CREEKSIDE PHYSICAL MEDICINE PLLC
NPI: 1578601969
· BOULDER, CO 80303
· Neuromusculoskeletal Medicine & OMM Physician
· NPI assigned 02/01/2007
$1.11M
Total Medicaid Paid
Provider Details
| Authorized Official | TANNER, DAVID (PRINCIPAL CLINICIAN) |
| NPI Enumeration Date | 02/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,862 |
$271K |
| 2019 |
5,739 |
$240K |
| 2020 |
5,568 |
$264K |
| 2021 |
2,910 |
$129K |
| 2022 |
2,141 |
$113K |
| 2023 |
1,516 |
$82K |
| 2024 |
148 |
$10K |
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 |
6,743 |
3,332 |
$447K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,908 |
2,718 |
$196K |
| 64400 |
|
1,690 |
812 |
$156K |
| 98929 |
|
4,374 |
2,159 |
$125K |
| J3030 |
Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
3,849 |
1,078 |
$81K |
| 76942 |
|
684 |
463 |
$38K |
| 64505 |
|
1,285 |
619 |
$30K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
27 |
26 |
$20K |
| 64616 |
|
94 |
92 |
$10K |
| 64612 |
|
94 |
92 |
$5K |
| 64646 |
|
93 |
91 |
$2K |
| 20553 |
|
28 |
24 |
$349.57 |
| 64405 |
|
15 |
12 |
$266.89 |