Physician
Platte River Medical Clinic LLC
Platte River Medical Clinic LLC was paid $441K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.
33Billing provider infoPLATTE RIVER MEDICAL CLINIC LLC
BRIGHTON, CO 80601
BRIGHTON, CO 80601
33aNPI1477667244assigned 08/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$441K
24GClaims9,300
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#88 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 | |
|---|---|---|---|
| 2018 | 863 | $58K | |
| 2019 | 1,267 | $78K | |
| 2020 | 795 | $55K | |
| 2021 | 1,689 | $63K | |
| 2022 | 2,690 | $84K | |
| 2023 | 1,402 | $71K | |
| 2024incomplete | 594 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 95% | 5,590 | 4,848 | $419K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 182 | 157 | $10K |
| 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% | 27 | 25 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 180 | 168 | $3K |
| 96127 | <1% | 173 | 56 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 13 | $955.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | 55 | $870.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | 41 | $783.72 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 47 | 43 | $743.90 |
| 81002 | <1% | 452 | 406 | $529.01 | |
| 90686 | <1% | 29 | 28 | $215.64 | |
| 99000 | <1% | 13 | 13 | $36.60 |
5 more codes
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 officialSTOCKTON, ELLEN (DIRECTOR OF FINANCE)