Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carex LLC

Carex LLC was paid $412K by Medicaid between Jan 2021 and Jul 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoCAREX LLC
COLORADO SPRINGS, CO 80909
33aNPI1396359782assigned 09/02/2020
28Total paid$412K
24GClaims8,716
24DCodes billed32
24AFirst – last monthJan 2021 – Jul 2024
Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#90 of 532
Median peer was paid$35K
This provider vs. median12×

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$10K$20K$30K2018201920202021202220232024
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
2021346$28K
20221,912$116K
20233,781$146K
2024incomplete2,677$122K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 2,347 2,039 $194K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 2,252 1,844 $137K
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 9.9% 341 306 $41K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.1% 194 182 $17K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 55 46 $7K
99205 Prolong outpt/office vis 1.2% 32 30 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 48 40 $4K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 73 64 $3K
96127 <1% 300 261 $2K
80053 Comprehensive metabolic panel <1% 86 81 $713.64
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 19 13 $662.08
83036 Hemoglobin; glycosylated (A1C) <1% 86 68 $518.34
20 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 25 $442.94
99173 <1% 35 $303.22
80061 Lipid panel <1% 26 $147.29
81003 <1% 72 $102.50
99000 <1% 81 $26.00
36415 Collection of venous blood by venipuncture <1% 57 $23.52
36416 <1% 73 $3.24
G8783 Normal blood pressure reading documented, follow-up not required 0% 82 $0.00
1159F 0% 431 $0.00
3078F 0% 140 $0.00
1160F 0% 435 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 12 $0.00
90461 0% 14 $0.00
3725F 0% 15 $0.00
3008F 0% 1,091 $0.00
90686 0% 14 $0.00
3074F 0% 181 $0.00
3075F 0% 16 $0.00
1126F 0% 34 $0.00
3079F 0% 49 $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 officialDAWSON, ALAINYA (CREDENTIALING MANAGER)
Same official

Other billing entities under DAWSON, ALAINYA

Full network →
ProviderLocationPaid
Urgent Carex LLCColorado Springs, CO$772K
Carex LLCDenver, CO$312K
Urgent Carex LLCDenver, CO$180K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.