Medicaid Provider Spending

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

ROCKY MOUNTAIN HEALTH CENTER SOUTH PC

NPI: 1588833826 · DENVER, CO 80237 · Primary Care Clinic/Center · NPI assigned 02/20/2008

$15K
Total Medicaid Paid
375
Total Claims
294
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialBOOZE, CHRISTINA (OFFICE MANAGER)
NPI Enumeration Date02/20/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 179 $7K
2019 102 $4K
2020 62 $2K
2021 32 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 345 270 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 12 $876.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $231.24