FRONT RANGE ENT, PC
NPI: 1063659522
· GREELEY, CO 80634
· Otolaryngology Physician
· NPI assigned 01/20/2009
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | MALONE, LORI (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 01/20/2009 |
Related Entities
Other providers sharing the same authorized official: MALONE, LORI
| Provider | City | State | Total Paid |
|---|
| SPA, INC. |
JONESBORO |
AR |
$5.06M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,223 |
$82K |
| 2019 |
1,454 |
$57K |
| 2020 |
253 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
906 |
778 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
638 |
$39K |
| 92553 |
|
504 |
483 |
$15K |
| 92567 |
|
1,059 |
1,015 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
55 |
$7K |
| 92552 |
|
327 |
318 |
$4K |
| 95117 |
|
261 |
112 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$2K |
| 92557 |
|
73 |
67 |
$2K |
| 31231 |
|
20 |
16 |
$893.10 |