Primary Care Partners, INC.

Primary Care Partners, INC. was paid $17.07M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoPRIMARY CARE PARTNERS, INC.
GRAND JUNCTION, CO 81506

33aNPI1245392612assigned 12/14/2006

33bProvider typePediatrics Physician

28Total paid$17.07M

24GClaims365,997

24DCodes billed95

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#1 of 186

Median peer was paid$68K

This provider vs. median250×

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	91,684	$3.85M
2019	95,037	$4.62M
2020	68,729	$3.67M
2021	60,219	$3.34M
2022	20,646	$962K
2023	16,775	$350K
2024incomplete	12,907	$264K

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	35%	100,667	80,071	$6.00M
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	32%	64,615	50,009	$5.39M
90460	Immunization administration through 18 years of age via any route, first or only component	4.9%	20,631	18,571	$843K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.3%	6,496	5,795	$568K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	3.2%	3,914	3,729	$540K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.0%	5,865	5,319	$505K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.7%	5,047	4,504	$453K
S9088	Services provided in an urgent care center (list in addition to code for service)	2.2%	7,654	5,846	$382K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	1.6%	8,490	3,895	$268K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	14,208	12,969	$252K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.2%	9,416	6,085	$208K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.2%	6,497	3,311	$206K

83 more codes

92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	1.1%	3,892	$181K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	3,853	$132K
99215	Doctor's office visit, returning patient (complex)	<1%	1,141	$124K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	7,807	$124K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	1,098	$110K
90837	Psychotherapy session, about an hour	<1%	1,183	$108K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	2,387	$88K
90686		<1%	14,895	$74K
90834	Psychotherapy session, about 45 minutes	<1%	815	$53K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,356	$52K
90670		<1%	2,983	$49K
90461		<1%	9,291	$43K
99051		<1%	14,246	$34K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	3,302	$33K
99173		<1%	3,463	$27K
36415	Collection of venous blood by venipuncture	<1%	11,120	$26K
90791	Psychiatric diagnostic evaluation	<1%	225	$18K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,679	$15K
99000		<1%	7,402	$13K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	94	$12K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	129	$12K
97803		<1%	208	$9K
99203	Doctor's office visit, new patient (routine)	<1%	123	$9K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	144	$8K
80053	Comprehensive metabolic panel	<1%	690	$7K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	156	$7K
92523		<1%	39	$6K
97802		<1%	68	$6K
99310	Prolong nursin fac eval 15m	<1%	178	$5K
90723		<1%	1,159	$5K
99070		<1%	1,442	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	65	$5K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	632	$4K
99306	Prolong nursin fac eval 15m	<1%	120	$4K
D0190		<1%	251	$4K
90710		<1%	155	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	243	$4K
90651		<1%	191	$3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	3,607	$3K
97161		<1%	148	$3K
99204	Doctor's office visit, new patient (more involved)	<1%	18	$3K
80061	Lipid panel	<1%	277	$3K
D1206	Topical application of fluoride varnish	<1%	182	$3K
97162		<1%	76	$3K
90681		<1%	209	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	49	$2K
84443	Thyroid stimulating hormone (TSH)	<1%	159	$2K
90648		<1%	2,250	$2K
99460		<1%	26	$2K
90734		<1%	98	$1K
99177		<1%	77	$1K
81003		<1%	557	$954.81
98928		<1%	28	$950.44
84439		<1%	92	$740.76
90633		<1%	268	$732.00
87650		<1%	40	$728.30
90832	Psychotherapy session, about 30 minutes	<1%	19	$712.40
0012A		<1%	16	$535.34
90715		<1%	72	$341.49
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	19	$211.55
84481		<1%	13	$209.59
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	12	$156.00
99318		<1%	21	$129.35
94760		<1%	763	$107.08
90688		<1%	267	$106.76
36416		<1%	27	$72.68
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	14	$62.06
96127		<1%	14	$58.14
90700		<1%	14	$54.00
81002		<1%	14	$43.81
96160		<1%	15	$3.34
3078F		0%	1,297	$0.00
1159F		0%	194	$0.00
99072		0%	85	$0.00
3077F		0%	97	$0.00
3074F		0%	1,928	$0.00
3017F		0%	369	$0.00
3075F		0%	133	$0.00
3080F		0%	72	$0.00
3014F		0%	32	$0.00
3044F		0%	38	$0.00
3079F		0%	519	$0.00
90696		0%	47	$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 officialBRAEUTIGAM, BILLIE (CREDENTIALING COORDINATOR)