Clinic
Denver Pediatrics P.C.
Denver Pediatrics P.C. was paid $4.42M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoDENVER PEDIATRICS P.C.
THORNTON, CO 80229
THORNTON, CO 80229
33aNPI1104099704assigned 04/04/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$4.42M
24GClaims120,747
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#5 of 101
Median peer was paid$140K
This provider vs. median32×
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 | 20,363 | $591K | |
| 2019 | 19,638 | $592K | |
| 2020 | 13,038 | $477K | |
| 2021 | 15,292 | $641K | |
| 2022 | 18,259 | $749K | |
| 2023 | 20,678 | $811K | |
| 2024incomplete | 13,479 | $563K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 18,187 | 14,779 | $1.18M |
| 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 | 17% | 8,259 | 6,900 | $768K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 10,033 | 9,377 | $395K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 3,722 | 3,180 | $309K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 3,145 | 2,966 | $283K |
| 94762 | 5.6% | 9,710 | 7,895 | $247K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 2,597 | 2,426 | $232K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 1,516 | 1,385 | $195K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 1,541 | 1,421 | $149K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 7,884 | 7,171 | $148K |
| 87428 | 1.9% | 1,209 | 1,118 | $82K | |
| 92551 | 1.3% | 5,494 | 5,146 | $56K |
67 more codes
| 99174 | 1.1% | 3,632 | $48K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 916 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,665 | $39K |
| 99173 | <1% | 4,703 | $36K | |
| 96125 | <1% | 525 | $30K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,797 | $20K |
| 96101 | <1% | 292 | $17K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,217 | $14K |
| 90671 | <1% | 929 | $14K | |
| 83655 | <1% | 1,044 | $13K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 366 | $11K |
| D1206 | Topical application of fluoride varnish | <1% | 487 | $8K |
| 85018 | <1% | 2,897 | $7K | |
| 99460 | <1% | 127 | $7K | |
| 80061 | Lipid panel | <1% | 471 | $7K |
| 90670 | <1% | 1,772 | $6K | |
| 99381 | <1% | 81 | $6K | |
| 36416 | <1% | 2,164 | $6K | |
| 99000 | <1% | 1,726 | $5K | |
| 99383 | <1% | 47 | $4K | |
| 90651 | <1% | 825 | $4K | |
| 96112 | <1% | 35 | $3K | |
| 83718 | <1% | 325 | $3K | |
| 94761 | <1% | 677 | $3K | |
| 90686 | <1% | 2,660 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 90698 | <1% | 1,819 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 278 | $2K |
| 82962 | <1% | 812 | $2K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 43 | $1K |
| 90633 | <1% | 1,385 | $1K | |
| 90715 | <1% | 362 | $1K | |
| 90716 | <1% | 772 | $1K | |
| 90619 | <1% | 179 | $1K | |
| 90707 | <1% | 803 | $1K | |
| 90672 | <1% | 409 | $1K | |
| 96380 | <1% | 52 | $1K | |
| 81002 | <1% | 328 | $1K | |
| 90734 | <1% | 349 | $890.12 | |
| 96127 | <1% | 86 | $807.73 | |
| 94010 | <1% | 26 | $765.41 | |
| 90688 | <1% | 1,087 | $712.60 | |
| 90681 | <1% | 985 | $614.18 | |
| 82465 | <1% | 452 | $546.10 | |
| 90697 | <1% | 753 | $487.50 | |
| D0190 | <1% | 25 | $426.84 | |
| 90480 | <1% | 17 | $338.72 | |
| 94664 | <1% | 489 | $329.22 | |
| 90620 | <1% | 145 | $308.00 | |
| 92552 | <1% | 14 | $208.29 | |
| 90744 | <1% | 698 | $92.55 | |
| 90680 | <1% | 505 | $64.03 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 427 | $53.06 |
| 87803 | <1% | 27 | $26.24 | |
| 90656 | <1% | 252 | $22.35 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $18.37 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 428 | $10.26 |
| A4616 | Tubing (oxygen), per foot | <1% | 430 | $0.36 |
| 90696 | 0% | 95 | $0.00 | |
| 90660 | 0% | 35 | $0.00 | |
| 90674 | 0% | 32 | $0.00 | |
| 91307 | 0% | 16 | $0.00 | |
| 90710 | 0% | 63 | $0.00 | |
| 90685 | 0% | 295 | $0.00 | |
| 84030 | 0% | 15 | $0.00 | |
| 90687 | 0% | 18 | $0.00 | |
| 96113 | 0% | 17 | $0.00 |
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 officialSIKAND, KIRIN (VICE PRESIDENT)