Community Medical Group, LLC
Community Medical Group, LLC was paid $374K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 46% of everything it billed.
GRAND JUNCTION, CO 81505
Next to other Specialist providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 814 | $68K | |
| 2019 | 640 | $57K | |
| 2020 | 274 | $24K | |
| 2021 | 521 | $40K | |
| 2022 | 712 | $69K | |
| 2023 | 879 | $82K | |
| 2024incomplete | 321 | $34K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 1,350 | 1,251 | $174K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,192 | 1,053 | $68K |
| 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% | 697 | 644 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 639 | 572 | $53K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.2% | 58 | 56 | $12K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.4% | 24 | 24 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 12 | $2K |
| 31575 | <1% | 90 | 68 | $2K | |
| 92504 | <1% | 98 | 81 | $979.16 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.