NPI: 1043854946 · COLORADO SPRINGS, CO 80907 · Urgent Care Clinic/Center · NPI assigned 11/04/2019
| Authorized Official | WIESCAMP, ANITA (OWNER) |
| NPI Enumeration Date | 11/04/2019 |
Other providers sharing the same authorized official: WIESCAMP, ANITA
| Provider | City | State | Total Paid |
|---|---|---|---|
| FRONT RANGE URGENT CARE, INC. | PUEBLO | CO | $4.70M |
| FRONT RANGE URGENT CARE, INC. | COLORADO SPRINGS | CO | $2.96M |
| FRONT RANGE URGENT CARE, INC. | FOUNTAIN | CO | $2.69M |
| COMFORT CARE FAMILY PRACTICE, INC. | COLORADO SPRINGS | CO | $2.03M |
| COMFORT CARE FAMILY PRACTICE, INC. | FOUNTAIN | CO | $1.34M |
| COMFORT CARE FAMILY PRACTICE, INC. | PUEBLO | CO | $732K |
| FRONT RANGE URGENT CARE, INC. | COLORADO SPRINGS | CO | $376K |
| FRONT RANGE URGENT CARE, INC. | COLORADO SPRINGS | CO | $28K |
| FRONT RANGE URGENT CARE, INC. | COLORADO SPRINGS | CO | $15K |
| COMFORT CARE FAMILY PRACTICE, INC. | COLORADO SPRINGS | CO | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 258 | $15K |
| 2021 | 1,319 | $49K |
| 2022 | 291 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 537 | 430 | $42K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 108 | 89 | $10K |
| 96127 | 508 | 404 | $8K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 143 | 115 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 101 | 90 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 331 | 258 | $3K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 54 | 45 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 13 | 12 | $559.02 |
| 99000 | 73 | 60 | $6.20 |