Medicaid Provider Spending

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

ROCKY MOUNTAIN MEDICAL & HEALTH CARE, INC.

NPI: 1083829659 · DENVER, CO 80224 · Family Nurse Practitioner · NPI assigned 05/14/2007

$4.90M
Total Medicaid Paid
238,275
Total Claims
161,263
Beneficiaries
115
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKALANI YAZD, NASER (OWNER)
NPI Enumeration Date05/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,532 $411K
2019 23,612 $406K
2020 40,767 $536K
2021 43,492 $887K
2022 33,367 $818K
2023 38,957 $929K
2024 42,548 $912K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,161 13,431 $1.20M
99337 16,243 9,706 $842K
99350 Prolong home eval add 15m 8,596 5,870 $648K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,096 10,423 $619K
99336 8,166 5,511 $317K
99349 5,513 4,160 $274K
99334 14,300 6,619 $261K
99215 Prolong outpt/office vis 2,021 1,646 $176K
99347 6,220 3,861 $156K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 691 633 $73K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,174 3,969 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 515 460 $41K
94760 33,061 22,486 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,132 1,923 $33K
36415 Collection of venous blood by venipuncture 15,039 11,450 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,890 1,475 $15K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,477 1,142 $13K
99406 4,493 2,781 $11K
99328 157 91 $10K
99385 75 71 $7K
90688 2,341 1,840 $7K
99386 70 66 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 81 62 $6K
0003A 262 190 $5K
H0049 Alcohol and/or drug screening 733 529 $5K
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 696 544 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 293 247 $5K
99348 117 102 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 219 129 $4K
99001 3,109 1,063 $3K
0013A 184 165 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 34 $3K
0124A 220 209 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,837 2,523 $3K
99497 125 104 $3K
99000 2,487 2,019 $2K
99384 18 18 $2K
99409 50 32 $2K
86580 281 215 $2K
99383 14 14 $2K
99490 Ccm add 20min 293 264 $1K
99335 56 47 $1K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 45 40 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 641 405 $1K
99401 44 44 $1K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 350 336 $973.98
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 18 $920.44
0071A 15 13 $786.24
0002A 26 20 $614.16
90686 68 51 $603.36
90756 182 90 $559.76
95117 52 30 $549.90
95115 100 40 $500.64
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 141 138 $439.53
99407 133 72 $378.00
G0444 Annual depression screening, 5 to 15 minutes 135 52 $364.00
96127 242 197 $347.75
99324 26 21 $290.74
11765 18 12 $278.05
99491 Ccm add 20min 53 51 $234.24
0134A 27 25 $225.00
11719 47 40 $206.36
0001A 37 21 $181.77
97802 40 31 $153.80
94761 79 52 $127.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 73 23 $55.98
G0008 Administration of influenza virus vaccine 760 568 $30.00
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails 105 72 $28.79
69210 24 18 $21.38
81000 711 590 $11.11
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 308 112 $10.82
82948 316 78 $0.00
1160F 1,761 1,338 $0.00
1159F 11,260 7,734 $0.00
91300 348 324 $0.00
3078F 1,304 818 $0.00
G8598 Aspirin or another antiplatelet therapy used 169 88 $0.00
91312 154 151 $0.00
3077F 61 42 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 29 28 $0.00
91313 23 23 $0.00
3288F 45 29 $0.00
4013F 34 28 $0.00
3725F 46 38 $0.00
1100F 15 13 $0.00
81002 98 64 $0.00
4035F 17 12 $0.00
J0287 Injection, amphotericin b lipid complex, 10 mg 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 21 20 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12 12 $0.00
3008F 5,085 3,355 $0.00
4000F 91 56 $0.00
1034F 1,016 584 $0.00
2000F 11,840 9,267 $0.00
1036F 4,038 2,741 $0.00
1170F 1,979 1,510 $0.00
91301 183 175 $0.00
1125F 10,448 7,464 $0.00
3079F 469 286 $0.00
G9642 Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) 432 212 $0.00
1000F 812 620 $0.00
1220F 681 605 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 80 41 $0.00
3074F 2,153 1,264 $0.00
1126F 563 408 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 27 21 $0.00
1111F 303 287 $0.00
3075F 111 70 $0.00
96156 35 24 $0.00
91307 33 27 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 23 13 $0.00
3080F 23 16 $0.00
90480 32 32 $0.00
2010F 15 15 $0.00
4008F 34 12 $0.00