Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Phillips, April

Phillips, April was paid $75K by Medicaid between Jul 2019 and Mar 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoPHILLIPS, APRIL
DURANGO, CO 81301
33aNPI1316212566assigned 03/20/2012
28Total paid$75K
24GClaims372
24DCodes billed3
24AFirst – last monthJul 2019 – Mar 2020
Compared with peers

Next to other Family Nurse Practitioner providers in Colorado

Rank by total paid#23 of 123
Median peer was paid$9K
This provider vs. median8.5×

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$5.0K$10K$15K2018201920202021202220232024
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
2019237$51K
2020135$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 285 260 $51K
90792 Psychiatric diagnostic evaluation with medical services 21% 47 39 $16K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 11% 40 39 $8K

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.