Thompson River Pediatrics and Urgent Care, LLC

Thompson River Pediatrics and Urgent Care, LLC was paid $8.00M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoTHOMPSON RIVER PEDIATRICS AND URGENT CARE, LLC
JOHNSTOWN, CO 80534

33aNPI1497155089assigned 09/02/2014

33bProvider typeProfessional Counselor

28Total paid$8.00M

24GClaims154,987

24DCodes billed75

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Colorado

Rank by total paid#2 of 395

Median peer was paid$51K

This provider vs. median158×

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	12,475	$528K
2019	15,406	$659K
2020	17,633	$784K
2021	24,394	$1.39M
2022	25,390	$1.70M
2023	28,114	$1.66M
2024incomplete	31,575	$1.27M

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	27%	24,685	20,817	$2.13M
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	18%	4,161	3,483	$1.43M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	23,301	19,688	$1.40M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.3%	7,856	7,165	$664K
90460	Immunization administration through 18 years of age via any route, first or only component	7.5%	16,407	15,005	$599K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.0%	5,843	5,310	$480K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	3.8%	5,329	1,150	$304K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.7%	3,527	3,250	$296K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.1%	17,225	15,446	$250K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.0%	3,037	2,343	$81K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	1,154	1,084	$53K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	551	520	$50K

63 more codes

99174		<1%	1,980	$25K
90670		<1%	2,927	$25K
92551		<1%	1,421	$15K
90461		<1%	8,966	$14K
96127		<1%	1,107	$14K
99177		<1%	833	$12K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	1,059	$12K
83655		<1%	910	$11K
99215	Doctor's office visit, returning patient (complex)	<1%	67	$8K
85018		<1%	3,699	$8K
99203	Doctor's office visit, new patient (routine)	<1%	87	$7K
90686		<1%	2,420	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	188	$7K
90698		<1%	1,779	$7K
0072A		<1%	112	$6K
0071A		<1%	124	$6K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	428	$6K
90677		<1%	417	$6K
99381		<1%	60	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	391	$6K
80061	Lipid panel	<1%	415	$5K
36416		<1%	4,092	$4K
90680		<1%	1,344	$4K
90651		<1%	101	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	43	$3K
99173		<1%	597	$3K
H0049	Alcohol and/or drug screening	<1%	298	$3K
99382		<1%	32	$3K
90633		<1%	767	$3K
99383		<1%	22	$2K
90480		<1%	43	$2K
90697		<1%	499	$2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	1,009	$2K
D0145	Oral evaluation for a patient under three years of age	<1%	49	$1K
90619		<1%	33	$1K
94760		<1%	406	$971.70
90710		<1%	15	$942.72
90656		<1%	438	$918.05
90672		<1%	253	$905.70
D0190		<1%	60	$858.28
D1206	Topical application of fluoride varnish	<1%	42	$639.60
99050		<1%	77	$555.88
96380		<1%	23	$460.84
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	37	$426.32
90688		<1%	942	$399.11
90744		<1%	386	$314.49
91321		<1%	24	$273.00
90696		<1%	15	$211.98
90707		<1%	43	$179.20
88720		<1%	44	$172.68
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$172.37
90734		<1%	13	$146.62
87807		<1%	12	$129.25
90660		<1%	12	$115.98
90715		<1%	41	$102.20
90716		<1%	34	$54.50
36415	Collection of venous blood by venipuncture	<1%	12	$30.00
90685		<1%	290	$22.96
90658		<1%	26	$11.50
81003		<1%	25	$8.31
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	15	$3.60
J7611	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg	<1%	37	$0.73
91307		0%	256	$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 officialGRIFFIN, AMBER (CEO/CO-OWNER)