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.

Meadows Family Medical Center Inc (NPI 1962440412)

Meadows Family Medical Center Inc is a family medicine physician provider located in Denver, Colorado. This profile covers 0 Medicare and 29 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	Meadows Family Medical Center Inc
Address	999 17th St Ste 500
City	Denver
State	CO
ZIP	80202
Taxonomy	Family Medicine Physician
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	96,160	$30	$2.4M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	61,170	$20	$1.2M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	7,040	$30	$218.1K
99335	N/A	9,040	$20	$198.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	11,260	$10	$135.1K
99336	N/A	2,960	$30	$91.8K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	8,770	$10	$78.9K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	7,820	$10	$78.2K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	2,070	$40	$72.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	1,540	$50	$71K

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

Meadows Family Medical Center Inc — 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2	100	380	$20	$107.6K
99336	N/A	3	10	400	$30	$53.7K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	12	20	40	$80	$51.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	3	60	130	$30	$47.1K
99334	N/A	3	10	280	$20	$37.5K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	2	10	310	$30	$34.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	8	30	70	$40	$31.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	100	120	$10	$28.4K
99335	N/A	1	10	60	$20	$28.1K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	2	10	760	$10	$24.9K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clemencia Rasquinha	MN	Geriatric Medicine (Family Medicine) Physician	$2.5M	$0
Ruth Cano	CO	Internal Medicine Physician	$262.9K	$0
Haley Harkendorff	CO	Physician Assistant	$195K	$0
Jameel Chohan	CO	General Practice Physician	$191.3K	$0
Amanda Becerril	CO	Physician Assistant	$167.9K	$0
Mary Ann Dimberio	CO	Adult Health Nurse Practitioner	$164K	$0
Kurt Wever	CO	Family Medicine Physician	$163.9K	$0
Linda Couger	CO	Nurse Practitioner	$137.4K	$0
Dennis Bronstein	CO	Family Nurse Practitioner	$110.6K	$0
Kim Buckley	CO	Medical Physician Assistant	$95.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coram Alternate Site Services Inc	CO	Home Infusion Agency	$0	$10.5M
The Barth Hotel	CO	Assisted Living Facility	$0	$8.5M
Karen Kazibut	CO	Physical Therapist	$183.9K	$0
Erin Summers	CO	Women's Health Nurse Practitioner	$113.1K	$33.6K
Jenna Carlson	CO	Occupational Therapist	$144.4K	$0
Ronald Wise	CO	Cornea and External Diseases Specialist Physician	$98.3K	$0
Mary Gunn	CO	Speech-Language Pathologist	$74.9K	$0
Michael Fall	CO	Pulmonary Disease Physician	$28.3K	$0
Syed Akhtar	CO	Internal Medicine Physician	$11.3K	$0

Meadows Family Medical Center 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

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