Physician
South Federal Family Practice
South Federal Family Practice was paid $662K by Medicaid between Jan 2018 and Mar 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoSOUTH FEDERAL FAMILY PRACTICE
DENVER, CO 80219
DENVER, CO 80219
33aNPI1417175514assigned 04/23/2007
33bProvider typeFamily Medicine Physician
28Total paid$662K
24GClaims13,955
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#63 of 532
Median peer was paid$35K
This provider vs. median19×
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 | 6,596 | $313K | |
| 2019 | 6,296 | $300K | |
| 2020 | 1,063 | $49K |
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 | 64% | 7,092 | 6,471 | $422K |
| 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 | 21% | 1,591 | 1,492 | $140K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 820 | 784 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 589 | 569 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 113 | 106 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 86 | 82 | $8K |
| 81000 | 1.1% | 1,961 | 1,846 | $8K | |
| 90688 | <1% | 398 | 387 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 305 | 298 | $5K |
| 76830 | Ultrasound, transvaginal | <1% | 54 | 50 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 30 | 30 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 33 | 27 | $2K |
11 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 33 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 110 | $1K |
| 81025 | <1% | 163 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 56 | $953.43 |
| 94760 | <1% | 408 | $928.04 | |
| 99173 | <1% | 44 | $404.90 | |
| 93000 | <1% | 16 | $283.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 12 | $232.44 |
| 99401 | <1% | 12 | $196.80 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $28.80 |
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 officialDURBIN, ROY (MEDICAL DIRECTOR)