Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY MEDICAL GROUP, LLC

NPI: 1477006096 · GRAND JUNCTION, CO 81505 · Specialist · NPI assigned 08/01/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THOMAS, CHRISTIAN controls 20+ related entities in our dataset. Read more

$374K
Total Medicaid Paid
4,161
Total Claims
3,761
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHOMAS, CHRISTIAN (PRESIDENT AND CEO)
NPI Enumeration Date08/01/2016

Related Entities

Other providers sharing the same authorized official: THOMAS, CHRISTIAN

ProviderCityStateTotal Paid
COLORADO WEST HEALTHCARE SYSTEM GRAND JUNCTION CO $12.75M
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $2.85M
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $1.82M
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $979K
COLORADO WEST HEALTHCARE SYSTEM GRAND JUNCTION CO $626K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $318K
COMMUNITY MEDICAL GROUP GRAND JUNCTION CO $96K
COMMUNITY MEDICAL GROUP, LLC FRUITA CO $85K
COLORADO WEST HEALTHCARE SYSTEM GRAND JUNCTION CO $84K
COMMUNITY MEDICAL GROUP GRAND JUNCTION CO $75K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $74K
COMMUNITY MEDICAL GROUP, LLC GRAND JCT CO $62K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $50K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $44K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $33K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $25K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $25K
GRAND VALLEY ORTHOPEDICS GRAND JUNCTION CO $21K
CANYON VIEW ASC, LLC GRAND JUNCTION CO $15K
COMMUNITY MEDICAL GROUP, LLC PALISADE CO $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 814 $68K
2019 640 $57K
2020 274 $24K
2021 521 $40K
2022 712 $69K
2023 879 $82K
2024 321 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,350 1,251 $174K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,192 1,053 $68K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 697 644 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 639 572 $53K
42820 Tonsillectomy and adenoidectomy; younger than age 12 58 56 $12K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 24 24 $5K
99215 Prolong outpt/office vis 13 12 $2K
31575 90 68 $2K
92504 98 81 $979.16