San Antonio Medical Center LLC

San Antonio Medical Center LLC was paid $342K by Medicaid between Jan 2018 and Nov 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSAN ANTONIO MEDICAL CENTER LLC
DENVER, CO 80219

33aNPI1225417199assigned 05/26/2015

33bProvider typeGeneral Practice Physician

28Total paid$342K

24GClaims14,384

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other General Practice Physician providers in Colorado

Rank by total paid#14 of 30

Median peer was paid$153K

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
2018	7,902	$164K
2019	6,482	$178K

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	49%	4,226	3,195	$166K
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	46%	2,839	2,335	$159K
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	2.8%	89	76	$10K
99205	Prolong outpt/office vis	2.0%	51	45	$7K
90686		<1%	42	40	$305.49
36415	Collection of venous blood by venipuncture	<1%	192	175	$291.66
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	18	15	$289.05
93000		<1%	14	12	$88.08
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	6,899	4,922	$0.02
G0008	Administration of influenza virus vaccine	0%	14	14	$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 officialVANBANG, ANTONY (MANAGER)