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.

Valley View Hospital Association (NPI 1982668133)

Valley View Hospital Association is a general acute care hospital provider located in Glenwood Springs, Colorado. This profile covers 0 Medicare and 123 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	Valley View Hospital Association
Address	1906 Blake Ave
City	Glenwood Springs
State	CO
ZIP	81601
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

123 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7,150	$140	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6,230	$80	$504.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,700	$120	$324.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	1,660	$150	$245.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,030	$190	$197.3K
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…	230	$850	$193K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	1,480	$120	$178.8K
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…	5,260	$30	$173.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1,500	$100	$147.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,270	$40	$130.9K

Showing 1–10 of 123

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

Valley View Hospital Association — 0 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

123 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	88	210	730	$120	$966.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	74	290	1,390	$110	$958.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	75	270	1,290	$100	$937.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	27	70	410	$250	$881.6K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	3	10	230	$60	$573.6K
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…	688	2,520	330	$100	$352K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	24	40	110	$160	$326K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	61	80	830	$70	$274.8K
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…	1,351	2,630	430	$90	$268.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	58	120	130	$70	$266.2K

Showing 1–10 of 123

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Partners Of The Southwest	CO	Pediatrics Physician	$0	$5.8M
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Mandeep Sahani	AZ	Nephrology Physician	$403.6K	$0
Garrett Caputo	CO	Emergency Medicine Physician	$283.8K	$0
Michael Duehrssen	NE	Emergency Medicine Physician	$243.8K	$0
Mohamed Magdy	AL	Gastroenterology Physician	$240.6K	$0
Andrew Gisleson	CO	Family Medicine Physician	$224.7K	$8.3K
Walid Alami	VA	Interventional Cardiology Physician	$222K	$0
Tomas Pevny	CO	Sports Medicine (Orthopaedic Surgery) Physician	$221.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maura Stack Oden LLC	CO	Community/Behavioral Health Agency	$0	$22.9M
Mountain Valley Developmental Services	CO	Case Management Agency	$0	$15.7M
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.9M
All Kids Dental Pediatrics And Orthodontics	CO	Pediatric Dentistry	$0	$8.7M
Swann Clinic For Behavioral Health	CO	Behavior Analyst	$0	$5.3M
Pediatric Psychology Services Of Colorado	CO	Clinical Psychologist	$0	$3.5M
Lola Sawyer	CO	Diagnostic Radiology Physician	$130.7K	$379K
Matthew Ehrlich	CO	Ophthalmology Physician	$250K	$0
Carl Valentin	CO	Diagnostic Radiology Physician	$84.9K	$135.2K
Peter Rossi	CO	Radiation Oncology Physician	$200.5K	$0

Valley View Hospital Association — Billing Profile & Reimbursement Data

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Valley View Hospital Association — 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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