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.

Clayton Labaume (NPI 1982855789)

Field	Value
Entity Type	Individual
Organization	Clayton Labaume
Address	1 Mercado St
City	Durango
State	CO
ZIP	81301
Taxonomy	Surgical Physician Assistant
NPI Enumerated	October 10, 2008

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

This provider’s Medicare practice is overwhelmingly driven by high-volume injectable biologics: J3111 (romosozumab) and J0897 (denosumab) together account for the vast majority of billings, with J3111 reporting 92.4K claims and $739.2K revenue (51.4% of this provider's total Medicare revenue) and J0897 reporting 34.6K claims and $622.1K revenue (43.2% of this provider's total Medicare revenue). The code descriptions and claim mix indicate the operation functions primarily as a service line that administers repetitive subcutaneous/intramuscular biologic injections rather than generating revenue through surgical procedures. Office E/M visits such as 99213 appear as a much smaller complementary revenue stream.

Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 97.2% of this provider’s total Medicare revenue, signaling very high dependence on a narrow set of injectable therapies. That concentration suggests financial exposure if payer coverage or prescribing patterns for these specific agents change, because most billed activity and dollars are tied to these few codes.

Payer mix is effectively single-payer on file: total Medicare revenue is $1.4M while there is no Medicaid billing on file. The absence of Medicaid activity means analyses of this provider should treat Medicare as the operative commercial dataset and not rely on any Medicaid-based volume or reimbursements.

Competitive standing on these drug codes is outsized nationally: J0897 ranks #70 of 10057 providers nationally (99th percentile; extreme outlier), and J3111 ranks #18 of 970 providers nationally (98th percentile; notably above typical national volume for this code). These ranks position the provider as a major national biller for these specific agents rather than a modest local participant, indicating market leadership or a specialized treatment role in administering these medications.

Procedural and injection support codes further underline the throughput model: 96372 shows 1K claims and $9.1K revenue (0.6% of Medicare revenue) and ranks #374 of 58224 providers nationally (99th percentile; extreme outlier). High percentiles on both primary drug codes and supportive injection codes point to consistent, repeated administration workflows and staff/time allocation optimized for serial injections.

Office evaluation-and-management activity exists but is small relative to injectable revenue: 99213 accounts for 698 claims and $37.7K revenue (2.6% of Medicare revenue) and ranks #14364 of 457151 providers nationally (97th percentile; notably above typical national volume for this code). This suggests the practice pairs brief follow-up or monitoring visits with the dominant injection service, rather than deriving its main revenue from clinic-based E/M care.

Tenure is long-standing: the NPI was enumerated on 2008-10-10 (~18 years ago), indicating sustained presence in Medicare billing and giving context to the accumulated $1.4M lifetime Medicare revenue. This duration supports interpreting current high-volume patterns as an established practice behavior rather than a transient spike.

Given the mix of very large claim counts (92.4K for J3111 and 34.6K for J0897) combined with relatively low average paid-per-claim ($8 for J3111 and $18 for J0897), the provider’s throughput model appears to rely on volume of administrations rather than high per-encounter reimbursement. Analysts should consider utilization drivers (patient cohort receiving chronic injectable therapy) and operational capacity when benchmarking against peers.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3111	Injection, romosozumab-aqqg, 1 mg	92,400	$10	$739.2K
J0897	Injection, denosumab, 1 mg	34,560	$20	$622.1K
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…	700	$50	$37.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$110	$10.3K
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…	1,010	$10	$9.1K
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…	110	$70	$8K
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…	80	$80	$6.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$140	$2.6K
72081	In this diagnostic procedure, the provider captures the entire thoracic (upper and middle) and lumbar (lower) spine in an X–ray image from a single projection (direction or angle) to evaluate the…	50	$30	$1.3K
99442	N/A	30	$40	$1.2K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Clayton Labaume — 4 of 12 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

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3111	1	40	9,770	$10	$108.3K
J0897	1	140	2,580	$20	$68.8K
99214	3,292	8,160	80	$80	$11.3K
99215	725	3,230	40	$110	$8.1K
99213	81	7,200	70	$60	$6.6K
99205	837	1,300	20	$150	$5K
99204	403	3,670	30	$110	$4.7K
99443	103	120	20	$80	$2.6K
99442	73	230	20	$50	$1.8K
99441	79	130	30	$30	$1.4K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clayton Labaume, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Regional Medical Center, Inc.	NM	General Acute Care Hospital	$0	$141.5M
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$25.2M
San Juan Regional Medical Center Inc	NM	Emergency Medicine Physician	$0	$23.8M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$23.6M
Davis Hospital & Medical Center LP	UT	General Acute Care Hospital	$0	$22.5M
San Juan Regional Medical Center Inc	NM	Pediatrics Physician	$0	$15.7M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$15.6M
Marian Health Center-smhc	IA	General Acute Care Hospital	$0	$15.5M
Shahid Javery	CO	Internal Medicine Physician	$11.4M	$0

Nearby Providers

Other providers in the same ZIP code as Clayton Labaume, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Colorado Mental Health Center, Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.2M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$6M
Pediatric Partners Of The Southwest	CO	Pediatrics Physician	$0	$5.8M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.5M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.3M
Nicholas Hugentobler	CO	Foot & Ankle Surgery Podiatrist	$1.9M	$0
Kyle Piwonka	CO	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Sano Vita Inc	CO	Community/Retail Pharmacy	$86.6K	$359.1K
Joshua Zastrocky	CO	Ophthalmology Physician	$352.5K	$0
Jonathan Clark	CO	Radiation Oncology Physician	$340.9K	$0

Clayton Labaume — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References