Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Magnolia Medical Group

Magnolia Medical Group was paid $10K by Medicaid between Apr 2024 and Aug 2024, across 5 billing codes. Its largest line is 99205, Prolong outpt/office vis — 31% of everything it billed.

33Billing provider infoMAGNOLIA MEDICAL GROUP
DENVER, CO 80218
33aNPI1003672619assigned 02/22/2024
28Total paid$10K
24GClaims256
24DCodes billed5
24AFirst – last monthApr 2024 – Aug 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Colorado

Rank by total paid#124 of 169
Median peer was paid$49K
This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2024incomplete256$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 31% 25 20 $3K
82075 24% 97 82 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 19% 15 14 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15% 15 15 $1K
80305 11% 104 90 $1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRAI, PRADEEP (DIRECTOR)
Same official

Other billing entities under RAI, PRADEEP

Full network →
ProviderLocationPaid
Magnolia Medical CompanyDenver, CO$5.32M
Magnolia Medical CompanyDenver, CO$1.81M
Pro Health One INCDenver, CO$1.61M
Forte Health and Wellness INCDenver, CO$450K
Forte Health and Wellness INCWheat Ridge, CO$35K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.