Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE PAGOSA MEDICAL GROUP LLC

NPI: 1255857660 · PAGOSA SPGS, CO 81147 · Surgery Physician · NPI assigned 08/17/2017

$785K
Total Medicaid Paid
16,583
Total Claims
13,523
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRIEGO, MICHELLE (COMMUNICATION DIRECTOR)
NPI Enumeration Date08/17/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 661 $34K
2019 2,417 $101K
2020 2,428 $72K
2021 2,822 $124K
2022 2,246 $132K
2023 3,225 $176K
2024 2,784 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,598 8,269 $565K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 616 557 $54K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 500 435 $38K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 535 501 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 278 257 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 629 602 $21K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 597 232 $20K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 570 219 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 513 506 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 155 147 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 220 214 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 88 76 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 146 140 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 33 31 $2K
93041 625 245 $2K
S9088 Services provided in an urgent care center (list in addition to code for service) 505 452 $2K
0002A 14 14 $583.65
90472 Immunization administration, each additional vaccine (list separately) 27 26 $494.05
0031A 12 12 $340.68
G8510 Screening for depression is documented as negative, a follow-up plan is not required 28 26 $309.25
94760 123 113 $263.22
99173 99 98 $249.38
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $233.52
36415 Collection of venous blood by venipuncture 47 42 $119.67
J2250 Injection, midazolam hydrochloride, per 1 mg 547 239 $73.56
81003 37 31 $58.26
90686 14 14 $57.45
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14 13 $25.46