clinic/Center	$805.8K	$0
Healthone Ridge View Endoscopy Center, LLC	CO	Ambulatory Surgical Clinic/Center	$670.4K	$32K
Robert Jotte	CO	Hematology & Oncology Physician	$702.1K	$0

Mountain View Pain Specialists — Billing Profile & Reimbursement Data

Sign up for Mountain View Pain Specialists — Billing Profile & Reimbursement Data policy alerts

Mountain View Pain Specialists — Billing Profile & Reimbursement Data

Sign up for Mountain View Pain Specialists — 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