Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Boulder Medical Center, P.C.

Boulder Medical Center, P.C. was paid $102K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoBOULDER MEDICAL CENTER, P.C.
BOULDER, CO 80304
33aNPI1306820923assigned 12/06/2005
28Total paid$102K
24GClaims2,004
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Colorado

Rank by total paid#51 of 106
Median peer was paid$75K
This provider vs. median1.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018734$32K
2019340$20K
202074$4K
2021268$14K
2022188$12K
2023314$18K
2024incomplete86$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 1,021 882 $55K
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 29% 479 416 $30K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.9% 115 97 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.7% 47 41 $4K
59025 Fetal non-stress test 1.1% 31 12 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 12 12 $1K
81025 <1% 166 120 $988.65
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 28 26 $547.24
90715 <1% 12 12 $530.88
92557 <1% 16 14 $426.16
90686 <1% 12 12 $221.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 19 12 $184.32
2 more codes
81002 <1% 34 $97.20
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 12 $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 officialRICHARDS, CASANDRA (CREDENTIALING COORDINATOR)