Colorado Pain Practice, LLC

Colorado Pain Practice, LLC was paid $38K by Medicaid between Feb 2022 and Jan 2023, across 18 billing codes. Its largest line is G0480, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed — 28% of everything it billed.

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Colorado

Rank by total paid#18 of 30

Median peer was paid$54K

This provider vs. median0.7×

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
2022	1,809	$36K
2023	55	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	28%	210	153	$11K
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	24%	612	569	$9K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	16%	61	52	$6K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	10%	430	313	$4K
01992		6.7%	26	25	$3K
01938		4.0%	32	28	$2K
01937		2.0%	29	25	$746.65
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	1.6%	82	42	$606.64
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.4%	101	59	$544.07
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	1.3%	62	34	$498.52
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.3%	88	40	$487.12
64483		1.3%	16	14	$476.64

6 more codes

76942		1.1%	16	$403.20
64484		<1%	15	$362.34
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	15	$178.75
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	18	$3.74
J1020	Injection, methylprednisolone acetate, 20 mg	<1%	14	$3.09
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	37	$1.68

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 officialMOGHIM, ROBERT (OWNER/PHYSICIAN)

Same official

Other billing entities under MOGHIM, ROBERT

Full network →

Provider	Location	Paid
Colorado Pain Practice, PLLC	Lakewood, CO	$7.07M
Colorado Pain Practice, LLC	Denver, CO	$70K
Colorado Pain Practice, LLC	Castle Rock, CO	$2K

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