Physician
Rocky Mountain Pediatric Pulmonology PC
Rocky Mountain Pediatric Pulmonology PC was paid $176K by Medicaid between Jan 2018 and Jul 2019, across 15 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 48% of everything it billed.
33Billing provider infoROCKY MOUNTAIN PEDIATRIC PULMONOLOGY PC
DENVER, CO 80220
DENVER, CO 80220
33aNPI1356526776assigned 01/03/2008
33bProvider typePulmonary Disease Physician
28Total paid$176K
24GClaims6,602
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pulmonary Disease Physician providers in Colorado
Rank by total paid#12 of 30
Median peer was paid$72K
This provider vs. median2.4×
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 | 4,826 | $134K | |
| 2019 | 1,776 | $42K |
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 | 48% | 888 | 764 | $85K |
| 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 | 30% | 751 | 645 | $52K |
| 94060 | 5.1% | 619 | 504 | $9K | |
| 94010 | 3.8% | 605 | 517 | $7K | |
| S8100 | Holding chamber or spacer for use with an inhaler or nebulizer; without mask | 2.7% | 183 | 167 | $5K |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | 2.4% | 311 | 246 | $4K |
| 94760 | 2.1% | 1,966 | 1,658 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.8% | 426 | 334 | $3K |
| 99205 | Prolong outpt/office vis | 1.3% | 21 | 15 | $2K |
| 99354 | 1.1% | 34 | 26 | $2K | |
| 99070 | <1% | 78 | 70 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 60 | 56 | $992.34 |
3 more codes
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 officialRUSAKOW, LEE (MD)