Boulder Headache and Pain PLLC

Boulder Headache and Pain PLLC was paid $12K by Medicaid between Apr 2019 and Oct 2023, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 66% of everything it billed.

33Billing provider infoBOULDER HEADACHE AND PAIN PLLC
BOULDER, CO 80303

33aNPI1114432903assigned 12/04/2017

33bProvider typeFamily Medicine Physician

28Total paid$12K

24GClaims313

24DCodes billed5

24AFirst – last monthApr 2019 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#328 of 532

Median peer was paid$35K

This provider vs. median0.4×

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
2019	73	$2K
2020	32	$1K
2021	62	$2K
2022	18	$2K
2023	128	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	66%	77	49	$8K
96127		13%	179	109	$2K
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	12%	25	12	$2K
98929		4.2%	16	12	$520.13
97530	Therapeutic activities, direct patient contact, each 15 minutes	4.2%	16	12	$519.52

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 officialREISH, ALEX (OWNER)