FRONT RANGE CLINIC INC.
NPI: 1538755095
· PUEBLO, CO 81001
· Family Medicine Physician
· NPI assigned 12/17/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCCOY, CLARK controls 15+ related entities in our dataset. Read more
$758K
Total Medicaid Paid
Provider Details
| Authorized Official | MCCOY, CLARK (PRESIDENT) |
| NPI Enumeration Date | 12/17/2020 |
Related Entities
Other providers sharing the same authorized official: MCCOY, CLARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13,745 |
$758K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,893 |
4,323 |
$572K |
| 80305 |
|
6,000 |
4,075 |
$61K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
39 |
39 |
$53K |
| 99215 |
Prolong outpt/office vis |
387 |
300 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
81 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
289 |
127 |
$10K |
| 99205 |
Prolong outpt/office vis |
37 |
25 |
$4K |