Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Advanced Practice Headache and Primary Care Clinic

Advanced Practice Headache and Primary Care Clinic was paid $1.71M by Medicaid between Dec 2018 and Dec 2024, across 24 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.

33Billing provider infoADVANCED PRACTICE HEADACHE AND PRIMARY CARE CLINIC
PUEBLO, CO 81008
33aNPI1013490259assigned 09/13/2018
28Total paid$1.71M
24GClaims18,723
24DCodes billed24
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Colorado

Rank by total paid#6 of 123
Median peer was paid$9K
This provider vs. median193×

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$20K$40K$60K2018201920202021202220232024
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
201861$4K
20191,280$75K
20202,000$115K
20213,202$291K
20223,708$357K
20234,138$427K
2024incomplete4,334$440K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 41% 5,375 2,482 $697K
64400 20% 2,444 730 $347K
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 19% 3,432 2,216 $329K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.7% 2,708 1,051 $132K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 1,570 910 $94K
20552 3.7% 1,383 741 $63K
76942 1.3% 342 204 $21K
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% 99 99 $5K
99354 <1% 61 48 $5K
99402 <1% 63 52 $4K
36410 <1% 545 497 $3K
20553 <1% 50 31 $2K
12 more codes
99401 <1% 55 $2K
G0313 Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes) <1% 23 $1K
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% 37 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 56 $933.46
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 14 $392.86
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 24 $325.71
99000 <1% 174 $211.40
94760 <1% 80 $187.50
36415 Collection of venous blood by venipuncture <1% 39 $117.00
81002 <1% 15 $48.72
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 66 $0.92
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 68 $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 officialGLASSCOCK, ZSUZSA (BUSINESS OWNER)