Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BANNER HEALTH PHYSICIANS COLORADO LLC

NPI: 1033470737 · JOHNSTOWN, CO 80534 · Multi-Specialty Clinic/Center · NPI assigned 05/30/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$1.29M
Total Medicaid Paid
36,864
Total Claims
33,727
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (CFO)
Parent OrganizationBANNER MEDICAL GROUP COLORADO
NPI Enumeration Date05/30/2012

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $863.55M
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,829 $163K
2019 3,653 $179K
2020 2,759 $120K
2021 3,643 $193K
2022 4,187 $223K
2023 10,869 $242K
2024 7,924 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,255 9,201 $596K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,440 5,838 $506K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,244 3,082 $58K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 390 367 $31K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 360 341 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 186 181 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 108 106 $10K
90472 Immunization administration, each additional vaccine (list separately) 534 498 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 214 191 $7K
90686 1,338 1,290 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 402 387 $6K
87428 84 84 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 222 104 $3K
36415 Collection of venous blood by venipuncture 904 828 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 145 138 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $1K
90656 87 87 $424.65
90674 19 16 $328.90
3078F 2,723 2,542 $0.00
4040F 745 682 $0.00
4274F 15 12 $0.00
1160F 1,592 1,472 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 89 87 $0.00
1159F 380 347 $0.00
90670 104 100 $0.00
0502F 306 134 $0.00
99499 47 47 $0.00
90685 27 27 $0.00
90671 12 12 $0.00
1111F 1,424 1,354 $0.00
3074F 3,474 3,232 $0.00
4037F 178 170 $0.00
3079F 526 498 $0.00
1170F 264 248 $0.00
90680 12 12 $0.00