Onpoint Medical Group, LLC
Onpoint Medical Group, LLC was paid $655K by Medicaid between Aug 2021 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
HIGHLANDS RANCH, CO 80129
Next to other Pediatrics Physician providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,775 | $76K | |
| 2022 | 3,834 | $213K | |
| 2023 | 5,325 | $264K | |
| 2024incomplete | 2,020 | $102K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 2,544 | 2,334 | $236K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,399 | 2,249 | $157K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 2,147 | 2,048 | $87K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 623 | 600 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 409 | 364 | $35K |
| 87428 | 3.6% | 360 | 342 | $24K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.6% | 2,048 | 1,843 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 161 | 159 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 588 | 549 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 182 | 170 | $8K |
| 99177 | <1% | 164 | 160 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 84 | 82 | $2K |
10 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 53 | $810.95 |
| 96127 | <1% | 14 | $266.56 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $252.00 |
| 90686 | <1% | 664 | $20.03 | |
| 90697 | 0% | 110 | $0.00 | |
| 90680 | 0% | 71 | $0.00 | |
| 90656 | 0% | 91 | $0.00 | |
| 36416 | 0% | 19 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90671 | 0% | 196 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Onpoint Medical Group, LLC | Highlands Ranch, CO | $882K |
| Onpoint Medical Group | Denver, CO | $620K |
| Onpoint Medical Group, LLC | Lone Tree, CO | $383K |
| Onpoint Medical Group, LLC | Littleton, CO | $319K |
| Onpoint Medical Group, LLC | Greenwood Village, CO | $187K |
| Onpoint Medical Group, LLC | Littleton, CO | $171K |
| Pahs Onpoint Urgent Care LLC | Aurora, CO | $168K |
| Pahs Onpoint Urgent Care LLC | Highlands Ranch, CO | $80K |
| Rose Pediatrics | Highlands Ranch, CO | $78K |
| Pahs Onpoint Urgent Care LLC | Lone Tree, CO | $36K |
| Pahs Onpoint Urgent Care LLC | Highlands Ranch, CO | $36K |
| Medventures, PLLC | Castle Pines, CO | $26K |
| Pahs Onpoint Urgent Care LLC | Englewood, CO | $17K |
| Onpoint Medical Group, LLC | Parker, CO | $7K |
| Onpoint Medical Group, LLC | Parker, CO | $2K |
| Onpoint Medical Group, LLC | Greenwood Village, CO | $2K |
| Omg Specialty Care LLC | Littleton, CO | $231.24 |
| Onpoint Medical Group, LLC | Castle Pines, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.