Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1ST Allergy, Asthma and Pediatrics Too, INC.

1ST Allergy, Asthma and Pediatrics Too, INC. was paid $6.82M by Medicaid between Jan 2018 and Oct 2022, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider info1ST ALLERGY, ASTHMA AND PEDIATRICS TOO, INC.
CENTENNIAL, CO 80112
33aNPI1326260498assigned 05/02/2007
33bProvider typeSpecialist
28Total paid$6.82M
24GClaims151,587
24DCodes billed72
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Specialist providers in Colorado

Rank by total paid#3 of 124
Median peer was paid$37K
This provider vs. median186×

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$100K$200K$300K2018201920202021202220232024
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
201838,587$1.69M
201936,813$1.59M
202030,082$1.49M
202127,678$1.19M
202218,427$861K
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 28% 33,002 29,088 $1.88M
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 26% 21,912 19,158 $1.77M
J1568 Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg 8.1% 340 232 $553K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.4% 4,175 3,941 $369K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.0% 3,193 2,935 $276K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.7% 1,933 1,795 $185K
90460 Immunization administration through 18 years of age via any route, first or only component 2.6% 4,497 4,207 $179K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.3% 9,400 8,465 $159K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 1,929 1,689 $151K
95117 2.1% 12,745 7,639 $143K
Q3014 Telehealth originating site facility fee 2.1% 6,755 6,252 $141K
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 1.5% 802 740 $102K
60 more codes
90472 Immunization administration, each additional vaccine (list separately) 1.2% 4,299 $84K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1.1% 806 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.0% 2,274 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 837 $68K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 24 $67K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,396 $58K
99203 Doctor's office visit, new patient (routine) <1% 657 $56K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,820 $55K
94010 <1% 1,524 $43K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 363 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,079 $37K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 3,290 $33K
31231 <1% 734 $32K
95115 <1% 2,091 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 450 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,293 $16K
90651 <1% 808 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 894 $14K
99174 <1% 746 $11K
90686 <1% 5,278 $11K
99000 <1% 3,689 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 107 $9K
99215 Doctor's office visit, returning patient (complex) <1% 97 $8K
92563 <1% 313 $8K
90670 <1% 1,337 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 241 $6K
17110 <1% 199 $4K
94760 <1% 1,867 $4K
90734 <1% 259 $3K
H0049 Alcohol and/or drug screening <1% 312 $3K
81002 <1% 866 $2K
36416 <1% 954 $2K
96401 <1% 57 $2K
85018 <1% 784 $2K
36415 Collection of venous blood by venipuncture <1% 659 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 75 $1K
90461 <1% 2,270 $1K
90621 <1% 40 $984.33
99402 <1% 14 $787.36
81003 <1% 408 $756.04
90680 <1% 256 $613.81
90715 <1% 135 $593.73
96127 <1% 42 $572.33
90698 <1% 345 $480.99
90716 <1% 80 $455.26
90474 <1% 39 $425.22
J7030 Infusion, normal saline solution , 1000 cc <1% 249 $367.12
90619 <1% 14 $356.60
90707 <1% 83 $347.91
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 14 $340.67
92551 <1% 29 $305.37
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 61 $177.79
96361 Intravenous infusion, hydration; each additional hour <1% 20 $138.93
90633 <1% 447 $117.89
99050 <1% 14 $101.36
90744 <1% 101 $59.40
90685 <1% 319 $44.62
99072 <1% 354 $40.00
90647 0% 39 $0.00
90710 0% 52 $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 officialHELMS, ERIN (BILLING MANAGER)