Clinic
Castle Rock Pediatrics PLLC
Castle Rock Pediatrics PLLC was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoCASTLE ROCK PEDIATRICS PLLC
CASTLE ROCK, CO 80104
CASTLE ROCK, CO 80104
33aNPI1548289614assigned 07/19/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.06M
24GClaims56,009
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#11 of 101
Median peer was paid$140K
This provider vs. median15×
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 | 6,817 | $280K | |
| 2019 | 6,360 | $255K | |
| 2020 | 8,503 | $268K | |
| 2021 | 10,493 | $336K | |
| 2022 | 7,497 | $287K | |
| 2023 | 8,513 | $353K | |
| 2024incomplete | 7,826 | $279K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 6,447 | 5,573 | $582K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 9,361 | 8,100 | $566K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 6,208 | 5,671 | $235K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 2,054 | 1,862 | $170K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 1,875 | 1,751 | $166K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 902 | 838 | $78K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 5,648 | 4,926 | $72K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.8% | 268 | 233 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,517 | 1,368 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 211 | 197 | $20K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,656 | 1,521 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 607 | 561 | $17K |
47 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 175 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 794 | $11K |
| 96127 | <1% | 622 | $4K | |
| 99000 | <1% | 3,237 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 183 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 233 | $3K |
| 99177 | <1% | 504 | $3K | |
| 90670 | <1% | 605 | $3K | |
| 90671 | <1% | 84 | $3K | |
| 81002 | <1% | 887 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 69 | $2K |
| 90461 | <1% | 2,728 | $2K | |
| 36416 | <1% | 1,320 | $2K | |
| 90686 | <1% | 586 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | $1K |
| 90480 | <1% | 32 | $1K | |
| 90698 | <1% | 345 | $1K | |
| 96160 | <1% | 2,591 | $782.91 | |
| 0071A | <1% | 12 | $741.24 | |
| 90680 | <1% | 302 | $725.48 | |
| 80061 | Lipid panel | <1% | 59 | $721.89 |
| 99050 | <1% | 104 | $703.56 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 17 | $464.55 |
| D0190 | <1% | 30 | $448.04 | |
| 90656 | <1% | 205 | $442.64 | |
| 91321 | <1% | 12 | $309.60 | |
| 94760 | <1% | 237 | $305.08 | |
| 96380 | <1% | 12 | $253.93 | |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $213.20 |
| 90734 | <1% | 15 | $161.57 | |
| 87807 | <1% | 13 | $157.20 | |
| 90633 | <1% | 170 | $125.54 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 43 | $110.70 |
| 99072 | <1% | 303 | $77.00 | |
| 90687 | <1% | 292 | $68.88 | |
| 85018 | <1% | 27 | $56.91 | |
| 99173 | <1% | 13 | $31.59 | |
| 96161 | <1% | 310 | $21.77 | |
| 90688 | <1% | 746 | $0.01 | |
| 90700 | 0% | 33 | $0.00 | |
| 90707 | 0% | 81 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 922 | $0.00 |
| 90716 | 0% | 78 | $0.00 | |
| 99070 | 0% | 30 | $0.00 | |
| 91307 | 0% | 30 | $0.00 | |
| 90744 | 0% | 99 | $0.00 | |
| 90697 | 0% | 15 | $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 officialTHIEME, RITA (OWNER)