Physician
Colorado Mountain Medical, PC
Colorado Mountain Medical, PC was paid $92K by Medicaid between Jan 2018 and Jun 2019, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoCOLORADO MOUNTAIN MEDICAL, PC
AVON, CO 81620
AVON, CO 81620
33aNPI1083675102assigned 03/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$92K
24GClaims1,447
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Internal Medicine Physician providers in Colorado
Rank by total paid#75 of 193
Median peer was paid$34K
This provider vs. median2.7×
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 | 1,007 | $57K | |
| 2019 | 440 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 53% | 626 | 482 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 322 | 276 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 263 | 208 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 40 | 37 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 29 | 25 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.6% | 29 | 27 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 86 | 79 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 13 | 13 | $1K |
| 90686 | <1% | 12 | 12 | $147.94 | |
| 99173 | <1% | 15 | 15 | $135.64 | |
| 90461 | <1% | 12 | 12 | $59.25 |
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 officialENGLE, JANET (PRESIDENT)