Wheat Ridge Family Clinic PC

Wheat Ridge Family Clinic PC was paid $425K by Medicaid between Jan 2018 and Sep 2018, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoWHEAT RIDGE FAMILY CLINIC PC
WHEAT RIDGE, CO 80033

33aNPI1013070051assigned 12/19/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$425K

24GClaims6,338

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Primary Care Clinic/Center providers in Colorado

Rank by total paid#32 of 101

Median peer was paid$140K

This provider vs. median3.0×

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

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

Year	Claims	Paid
2018	6,338	$425K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	62%	3,490	3,098	$262K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	2,399	2,191	$132K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.8%	182	180	$25K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	37	34	$3K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	62	60	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	85	83	$738.03
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	70	63	$654.98
81002		<1%	13	12	$35.74

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 officialARCHULETA, MAURICE (OWNER PRESIDENT)