Behavioral
Magnolia Medical Company
Magnolia Medical Company was paid $1.81M by Medicaid between Jan 2018 and May 2021, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoMAGNOLIA MEDICAL COMPANY
DENVER, CO 80206
DENVER, CO 80206
33aNPI1043769862assigned 09/22/2016
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.81M
24GClaims73,155
24DCodes billed29
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Colorado
Rank by total paid#6 of 169
Median peer was paid$49K
This provider vs. median37×
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 | 26,066 | $591K | |
| 2019 | 26,419 | $739K | |
| 2020 | 17,482 | $462K | |
| 2021 | 3,188 | $20K |
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 | 56% | 12,012 | 8,873 | $1.02M |
| 82075 | 10% | 12,540 | 9,418 | $189K | |
| 80305 | 10% | 16,015 | 11,670 | $187K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 1,938 | 1,583 | $114K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 497 | 378 | $57K |
| 81025 | 2.7% | 6,544 | 4,846 | $49K | |
| 99000 | 2.5% | 17,208 | 12,321 | $46K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.2% | 1,550 | 957 | $41K |
| 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 | 2.2% | 323 | 284 | $40K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 476 | 369 | $37K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 705 | 627 | $14K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 197 | 174 | $5K |
17 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $4K |
| 80321 | <1% | 734 | $3K | |
| 99406 | <1% | 117 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 54 | $798.64 |
| 80348 | <1% | 234 | $273.28 | |
| 80346 | <1% | 234 | $273.28 | |
| 80364 | <1% | 234 | $273.28 | |
| 80365 | <1% | 234 | $273.28 | |
| 80373 | <1% | 234 | $273.28 | |
| 80361 | <1% | 234 | $273.28 | |
| 80356 | <1% | 234 | $273.28 | |
| 80349 | <1% | 234 | $273.28 | |
| 80354 | 0% | 61 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 87 | $0.00 |
| 80355 | 0% | 61 | $0.00 | |
| 80353 | 0% | 61 | $0.00 | |
| 80324 | 0% | 61 | $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 officialRAI, PRADEEP (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Magnolia Medical Company | Denver, CO | $5.32M |
| Pro Health One INC | Denver, CO | $1.61M |
| Forte Health and Wellness INC | Denver, CO | $450K |
| Forte Health and Wellness INC | Wheat Ridge, CO | $35K |
| Magnolia Medical Group | Denver, CO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.