Physician
Forte Health and Wellness INC
Forte Health and Wellness INC was paid $450K by Medicaid between Sep 2020 and Sep 2024, across 31 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 48% of everything it billed.
33Billing provider infoFORTE HEALTH AND WELLNESS INC
DENVER, CO 80237
DENVER, CO 80237
33aNPI1447888797assigned 03/31/2020
33bProvider typeFamily Medicine Physician
28Total paid$450K
24GClaims22,827
24DCodes billed31
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#87 of 532
Median peer was paid$35K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 324 | $8K | |
| 2021 | 1,094 | $34K | |
| 2022 | 2,050 | $50K | |
| 2023 | 10,107 | $154K | |
| 2024incomplete | 9,252 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 48% | 7,887 | 4,978 | $215K |
| 99310 | Prolong nursin fac eval 15m | 20% | 2,701 | 1,717 | $92K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 15% | 3,020 | 1,911 | $66K |
| 99306 | Prolong nursin fac eval 15m | 4.4% | 472 | 429 | $20K |
| 99497 | 4.4% | 1,428 | 1,085 | $20K | |
| 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 | 3.8% | 198 | 174 | $17K |
| 99305 | 1.6% | 169 | 142 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 78 | 68 | $5K |
| 99307 | <1% | 202 | 153 | $2K | |
| 99483 | Prolong outpt/office vis | <1% | 98 | 94 | $2K |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 372 | 208 | $1K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 114 | 45 | $1K |
19 more codes
| 99490 | Ccm add 20min | <1% | 71 | $549.05 |
| 99491 | Ccm add 20min | <1% | 58 | $441.06 |
| 96127 | <1% | 55 | $352.80 | |
| 99406 | <1% | 70 | $246.01 | |
| 99441 | <1% | 84 | $200.55 | |
| 99356 | <1% | 22 | $185.70 | |
| 99492 | <1% | 15 | $126.48 | |
| 99487 | Ccm add 20min | <1% | 19 | $48.86 |
| 99489 | Ccm add 20min | <1% | 18 | $14.81 |
| 1123F | 0% | 552 | $0.00 | |
| G8968 | Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment) | 0% | 334 | $0.00 |
| G8969 | Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation) | 0% | 436 | $0.00 |
| 4086F | 0% | 213 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,599 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 185 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 39 | $0.00 |
| 4040F | 0% | 153 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 125 | $0.00 |
| 1124F | 0% | 40 | $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 officialRAI, PRADEEP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Magnolia Medical Company | Denver, CO | $5.32M |
| Magnolia Medical Company | Denver, CO | $1.81M |
| Pro Health One INC | Denver, CO | $1.61M |
| Forte Health and Wellness INC | Wheat Ridge, CO | $35K |
| Magnolia Medical Group | Denver, CO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.