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

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.

33Billing provider infoBANNER HEALTH PHYSICIANS COLORADO LLC
FORT COLLINS, CO 80528
33aNPI1194121293assigned 11/17/2014
28Total paid$1.27M
24GClaims41,564
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Colorado

Rank by total paid#5 of 106
Median peer was paid$75K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20183,004$119K
20193,745$155K
20204,669$155K
20215,769$225K
20224,530$188K
202312,314$256K
2024incomplete7,533$178K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialLARAWAY, DENNIS (CFO)
Parent organizationBANNER MEDICAL GROUP COLORADO
Same official

Other billing entities under LARAWAY, DENNIS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.