NP / PA
Ideal Family Medicine, LTD
Ideal Family Medicine, LTD was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoIDEAL FAMILY MEDICINE, LTD
PUEBLO, CO 81004
PUEBLO, CO 81004
33aNPI1255865713assigned 04/11/2017
33bProvider typeFamily Nurse Practitioner
28Total paid$2.24M
24GClaims46,354
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Colorado
Rank by total paid#2 of 123
Median peer was paid$9K
This provider vs. median253×
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 | 574 | $13K | |
| 2019 | 4,801 | $282K | |
| 2020 | 4,441 | $169K | |
| 2021 | 6,394 | $171K | |
| 2022 | 9,346 | $499K | |
| 2023 | 11,741 | $587K | |
| 2024incomplete | 9,057 | $521K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 17,979 | 9,667 | $1.19M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 27% | 7,471 | 5,870 | $599K |
| 99401 | 6.3% | 5,161 | 4,212 | $142K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.8% | 6,345 | 2,724 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 1,190 | 912 | $61K |
| 20553 | 1.6% | 1,093 | 571 | $37K | |
| 99406 | 1.3% | 3,770 | 2,912 | $28K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,126 | 1,470 | $20K |
| 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% | 114 | 97 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 32 | 30 | $5K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 129 | 61 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 325 | 225 | $4K |
15 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 97 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 226 | $3K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 23 | $2K |
| 99385 | <1% | 16 | $1K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 18 | $501.90 |
| 99386 | <1% | 50 | $421.98 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 12 | $332.21 |
| 82962 | 0% | 32 | $0.00 | |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 20 | $0.00 |
| M1293 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| M1069 | Patient screened for future fall risk | 0% | 20 | $0.00 |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 18 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 20 | $0.00 |
| G8851 | Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) | 0% | 35 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 19 | $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 officialBRYANT, JADE (OWNER)