Clinic
Pediatrics West, P.C.
Pediatrics West, P.C. was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPEDIATRICS WEST, P.C.
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
33aNPI1275559569assigned 07/14/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$1.61M
24GClaims43,525
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#14 of 101
Median peer was paid$140K
This provider vs. median12×
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 | 6,393 | $225K | |
| 2019 | 7,126 | $254K | |
| 2020 | 4,973 | $151K | |
| 2021 | 6,850 | $241K | |
| 2022 | 5,650 | $232K | |
| 2023 | 7,535 | $299K | |
| 2024incomplete | 4,998 | $212K |
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 | 46% | 11,725 | 10,429 | $744K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 7,487 | 7,230 | $312K |
| 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 | 7.8% | 1,363 | 1,252 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 1,091 | 1,068 | $102K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.9% | 5,812 | 5,654 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 707 | 682 | $65K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 429 | 419 | $37K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 492 | 465 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 1,242 | 1,201 | $23K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 595 | 551 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 125 | 111 | $11K |
| 99173 | <1% | 1,372 | 1,299 | $10K |
26 more codes
| 0071A | <1% | 205 | $8K | |
| 0072A | <1% | 122 | $7K | |
| 90686 | <1% | 3,083 | $6K | |
| 99000 | <1% | 2,568 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 290 | $4K |
| 90480 | <1% | 87 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 295 | $3K |
| 90461 | <1% | 2,189 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | $1K |
| 99174 | <1% | 77 | $996.21 | |
| 90698 | <1% | 322 | $867.23 | |
| 90670 | <1% | 211 | $769.81 | |
| 96127 | <1% | 47 | $759.36 | |
| 91321 | <1% | 36 | $668.00 | |
| 90656 | <1% | 313 | $628.81 | |
| 90671 | <1% | 91 | $518.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 80 | $227.85 |
| 90688 | <1% | 380 | $33.64 | |
| 36416 | <1% | 30 | $9.07 | |
| 90633 | 0% | 37 | $0.00 | |
| 90685 | 0% | 146 | $0.00 | |
| 91307 | 0% | 396 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90744 | 0% | 24 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 90619 | 0% | 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 officialJOHNSON, TYM (PRACTICE ADMINISTRATOR)