Physician
ST Mary's Hospital and Medical Center, INC
ST Mary's Hospital and Medical Center, INC was paid $1.85M by Medicaid between Oct 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoST MARY'S HOSPITAL AND MEDICAL CENTER, INC
GRAND JUNCTION, CO 81506
GRAND JUNCTION, CO 81506
33aNPI1093338840assigned 05/27/2020
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$1.85M
24GClaims31,775
24DCodes billed16
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Colorado
Rank by total paid#1 of 12
Median peer was paid$51K
This provider vs. median37×
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 | 40 | $2K | |
| 2019 | 193 | $11K | |
| 2020 | 444 | $33K | |
| 2021 | 7,577 | $622K | |
| 2022 | 8,887 | $632K | |
| 2023 | 9,104 | $325K | |
| 2024incomplete | 5,530 | $221K |
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 | 58% | 14,336 | 13,299 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 13,237 | 12,443 | $689K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 269 | 245 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 540 | 515 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,427 | 2,308 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 124 | 66 | $6K |
| 90686 | <1% | 393 | 375 | $5K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 82 | 55 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | 27 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 43 | 38 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 20 | 14 | $1K |
4 more codes
| 96127 | <1% | 146 | $785.93 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 20 | $685.49 |
| 81025 | <1% | 19 | $123.34 | |
| 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) | <1% | 76 | $6.62 |
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 officialCHINN, TERRI (VP OF FINANCE)
Parent organizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| ST Mary's Hospital and Medical Center, INC | Grand Junction, CO | $5.53M |
| ST Mary's Hospital and Medical Center, INC | Grand Junction, CO | $2.54M |
| ST Mary's Hospital and Medical Center, INC | Grand Junction, CO | $412K |
| ST Mary's Hospital and Medical Center, INC | Grand Junction, CO | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.