Physician
Glenwood Medical Assoc
Glenwood Medical Assoc was paid $118K by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoGLENWOOD MEDICAL ASSOC
GLENWOOD SPRINGS, CO 81601
GLENWOOD SPRINGS, CO 81601
33aNPI1427191501assigned 02/15/2007
33bProvider typeDermatology Physician
28Total paid$118K
24GClaims3,422
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Dermatology Physician providers in Colorado
Rank by total paid#12 of 36
Median peer was paid$40K
This provider vs. median3.0×
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 | 1,114 | $35K | |
| 2019 | 1,005 | $38K | |
| 2020 | 343 | $13K | |
| 2021 | 409 | $16K | |
| 2022 | 393 | $14K | |
| 2023 | 158 | $3K |
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 | 88% | 2,271 | 1,673 | $104K |
| 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 | 3.6% | 72 | 61 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.8% | 49 | 36 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 941 | 713 | $2K |
| 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 | 1.1% | 16 | 12 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 40 | 32 | $1K |
| 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% | 13 | 12 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | 15 | $716.07 |
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 officialMONTOYA, LIONEL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Huerfano County Hospital District | Walsenburg, CO | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.