Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Loveland › NPI 1093127276
Clinic

Banner Hospital Based Physicians Colorado LLC

Banner Hospital Based Physicians Colorado LLC was paid $39K by Medicaid between Jan 2018 and May 2024, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 37% of everything it billed.

33Billing provider infoBANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
LOVELAND, CO 80538
33aNPI1093127276assigned 05/22/2014
28Total paid$39K
24GClaims611
24DCodes billed8
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Colorado

Rank by total paid#67 of 106
Median peer was paid$75K
This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018105$4K
201976$4K
2020117$7K
2021140$8K
202215$2K
2023103$9K
2024incomplete55$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 37% 117 108 $15K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 172 89 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 104 94 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 11% 41 37 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.8% 48 25 $3K
99238 Hospital discharge day management, 30 minutes or less 6.4% 87 51 $3K
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 2.0% 15 14 $802.65
54150 1.3% 27 13 $527.44

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 officialBIRDI, SHIVA (BMG CEO)
Parent organizationBANNER MEDICAL GROUP COLORADO
Same official

Other billing entities under BIRDI, SHIVA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.