Physician
Adult Medicine Specialists PC
Adult Medicine Specialists PC was paid $3.79M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoADULT MEDICINE SPECIALISTS PC
PUEBLO, CO 81003
PUEBLO, CO 81003
33aNPI1316162464assigned 04/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$3.79M
24GClaims92,937
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Colorado
Rank by total paid#10 of 193
Median peer was paid$34K
This provider vs. median111×
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 | 19,565 | $778K | |
| 2019 | 20,486 | $840K | |
| 2020 | 10,686 | $505K | |
| 2021 | 8,517 | $421K | |
| 2022 | 9,698 | $387K | |
| 2023 | 14,904 | $456K | |
| 2024incomplete | 9,081 | $399K |
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 | 59% | 32,546 | 24,744 | $2.24M |
| 97124 | 6.9% | 6,907 | 1,751 | $262K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 5.2% | 3,736 | 1,830 | $197K |
| 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 | 5.1% | 1,820 | 1,465 | $194K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 4.3% | 7,280 | 1,982 | $164K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.4% | 1,557 | 1,219 | $129K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 846 | 716 | $105K |
| 99401 | 2.1% | 4,300 | 2,849 | $81K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 717 | 601 | $68K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 6,184 | 4,418 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,231 | 1,033 | $54K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 840 | 582 | $47K |
30 more codes
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.2% | 1,533 | $45K |
| 99406 | <1% | 3,392 | $29K | |
| 93978 | <1% | 172 | $23K | |
| 93880 | <1% | 269 | $19K | |
| 83037 | <1% | 2,073 | $16K | |
| 82962 | <1% | 6,998 | $13K | |
| 99408 | <1% | 927 | $9K | |
| 96127 | <1% | 915 | $8K | |
| 90661 | <1% | 438 | $5K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,241 | $5K |
| 93882 | <1% | 56 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 447 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,873 | $2K |
| 99442 | <1% | 70 | $2K | |
| 99386 | <1% | 34 | $1K | |
| 81002 | <1% | 443 | $918.74 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 87 | $760.90 |
| 90689 | <1% | 35 | $649.65 | |
| 20610 | <1% | 15 | $618.18 | |
| 99443 | <1% | 18 | $503.84 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 320 | $454.22 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 16 | $431.47 |
| 94060 | <1% | 15 | $431.31 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 33 | $175.80 |
| 81003 | <1% | 194 | $36.75 | |
| 85018 | <1% | 125 | $27.44 | |
| J1094 | Injection, dexamethasone acetate, 1 mg | 0% | 88 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 81 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 33 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 32 | $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 officialPRUTCH, SALLY (OFFICE MANAGER)