FRONT RANGE CLINIC INC.
NPI: 1184210643
· COLORADO SPRINGS, CO 80909
· Internal Medicine Physician
· NPI assigned 12/17/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCCOY, CLARK controls 15+ related entities in our dataset. Read more
$360K
Total Medicaid Paid
Provider Details
| Authorized Official | MCCOY, CLARK (PRESIDENT) |
| NPI Enumeration Date | 12/17/2020 |
Related Entities
Other providers sharing the same authorized official: MCCOY, CLARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
7,709 |
$360K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,613 |
2,228 |
$284K |
| 80305 |
|
3,598 |
2,271 |
$34K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
17 |
16 |
$21K |
| 99215 |
Prolong outpt/office vis |
81 |
66 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
104 |
$7K |
| 99409 |
|
34 |
34 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$2K |
| 81025 |
|
122 |
98 |
$762.29 |