Banner Health Physicians Colorado LLC
Banner Health Physicians Colorado LLC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 25% of everything it billed.
FORT COLLINS, CO 80528
Next to other Multi-Specialty Clinic/Center providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,004 | $119K | |
| 2019 | 3,745 | $155K | |
| 2020 | 4,669 | $155K | |
| 2021 | 5,769 | $225K | |
| 2022 | 4,530 | $188K | |
| 2023 | 12,314 | $256K | |
| 2024incomplete | 7,533 | $178K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 25% | 4,114 | 3,583 | $320K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,793 | 3,491 | $237K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 2,105 | 2,066 | $188K |
| 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% | 1,876 | 1,667 | $152K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 1,707 | 1,638 | $81K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.2% | 4,136 | 3,956 | $66K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.1% | 3,465 | 3,380 | $65K |
| 97803 | 3.5% | 1,147 | 1,108 | $45K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 2,011 | 1,971 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 342 | 334 | $35K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 635 | 608 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 249 | 237 | $9K |
42 more codes
| 90474 | <1% | 544 | $6K | |
| 0012A | <1% | 110 | $4K | |
| 0011A | <1% | 108 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $2K |
| 90686 | <1% | 890 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 22 | $967.20 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $746.93 |
| 0001A | <1% | 18 | $741.24 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $718.36 |
| 90670 | <1% | 1,240 | $181.06 | |
| 51798 | <1% | 12 | $179.40 | |
| 87807 | <1% | 13 | $152.75 | |
| 96127 | <1% | 27 | $108.16 | |
| 81003 | <1% | 13 | $27.00 | |
| 90461 | <1% | 873 | $23.36 | |
| 1159F | 0% | 1,438 | $0.00 | |
| 90671 | 0% | 522 | $0.00 | |
| 0502F | 0% | 855 | $0.00 | |
| 90633 | 0% | 179 | $0.00 | |
| 3078F | 0% | 935 | $0.00 | |
| 1160F | 0% | 1,529 | $0.00 | |
| 90661 | 0% | 128 | $0.00 | |
| 99499 | 0% | 59 | $0.00 | |
| 4274F | 0% | 35 | $0.00 | |
| 4040F | 0% | 680 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 163 | $0.00 |
| 90685 | 0% | 86 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 13 | $0.00 |
| 4037F | 0% | 159 | $0.00 | |
| 3074F | 0% | 1,258 | $0.00 | |
| 90698 | 0% | 467 | $0.00 | |
| 90744 | 0% | 147 | $0.00 | |
| 90680 | 0% | 791 | $0.00 | |
| 90697 | 0% | 542 | $0.00 | |
| 1111F | 0% | 1,914 | $0.00 | |
| 90677 | 0% | 30 | $0.00 | |
| 3079F | 0% | 30 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.