Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH COLORADO FAMILY MEDICINE

NPI: 1083642680 · GREELEY, CO 80634 · Primary Care Clinic/Center · NPI assigned 06/30/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$5.11M
Total Medicaid Paid
142,420
Total Claims
130,402
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER HEALTH
NPI Enumeration Date06/30/2006

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $14.77M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $361K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,719 $746K
2019 14,180 $714K
2020 11,434 $526K
2021 13,707 $745K
2022 16,049 $846K
2023 41,526 $895K
2024 28,805 $637K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,689 30,073 $2.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,605 26,480 $1.63M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,919 12,467 $238K
99238 Hospital discharge day management, 30 minutes or less 4,316 3,060 $161K
99232 Subsequent hospital care, per day, moderate complexity 4,401 2,150 $157K
90472 Immunization administration, each additional vaccine (list separately) 1,761 1,715 $33K
90686 2,427 2,338 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 343 304 $26K
87428 310 302 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 218 210 $19K
99462 870 564 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 145 138 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 686 664 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 114 108 $10K
36415 Collection of venous blood by venipuncture 3,936 3,780 $10K
90656 639 637 $7K
99460 82 69 $5K
90674 648 620 $4K
92551 366 354 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 98 89 $3K
99215 Prolong outpt/office vis 25 25 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 195 96 $3K
99233 Prolong inpt eval add15 m 46 24 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 32 27 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 131 126 $2K
99222 Initial hospital care, per day, moderate complexity 33 25 $2K
90837 Psychotherapy, 53 minutes with patient 30 25 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 103 86 $1K
87210 220 201 $998.43
99220 13 12 $984.80
99173 240 235 $880.36
96127 186 165 $626.60
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $597.89
90670 42 39 $591.41
84703 56 51 $390.11
83036 Hemoglobin; glycosylated (A1C) 44 43 $382.77
54150 23 12 $274.61
90651 38 38 $239.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 241 235 $126.46
90715 13 12 $107.25
90688 448 438 $70.33
81003 41 40 $44.00
99499 181 160 $0.01
3075F 433 413 $0.00
3074F 9,793 9,333 $0.00
1111F 6,179 5,908 $0.00
3079F 1,876 1,798 $0.00
1170F 58 58 $0.00
4037F 857 838 $0.00
4040F 4,105 3,811 $0.00
1159F 6,024 5,642 $0.00
1160F 5,502 5,172 $0.00
3078F 8,473 8,084 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 933 888 $0.00
90687 28 28 $0.00
4274F 166 154 $0.00
3077F 13 13 $0.00
90671 13 13 $0.00