Guy J. Kovacevich, MD, PC

Guy J. Kovacevich, MD, PC was paid $136K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 75% of everything it billed.

33Billing provider infoGUY J. KOVACEVICH, MD, PC
AVON, CO 81620

33aNPI1063721603assigned 09/30/2010

33bProvider typeGeneral Practice Physician

28Total paid$136K

24GClaims3,726

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other General Practice Physician providers in Colorado

Rank by total paid#18 of 30

Median peer was paid$153K

This provider vs. median0.9×

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	937	$32K
2019	905	$34K
2020	669	$23K
2021	700	$28K
2022	292	$12K
2023	189	$6K
2024incomplete	34	$761.93

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	75%	2,917	2,549	$102K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	439	390	$24K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.5%	82	76	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	49	45	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.1%	35	30	$1K
36415	Collection of venous blood by venipuncture	<1%	144	133	$351.49
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14	14	$189.12
99000		<1%	28	28	$68.31
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	18	17	$50.92

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 officialKOVACEVICH, GUY (OWNER/PRESIDENT)