Medicaid Provider Spending

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

GORMAN MEDICAL LLC

NPI: 1588089718 · COLORADO SPRINGS, CO 80920 · Pain Clinic/Center · NPI assigned 02/25/2014

$5.08M
Total Medicaid Paid
138,935
Total Claims
122,761
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGORMAN, FRANCES (OWNER / PROVIDER)
NPI Enumeration Date02/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,989 $853K
2019 23,408 $690K
2020 16,573 $592K
2021 19,039 $730K
2022 16,849 $675K
2023 18,707 $768K
2024 16,370 $768K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,206 27,774 $2.46M
99215 Prolong outpt/office vis 5,068 4,416 $512K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 10,722 10,200 $279K
80305 18,719 16,541 $182K
99408 9,134 8,754 $167K
94010 6,522 5,831 $157K
27096 1,458 1,249 $146K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,802 4,354 $143K
96127 13,643 12,873 $138K
99205 Prolong outpt/office vis 670 637 $107K
64493 1,642 1,420 $89K
99443 863 780 $78K
76942 1,098 917 $66K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,196 3,635 $61K
64495 1,559 1,337 $56K
64494 1,616 1,392 $53K
99406 3,943 3,443 $36K
62322 1,624 1,398 $35K
20553 1,589 1,291 $33K
64490 453 389 $30K
J1040 Injection, methylprednisolone acetate, 80 mg 1,602 1,389 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 221 200 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 441 393 $24K
99152 1,111 921 $21K
98928 635 480 $20K
20611 932 556 $19K
64492 417 355 $17K
64491 485 413 $17K
62320 456 389 $11K
83036 Hemoglobin; glycosylated (A1C) 1,320 1,260 $10K
99153 Mod sedat endo service >5yrs 463 403 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 645 587 $9K
81007 325 312 $9K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 503 481 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 218 217 $4K
99354 82 69 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,240 1,933 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,486 2,148 $3K
90686 175 167 $3K
90674 81 79 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 25 25 $1K
99385 13 12 $1K
36415 Collection of venous blood by venipuncture 404 369 $841.53
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 22 21 $701.80
H0049 Alcohol and/or drug screening 104 102 $622.80
99402 12 12 $607.53
64483 14 12 $527.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $481.97
96103 249 178 $400.34
64405 60 51 $362.39
81025 43 42 $327.18
64484 26 13 $251.07
20606 16 12 $219.42
64450 29 28 $89.30
99173 16 13 $29.11
G9902 Patient screened for tobacco use and identified as a tobacco user 151 141 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 165 143 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 207 190 $0.00