Clinic
Kreso Medical LLC
Kreso Medical LLC was paid $418K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 64% of everything it billed.
33Billing provider infoKRESO MEDICAL LLC
DENVER, CO 80247
DENVER, CO 80247
33aNPI1336481175assigned 03/20/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$418K
24GClaims11,744
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Colorado
Rank by total paid#9 of 37
Median peer was paid$211K
This provider vs. median2.0×
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 | 3,252 | $84K | |
| 2019 | 2,958 | $70K | |
| 2020 | 1,720 | $54K | |
| 2021 | 1,058 | $34K | |
| 2022 | 1,614 | $69K | |
| 2023 | 601 | $50K | |
| 2024incomplete | 541 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 64% | 2,969 | 2,496 | $269K |
| 99417 | Prolong home eval add 15m | 19% | 763 | 640 | $81K |
| 99354 | 12% | 1,135 | 1,017 | $48K | |
| 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 | 3.1% | 182 | 162 | $13K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 2,103 | 1,843 | $4K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 126 | 119 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | 29 | $682.74 |
| 82948 | 0% | 1,528 | 1,326 | $0.00 | |
| 81002 | 0% | 2,111 | 1,844 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 350 | 300 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 178 | 158 | $0.00 |
| 82962 | 0% | 270 | 237 | $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 officialKRESO, ERMIN (OWNER)