Physician
Peak Medical Care, PLLC
Peak Medical Care, PLLC was paid $566K by Medicaid between Apr 2021 and Aug 2024, across 8 billing codes. Its largest line is 99220, — 56% of everything it billed.
33Billing provider infoPEAK MEDICAL CARE, PLLC
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
33aNPI1407420441assigned 05/14/2021
33bProvider typeHospitalist Physician
28Total paid$566K
24GClaims6,775
24DCodes billed8
24AFirst – last monthApr 2021 – Aug 2024
Compared with peers
Next to other Hospitalist Physician providers in Colorado
Rank by total paid#10 of 33
Median peer was paid$87K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2021 | 3,406 | $299K | |
| 2022 | 2,368 | $195K | |
| 2023 | 842 | $60K | |
| 2024incomplete | 159 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99220 | 56% | 3,009 | 2,822 | $315K | |
| 99217 | 18% | 2,213 | 2,072 | $104K | |
| 99236 | Prolong inpt eval add15 m | 12% | 440 | 423 | $66K |
| 99223 | Prolong inpt eval add15 m | 9.8% | 599 | 471 | $55K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8% | 373 | 329 | $16K |
| 99219 | 1.3% | 98 | 90 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | 27 | $2K |
| 99218 | <1% | 14 | 14 | $745.22 |
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 officialHERTNER, GEORGE (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Specialists, PC | Colorado Springs, CO | $13.25M |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $762K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $732K |
| Emergency Medical Specialists, PC | Woodland Park, CO | $266K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $165K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.