Clinic
Kids Are Great Pediatrics
Kids Are Great Pediatrics was paid $3.85M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoKIDS ARE GREAT PEDIATRICS
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
33aNPI1013465327assigned 09/15/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$3.85M
24GClaims123,393
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#7 of 101
Median peer was paid$140K
This provider vs. median28×
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 | 18,497 | $516K | |
| 2019 | 16,075 | $493K | |
| 2020 | 13,094 | $420K | |
| 2021 | 16,889 | $519K | |
| 2022 | 16,848 | $566K | |
| 2023 | 21,307 | $690K | |
| 2024incomplete | 20,683 | $645K |
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 | 21% | 8,334 | 7,475 | $804K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 11,709 | 10,245 | $758K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.4% | 8,116 | 7,753 | $361K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.4% | 2,643 | 2,391 | $321K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 3,461 | 3,289 | $318K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 2,932 | 2,765 | $248K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 2,459 | 2,336 | $229K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.3% | 11,948 | 11,065 | $203K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,080 | 1,026 | $110K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 2,921 | 2,757 | $80K |
| 97535 | Self-care/home management training, each 15 minutes | 1.1% | 2,211 | 1,914 | $44K |
| 94760 | 1.1% | 23,555 | 20,386 | $43K |
59 more codes
| 99354 | 1.0% | 538 | $39K | |
| 97802 | <1% | 3,572 | $30K | |
| 99173 | <1% | 4,530 | $29K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,436 | $27K |
| 99381 | <1% | 291 | $25K | |
| 99383 | <1% | 237 | $23K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,285 | $21K |
| 96127 | <1% | 1,249 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 410 | $16K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 491 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 697 | $13K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 484 | $12K |
| 83655 | <1% | 795 | $10K | |
| 99382 | <1% | 92 | $9K | |
| 94010 | <1% | 146 | $4K | |
| 85018 | <1% | 1,781 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 255 | $4K |
| 90651 | <1% | 340 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 52 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 295 | $3K |
| 90716 | <1% | 611 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 154 | $3K |
| 90670 | <1% | 2,244 | $3K | |
| 36416 | <1% | 1,776 | $3K | |
| 87430 | <1% | 370 | $2K | |
| 96111 | <1% | 14 | $1K | |
| 99000 | <1% | 1,749 | $1K | |
| 90707 | <1% | 586 | $1K | |
| 90734 | <1% | 219 | $1K | |
| 90723 | <1% | 1,190 | $778.32 | |
| 94761 | <1% | 427 | $690.96 | |
| 90680 | <1% | 1,378 | $605.77 | |
| 98960 | <1% | 1,097 | $400.00 | |
| 97537 | <1% | 19 | $381.78 | |
| 90647 | <1% | 1,699 | $344.63 | |
| 90633 | <1% | 893 | $317.76 | |
| H0049 | Alcohol and/or drug screening | <1% | 28 | $250.24 |
| 90686 | <1% | 1,798 | $209.33 | |
| 99071 | <1% | 1,763 | $189.00 | |
| 90697 | <1% | 601 | $175.00 | |
| 94664 | <1% | 28 | $153.35 | |
| 87428 | <1% | 48 | $123.76 | |
| 96160 | <1% | 679 | $118.71 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $106.08 |
| 90715 | <1% | 80 | $99.43 | |
| 90685 | <1% | 440 | $89.89 | |
| 90696 | <1% | 90 | $66.17 | |
| 87280 | <1% | 47 | $38.25 | |
| 96161 | <1% | 532 | $34.32 | |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 21 | $24.50 |
| G0311 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes) | <1% | 82 | $21.00 |
| 90672 | <1% | 234 | $0.01 | |
| 90700 | 0% | 71 | $0.00 | |
| 90710 | 0% | 519 | $0.00 | |
| 87400 | 0% | 46 | $0.00 | |
| 99072 | 0% | 19 | $0.00 | |
| 90677 | 0% | 452 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| M1296 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 13 | $0.00 |
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 officialANDRESS, MELANIE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Lindsay W Dougherty LPC | Colorado Springs, CO | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.