Medicaid Provider Spending

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

DENVER WEST PEDIATRICS, PC

NPI: 1528064276 · LAKEWOOD, CO 80401 · Primary Care Clinic/Center · NPI assigned 06/27/2005

$16K
Total Medicaid Paid
462
Total Claims
436
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMORIN, MARY (OFFICE MANAGER)
NPI Enumeration Date06/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168 $9K
2019 147 $5K
2020 47 $250.51
2021 46 $612.25
2022 25 $1K
2023 29 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 150 130 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 56 56 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 59 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $744.78
90686 39 36 $90.60
90688 146 143 $16.82