Physician
Brighton Pediatrics, P.C.
Brighton Pediatrics, P.C. was paid $5.46M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoBRIGHTON PEDIATRICS, P.C.
BRIGHTON, CO 80601
BRIGHTON, CO 80601
33aNPI1407069453assigned 05/07/2007
33bProvider typePediatrics Physician
28Total paid$5.46M
24GClaims151,036
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#6 of 186
Median peer was paid$68K
This provider vs. median80×
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 | 21,558 | $846K | |
| 2019 | 21,005 | $817K | |
| 2020 | 17,449 | $578K | |
| 2021 | 22,124 | $772K | |
| 2022 | 21,055 | $806K | |
| 2023 | 27,639 | $935K | |
| 2024incomplete | 20,206 | $708K |
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 | 26% | 23,524 | 21,818 | $1.42M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 8,949 | 7,721 | $770K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 15,599 | 14,639 | $664K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 7,123 | 6,744 | $639K |
| 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 | 9.5% | 5,456 | 5,065 | $520K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 4,519 | 4,254 | $395K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 13,497 | 12,806 | $212K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 2,070 | 1,943 | $195K |
| 92551 | 1.8% | 9,189 | 8,649 | $97K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 4,091 | 4,003 | $74K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 1,852 | 1,754 | $68K |
| 99173 | 1.1% | 7,541 | 7,143 | $59K |
69 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 978 | $47K |
| 90670 | <1% | 3,923 | $26K | |
| 83655 | <1% | 2,235 | $26K | |
| 90651 | <1% | 972 | $22K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 916 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 968 | $16K |
| 90710 | <1% | 590 | $15K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 156 | $14K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,347 | $13K |
| 90686 | <1% | 7,227 | $12K | |
| 90734 | <1% | 770 | $10K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 321 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 610 | $9K |
| 90480 | <1% | 194 | $9K | |
| 99381 | <1% | 102 | $9K | |
| 85018 | <1% | 2,986 | $7K | |
| 90723 | <1% | 2,161 | $6K | |
| 90677 | <1% | 1,110 | $6K | |
| 90716 | <1% | 475 | $6K | |
| 99401 | <1% | 533 | $6K | |
| 96127 | <1% | 547 | $6K | |
| 0071A | <1% | 121 | $5K | |
| 90633 | <1% | 1,941 | $4K | |
| 90681 | <1% | 1,082 | $4K | |
| 90696 | <1% | 556 | $3K | |
| 90461 | <1% | 2,184 | $3K | |
| 90707 | <1% | 450 | $3K | |
| 90620 | <1% | 117 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 58 | $3K |
| 0072A | <1% | 59 | $3K | |
| 90715 | <1% | 497 | $2K | |
| 94760 | <1% | 920 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 159 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $2K |
| 90648 | <1% | 2,541 | $2K | |
| 90680 | <1% | 662 | $2K | |
| 0154A | <1% | 32 | $1K | |
| 81002 | <1% | 467 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 90700 | <1% | 385 | $1K | |
| 0124A | <1% | 25 | $1K | |
| 0002A | <1% | 20 | $798.17 | |
| 90647 | <1% | 863 | $783.25 | |
| 99460 | <1% | 16 | $749.10 | |
| 36416 | <1% | 2,383 | $703.20 | |
| 99441 | <1% | 48 | $663.84 | |
| 96380 | <1% | 24 | $508.08 | |
| 91319 | <1% | 47 | $442.40 | |
| 0001A | <1% | 12 | $426.18 | |
| 90656 | <1% | 13 | $235.30 | |
| 90698 | <1% | 62 | $126.66 | |
| 90685 | <1% | 376 | $68.16 | |
| 90688 | <1% | 164 | $41.91 | |
| H0001 | Alcohol and/or drug assessment | 0% | 157 | $0.00 |
| 91315 | 0% | 33 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 184 | $0.00 |
| 91305 | 0% | 30 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 156 | $0.00 |
| 91307 | 0% | 309 | $0.00 | |
| 97802 | 0% | 156 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 123 | $0.00 |
| 90381 | 0% | 16 | $0.00 | |
| 99051 | 0% | 43 | $0.00 | |
| 90661 | 0% | 543 | $0.00 | |
| 90658 | 0% | 48 | $0.00 | |
| 91300 | 0% | 154 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 157 | $0.00 |
| 91308 | 0% | 26 | $0.00 | |
| 91312 | 0% | 25 | $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 officialDYCUS, DAWN (OWNER/PEDIATRICIAN)