Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

South Denver Physicians PLLC

South Denver Physicians PLLC was paid $258K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoSOUTH DENVER PHYSICIANS PLLC
CENTENNIAL, CO 80112
33aNPI1124463161assigned 05/03/2013
33bProvider typeNeurology Physician
28Total paid$258K
24GClaims6,180
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Neurology Physician providers in Colorado

Rank by total paid#12 of 54
Median peer was paid$15K
This provider vs. median17×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,223$51K
20191,071$42K
2020730$32K
2021840$37K
2022734$28K
2023874$41K
2024incomplete708$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62% 3,763 3,434 $161K
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 33% 1,421 1,331 $85K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.8% 411 375 $7K
90688 <1% 140 134 $2K
90674 <1% 71 69 $1K
90686 <1% 73 73 $1K
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% 88 82 $600.15
90653 <1% 24 24 $166.98
90694 <1% 44 39 $62.22
G0008 Administration of influenza virus vaccine 0% 129 124 $0.00
90662 0% 16 16 $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 officialPALES, DMITRIY (SOLE MEMBER)