Medicaid Provider Spending

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

PEDIATRICS WEST, P.C.

NPI: 1275559569 · WHEAT RIDGE, CO 80033 · Primary Care Clinic/Center · NPI assigned 07/14/2006

$1.61M
Total Medicaid Paid
43,525
Total Claims
40,778
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, TYM (PRACTICE ADMINISTRATOR)
NPI Enumeration Date07/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,998 $212K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,725 10,429 $744K
90460 Immunization administration through 18 years of age via any route, first or only component 7,487 7,230 $312K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,363 1,252 $126K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,091 1,068 $102K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,812 5,654 $94K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 707 682 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 429 419 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 492 465 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,242 1,201 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 595 551 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 125 111 $11K
99173 1,372 1,299 $10K
0071A 205 134 $8K
0072A 122 110 $7K
90686 3,083 2,947 $6K
99000 2,568 2,345 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 290 271 $4K
90480 87 82 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 295 281 $3K
90461 2,189 2,140 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 16 15 $1K
99174 77 75 $996.21
90698 322 314 $867.23
90670 211 208 $769.81
96127 47 45 $759.36
91321 36 34 $668.00
90656 313 313 $628.81
90671 91 86 $518.30
36415 Collection of venous blood by venipuncture 80 76 $227.85
90688 380 380 $33.64
36416 30 27 $9.07
90633 37 36 $0.00
90685 146 144 $0.00
91307 396 293 $0.00
90651 12 12 $0.00
90744 24 24 $0.00
90680 14 13 $0.00
90619 14 12 $0.00