Peter M. Bianco DO LLC

Peter M. Bianco DO LLC was paid $619K by Medicaid between Jan 2018 and Jan 2020, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoPETER M. BIANCO DO LLC
COLORADO SPRINGS, CO 80918

33aNPI1528220258assigned 06/25/2008

33bProvider typeClinic/Center

28Total paid$619K

24GClaims13,008

24DCodes billed33

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Clinic/Center providers in Colorado

Rank by total paid#28 of 87

Median peer was paid$179K

This provider vs. median3.5×

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	7,750	$389K
2019	5,188	$227K
2020	70	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	4,143	3,180	$223K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	22%	138	114	$134K
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	9.6%	719	599	$59K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.9%	526	454	$42K
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	4.5%	225	189	$28K
76830	Ultrasound, transvaginal	3.1%	263	251	$19K
99385		2.2%	135	121	$13K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	2.1%	125	121	$13K
76818		1.9%	164	52	$12K
A4550	Surgical trays	1.6%	258	186	$10K
76801		1.4%	116	109	$8K
36415	Collection of venous blood by venipuncture	1.2%	2,906	2,359	$8K

21 more codes

81025		1.2%	1,157	$8K
59425		<1%	16	$5K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	68	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	57	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	267	$4K
76813		<1%	32	$3K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	51	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	177	$2K
99203	Doctor's office visit, new patient (routine)	<1%	27	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	131	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	72	$2K
99000		<1%	709	$2K
58300		<1%	36	$1K
59025	Fetal non-stress test	<1%	39	$1K
58301		<1%	13	$1K
90715		<1%	26	$964.26
81002		<1%	282	$810.00
90756		<1%	12	$242.84
36416		<1%	44	$136.40
36410		<1%	18	$110.24
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	0%	56	$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 officialBIANCO, PETER (OWNER)