Physician
Sapphire Pediatrics
Sapphire Pediatrics was paid $653K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 25% of everything it billed.
33Billing provider infoSAPPHIRE PEDIATRICS
DENVER, CO 80220
DENVER, CO 80220
33aNPI1427224948assigned 05/05/2008
33bProvider typePediatrics Physician
28Total paid$653K
24GClaims24,073
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#52 of 186
Median peer was paid$68K
This provider vs. median9.6×
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 | 3,192 | $104K | |
| 2019 | 2,399 | $81K | |
| 2020 | 2,479 | $57K | |
| 2021 | 4,448 | $89K | |
| 2022 | 2,848 | $56K | |
| 2023 | 4,771 | $159K | |
| 2024incomplete | 3,936 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25% | 3,705 | 3,419 | $164K |
| 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 | 15% | 1,070 | 957 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,489 | 1,326 | $93K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,145 | 981 | $83K |
| 99401 | 11% | 2,879 | 2,701 | $69K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.9% | 3,114 | 2,898 | $45K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 390 | 368 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 614 | 553 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 124 | 117 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 199 | 186 | $10K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.4% | 200 | 119 | $9K |
| 92551 | 1.3% | 905 | 836 | $9K |
27 more codes
| 92558 | <1% | 342 | $3K | |
| 0071A | <1% | 55 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 270 | $3K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 143 | $2K |
| 90671 | <1% | 107 | $2K | |
| 0072A | <1% | 26 | $2K | |
| 90461 | <1% | 960 | $1K | |
| 99173 | <1% | 148 | $1K | |
| 99072 | <1% | 3,474 | $1K | |
| 99177 | <1% | 86 | $804.22 | |
| 90670 | <1% | 100 | $673.45 | |
| 90698 | <1% | 107 | $498.33 | |
| 90686 | <1% | 40 | $488.39 | |
| 96160 | <1% | 424 | $404.80 | |
| 94760 | <1% | 111 | $205.96 | |
| 83655 | <1% | 14 | $203.72 | |
| 90688 | <1% | 1,035 | $132.12 | |
| 90680 | <1% | 70 | $99.32 | |
| 99000 | <1% | 65 | $96.34 | |
| 36416 | <1% | 40 | $63.36 | |
| 85018 | <1% | 16 | $46.02 | |
| 90687 | <1% | 116 | $44.62 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 290 | $0.00 |
| 91308 | 0% | 35 | $0.00 | |
| 90658 | 0% | 59 | $0.00 | |
| 90744 | 0% | 16 | $0.00 | |
| 91307 | 0% | 90 | $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 officialLARABEE, ROBIN (PRIMARY PROVIDER)