Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › GRAND JUNCTION › MARILLAC CLINIC, INC.

MARILLAC CLINIC, INC.

NPI: 1518239219 · GRAND JUNCTION, CO 81504 · Federally Qualified Health Center (FQHC) · NPI assigned 01/27/2012

$38.29M
Total Medicaid Paid
458,520
Total Claims
281,683
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMACHANDRAN, LATA (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/27/2012

Related Entities

Other providers sharing the same authorized official: RAMACHANDRAN, LATA

ProviderCityStateTotal Paid
MARILLAC CLINIC, INC GRAND JUNCTION CO $1.57M
MARILLAC CLINIC, INC. MONTROSE CO $734K
MARILLAC CLINIC, INC. GRAND JUNCTION CO $222K
MARILLAC CLINIC, INC GRAND JUNCTION CO $198K
MARILLAC CLINIC, INC. GRAND JUNCTION CO $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109,183 $8.31M
2019 100,063 $9.38M
2020 40,683 $4.87M
2021 40,455 $4.40M
2022 49,713 $5.07M
2023 87,266 $4.50M
2024 31,157 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 58,276 43,419 $14.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,206 23,118 $7.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,643 17,707 $5.14M
T1015 Clinic visit/encounter, all-inclusive 41,646 11,916 $3.31M
T1017 Targeted case management, each 15 minutes 7,512 3,294 $1.52M
99406 9,866 3,891 $1.19M
90832 Psychotherapy, 30 minutes with patient 7,477 3,551 $1.14M
D1206 Topical application of fluoride varnish 18,986 15,795 $370K
90834 Psychotherapy, 45 minutes with patient 2,941 1,043 $335K
D7140 Extraction, erupted tooth or exposed root 3,405 1,092 $265K
1036F 4,320 3,572 $218K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 8,822 5,162 $167K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 734 470 $162K
D1110 Prophylaxis - adult 4,372 3,703 $158K
D0145 Oral evaluation for a patient under three years of age 6,856 5,544 $137K
1034F 2,201 1,845 $135K
H0031 Mental health assessment, by non-physician 581 410 $131K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,226 687 $127K
1159F 7,378 6,061 $124K
90674 1,859 843 $116K
D0190 11,338 9,242 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,295 580 $114K
D0150 Comprehensive oral evaluation - new or established patient 2,887 2,367 $98K
D0120 Periodic oral evaluation - established patient 5,487 4,640 $95K
D4910 1,420 1,142 $80K
D1120 Prophylaxis - child 2,912 2,451 $78K
1160F 7,376 6,060 $77K
D0140 Limited oral evaluation - problem focused 2,129 1,725 $67K
D0210 Intraoral - complete series of radiographic images 1,257 1,040 $65K
90791 Psychiatric diagnostic evaluation 957 602 $58K
83036 Hemoglobin; glycosylated (A1C) 3,435 1,920 $53K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 3,813 2,753 $32K
D0274 Bitewings - four radiographic images 1,677 1,398 $31K
99215 Prolong outpt/office vis 120 111 $29K
D0220 Intraoral - periapical first radiographic image 2,808 2,308 $28K
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 700 652 $27K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 2,017 1,384 $21K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,702 1,221 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 78 39 $19K
2000F 7,977 6,548 $18K
97802 29,313 12,963 $17K
96127 17,640 8,878 $17K
D4341 72 17 $16K
D2150 Silver amalgam - two surfaces, primary or permanent 179 118 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 68 58 $13K
2001F 7,747 6,409 $13K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 75 33 $11K
D1351 Sealant - per tooth 466 146 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,972 1,055 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 294 193 $9K
4010F 1,394 1,072 $8K
D0272 Bitewings - two radiographic images 615 543 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14,979 8,621 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 112 77 $6K
80305 408 166 $6K
90715 116 42 $5K
93000 104 52 $5K
90732 25 12 $5K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 7,730 4,214 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 65 24 $4K
4274F 1,050 850 $3K
36415 Collection of venous blood by venipuncture 254 196 $3K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 204 76 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 284 121 $3K
1170F 132 123 $2K
H0039 Assertive community treatment, face-to-face, per 15 minutes 13 13 $2K
81025 45 27 $1K
1125F 412 289 $1K
4037F 55 53 $1K
D4346 12 12 $1K
3074F 9,093 6,909 $958.51
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,447 3,733 $863.66
2010F 8,272 6,781 $781.12
81002 204 159 $753.54
3075F 1,260 1,080 $636.80
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 133 97 $630.18
D0240 32 26 $559.13
85610 51 12 $386.08
3078F 3,109 2,680 $315.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 12 $193.04
D4342 322 170 $156.00
90472 Immunization administration, each additional vaccine (list separately) 36 28 $22.60
D1354 1,369 322 $4.42
J1885 Injection, ketorolac tromethamine, per 15 mg 344 192 $2.79
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 301 101 $0.09
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 35 12 $0.09
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,076 899 $0.00
3079F 3,262 2,782 $0.00
3008F 7,819 6,477 $0.00
90688 13 13 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 212 187 $0.00
90686 54 32 $0.00
3080F 435 359 $0.00
82044 26 26 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 135 105 $0.00
3044F 14 12 $0.00
82043 14 13 $0.00
1126F 63 41 $0.00
D0170 24 24 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $0.00
3077F 377 298 $0.00
4004F 217 194 $0.00
97810 103 56 $0.00
4040F 13 12 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 30 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 61 55 $0.00