Medicaid Provider Spending

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

COLORADO SPRINGS PULMONARY CONSULTANTS PC

NPI: 1528269099 · COLORADO SPRINGS, CO 80907 · Pulmonary Disease Physician · NPI assigned 05/30/2007

$1.09M
Total Medicaid Paid
21,329
Total Claims
16,754
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETERSON, CRYSTAL (PRACTICE ADMINISTRATOR)
NPI Enumeration Date05/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,892 $132K
2019 3,675 $137K
2020 1,966 $72K
2021 4,865 $288K
2022 3,573 $143K
2023 2,901 $164K
2024 1,457 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,738 2,037 $720K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,420 3,046 $200K
99233 Prolong inpt eval add15 m 1,403 790 $80K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 940 829 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 167 161 $19K
99205 Prolong outpt/office vis 73 66 $9K
94729 309 276 $6K
99232 Subsequent hospital care, per day, moderate complexity 147 88 $6K
94726 97 91 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 28 24 $2K
94060 108 93 $2K
99215 Prolong outpt/office vis 30 25 $1K
95811 14 12 $1K
95806 12 12 $749.68
99406 71 64 $596.76
88738 53 41 $122.56
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,382 3,153 $0.00
4040F 1,392 1,291 $0.00
1124F 1,187 1,150 $0.00
G8482 Influenza immunization administered or previously received 1,749 1,626 $0.00
3023F 68 67 $0.00
G8855 Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given 16 16 $0.00
99072 170 152 $0.00
4025F 13 13 $0.00
98960 19 17 $0.00
1036F 528 515 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 251 227 $0.00
1123F 844 775 $0.00
G8924 Spirometry results documented (fev1/fvc < 70%) 85 85 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 12 $0.00