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.

Boulder Medical Center, PC (NPI 1962668319)

Field	Value
Entity Type	Organization
Organization	Boulder Medical Center, PC
Address	2750 Broadway St
City	Boulder
State	CO
ZIP	80304
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 5, 2008

Payer Source	Total Paid
Medicare	$208K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	130	$460	$62.2K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	120	$420	$50.5K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	70	$430	$31.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	70	$410	$28.5K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	90	$260	$23.2K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	20	$340	$7.1K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	20	$290	$4.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Boulder Medical Center, PC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	50	270	60	$310	$30.5K
45380	92	270	50	$200	$16.7K
G0105	12	170	30	$290	$12.9K
G0121	12	150	20	$300	$9.2K
43239	72	280	50	$120	$9.1K
43248	68	90	30	$190	$7.4K
45378	35	110	20	$200	$4.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boulder Medical Center, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stuart Weisman	CO	Rheumatology Physician	$1.1M	$0
Daniel Erhardt	CO	Rheumatology Physician	$547.9K	$0
Stephen Siegel	CO	Urology Physician	$337.1K	$0
Ken Kreidl	CO	Ophthalmology Physician	$270.2K	$0
Donald Mccormack	CO	Ophthalmology Physician	$226.1K	$0
Michael Repine	CO	Orthopaedic Surgery Physician	$161.8K	$0
Charles Green	CO	Cardiovascular Disease Physician	$143.3K	$0
Lindsay Boyers	CO	Dermatology Physician	$137K	$0
Tomy Perez	CO	Urology Physician	$120.9K	$0
Jose Delgado	CO	Internal Medicine Physician	$110.6K	$0

Nearby Providers

Other providers in the same ZIP code as Boulder Medical Center, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinica Campesina Family Health Services	CO	Clinic/Center	$0	$15.3M
Shawn Allen	CO	MOHS-Micrographic Surgery Physician	$372.4K	$0
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$304.7K	$24.6K
William Blanchet	CO	Internal Medicine Physician	$251.3K	$0
Cher LLC	CO	Diagnostic Radiology Physician	$143K	$49.6K
Niles Utlaut	CO	Ophthalmology Physician	$171.7K	$0
Robert Helgans	CO	Diagnostic Radiology Physician	$142.6K	$0
Laura Huff	CO	Dermatology Physician	$126.9K	$2.7K
Brooke Lewis	CO	Physician Assistant	$121.9K	$0
Coco Dughi	CO	Internal Medicine Physician	$103.9K	$0

Boulder Medical Center, PC — Billing Profile & Reimbursement Data

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Boulder Medical Center, PC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References