Colorado Medical Group, PLLC

Colorado Medical Group, PLLC was paid $2.00M by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is 36475, — 71% of everything it billed.

33Billing provider infoCOLORADO MEDICAL GROUP, PLLC
ENGLEWOOD, CO 80113

33aNPI1053928234assigned 09/30/2020

33bProvider typeSurgery Physician

28Total paid$2.00M

24GClaims7,998

24DCodes billed8

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Surgery Physician providers in Colorado

Rank by total paid#2 of 78

Median peer was paid$10K

This provider vs. median201×

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
2020	74	$6K
2021	1,906	$447K
2022	1,806	$505K
2023	2,805	$841K
2024incomplete	1,407	$198K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
36475		71%	961	517	$1.41M
93971		9.3%	2,094	1,217	$185K
93970		6.4%	988	936	$128K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.2%	2,184	1,436	$123K
36471		4.3%	841	498	$85K
76942		2.5%	828	489	$49K
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	<1%	89	86	$11K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	13	$717.06

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 officialSIMMONS, GRACE (CREDENTIALING DIRECTOR)

Parent organizationCOLORADO MEDICAL GROUP, PLLC