Clinic
Cedar Point Health LLC
Cedar Point Health LLC was paid $638K by Medicaid between Jan 2021 and Feb 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoCEDAR POINT HEALTH LLC
MONTROSE, CO 81401
MONTROSE, CO 81401
33aNPI1215529433assigned 02/09/2021
33bProvider typeUrgent Care Clinic/Center
28Total paid$638K
24GClaims12,021
24DCodes billed16
24AFirst – last monthJan 2021 – Feb 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Colorado
Rank by total paid#33 of 103
Median peer was paid$293K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2021 | 2,984 | $175K | |
| 2022 | 2,463 | $115K | |
| 2023 | 5,860 | $313K | |
| 2024incomplete | 714 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 3,227 | 2,768 | $205K |
| 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 | 28% | 1,945 | 1,655 | $182K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 1,362 | 1,221 | $126K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 11% | 1,805 | 1,623 | $68K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 1,401 | 660 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 868 | 778 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 186 | 166 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 53 | 48 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 307 | 196 | $5K |
| 81002 | <1% | 649 | 559 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | 27 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 26 | 26 | $1K |
4 more codes
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 officialPHILLIPS, CORY (CEO)
Parent organizationCEDAR POINT HEALTH LLC
| Provider | Location | Paid |
|---|---|---|
| Cedar Point Health LLC | Montrose, CO | $5.60M |
| Cedar Point Health LLC | Grand Junction, CO | $497K |
| Cedar Point Health LLC | Grand Junction, CO | $140K |
| Cedar Point Health LLC | Ridgway, CO | $3K |
| Cedar Point Health LLC | Montrose, CO | $1K |
| Cedar Point Health LLC | Delta, CO | $434.58 |
| Cedar Point Health LLC | Cedaredge, CO | $116.94 |
| Cedar Point Health LLC | Montrose, CO | $6.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.