Physician
Creekside Physical Medicine PLLC
Creekside Physical Medicine PLLC was paid $1.11M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCREEKSIDE PHYSICAL MEDICINE PLLC
BOULDER, CO 80303
BOULDER, CO 80303
33aNPI1578601969assigned 02/01/2007
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$1.11M
24GClaims24,884
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
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 | 6,862 | $271K | |
| 2019 | 5,739 | $240K | |
| 2020 | 5,568 | $264K | |
| 2021 | 2,910 | $129K | |
| 2022 | 2,141 | $113K | |
| 2023 | 1,516 | $82K | |
| 2024incomplete | 148 | $10K |
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 | 40% | 6,743 | 3,332 | $447K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 18% | 5,908 | 2,718 | $196K |
| 64400 | 14% | 1,690 | 812 | $156K | |
| 98929 | 11% | 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) | 7.3% | 3,849 | 1,078 | $81K |
| 76942 | 3.4% | 684 | 463 | $38K | |
| 64505 | 2.7% | 1,285 | 619 | $30K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.8% | 27 | 26 | $20K |
| 64616 | <1% | 94 | 92 | $10K | |
| 64612 | <1% | 94 | 92 | $5K | |
| 64646 | <1% | 93 | 91 | $2K | |
| 20553 | <1% | 28 | 24 | $349.57 |
1 more codes
| 64405 | <1% | 15 | $266.89 |
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 officialTANNER, DAVID (PRINCIPAL CLINICIAN)