Physician
Primary Care Partners, INC.
Primary Care Partners, INC. was paid $2.48M by Medicaid between Dec 2021 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPRIMARY CARE PARTNERS, INC.
GRAND JUNCTION, CO 81506
GRAND JUNCTION, CO 81506
33aNPI1326399361assigned 10/01/2012
33bProvider typePediatrics Physician
28Total paid$2.48M
24GClaims84,579
24DCodes billed45
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#17 of 186
Median peer was paid$68K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2021 | 1,849 | $84K | |
| 2022 | 22,365 | $887K | |
| 2023 | 30,744 | $887K | |
| 2024incomplete | 29,621 | $626K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 12,807 | 12,211 | $852K |
| 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 | 22% | 5,769 | 5,508 | $554K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 7,084 | 6,916 | $308K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 2,075 | 1,927 | $181K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 1,831 | 1,794 | $168K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 1,468 | 1,442 | $131K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 4,938 | 4,852 | $79K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 647 | 624 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 270 | 252 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 885 | 844 | $35K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,228 | 2,149 | $24K |
| D0190 | <1% | 834 | 820 | $13K |
33 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 370 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 387 | $8K |
| 99173 | <1% | 1,419 | $7K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 174 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 205 | $5K |
| 99460 | <1% | 16 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 90480 | <1% | 25 | $995.28 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 26 | $758.64 |
| 99177 | <1% | 101 | $724.83 | |
| 96127 | <1% | 31 | $396.00 | |
| 96380 | <1% | 12 | $254.04 | |
| 90461 | <1% | 2,859 | $201.62 | |
| 90686 | <1% | 1,969 | $120.22 | |
| 90656 | <1% | 515 | $85.92 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,905 | $31.82 |
| 90670 | 0% | 374 | $0.00 | |
| 3078F | 0% | 12,040 | $0.00 | |
| 1159F | 0% | 6,303 | $0.00 | |
| 90648 | 0% | 480 | $0.00 | |
| 90715 | 0% | 27 | $0.00 | |
| 90710 | 0% | 40 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 90633 | 0% | 42 | $0.00 | |
| 99051 | 0% | 28 | $0.00 | |
| 99072 | 0% | 45 | $0.00 | |
| 3074F | 0% | 12,242 | $0.00 | |
| 90723 | 0% | 207 | $0.00 | |
| 99070 | 0% | 527 | $0.00 | |
| 90677 | 0% | 185 | $0.00 | |
| 90651 | 0% | 110 | $0.00 | |
| 99000 | 0% | 16 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 21 | $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 officialCLARK, BEVERLY (CREDENTIALING COORDINATOR)
Parent organizationPRIMARY CARE PARTNERS, INC.
| Provider | Location | Paid |
|---|---|---|
| Primary Care Partners, INC. | Grand Junction, CO | $518K |
| Primary Care Partners, INC. | Fruita, CO | $299K |
| Primary Care Partners, INC. | Grand Junction, CO | $30K |
| Primary Care Partners, INC. | Grand Junction, CO | $14K |
| Primary Care Partners, INC. | Grand Junction, CO | $5K |
| Primary Care Partners, INC. | Fruita, CO | $1K |
| Primary Care Partners, INC. | Grand Junction, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.