Medicaid Provider Spending

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

BANNER HEALTH PHYSICIANS COLORADO LLC

NPI: 1588941033 · LOVELAND, CO 80538 · Multi-Specialty Clinic/Center · NPI assigned 11/11/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDI, SHIVA controls 19+ related entities in our dataset. Read more

$361K
Total Medicaid Paid
9,744
Total Claims
8,971
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDI, SHIVA (CEO)
Parent OrganizationBANNER MEDICAL GROUP
NPI Enumeration Date11/11/2011

Related Entities

Other providers sharing the same authorized official: BIRDI, SHIVA

ProviderCityStateTotal Paid
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC PHOENIX AZ $36.91M
BANNER CHILDRENS BANNER HEALTH CLINIC LLC PHOENIX AZ $29.69M
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PHOENIX AZ $23.95M
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $14.77M
NORTH COLORADO FAMILY MEDICINE GREELEY CO $5.11M
BANNER CANCER CENTER SPECIALISTS LLC PHOENIX AZ $3.52M
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC GREELEY CO $1.23M
BANNER HEALTH PHYSICIANS COLORADO LLC LOVELAND CO $541K
TOCA AT BANNER HEALTH LLC PHOENIX AZ $534K
BANNER HEALTH PHYSICIANS WEST LLC TORRINGTON WY $368K
BANNER HEALTH PHYSICIANS WEST LLC FALLON NV $233K
BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY CO $64K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC BRUSH CO $52K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC STERLING CO $44K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC LOVELAND CO $39K
BANNER HEALTH PHYSICIANS WEST LLC OGALLALA NE $23K
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC PHOENIX AZ $5K
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC FORT COLLINS CO $5K
BANNER HEALTH PHYSICIANS COLORADO LLC BRUSH CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 680 $26K
2019 346 $25K
2020 303 $22K
2021 461 $43K
2022 1,051 $70K
2023 3,656 $93K
2024 3,247 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,265 2,997 $228K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 550 545 $75K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 400 342 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 382 352 $18K
94010 528 475 $14K
95117 163 99 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $956.01
99309 Subsequent nursing facility care, per day, low to moderate complexity 38 28 $820.67
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 28 $552.45
90686 27 26 $496.97
99310 Prolong nursin fac eval 15m 14 12 $330.00
83036 Hemoglobin; glycosylated (A1C) 14 14 $135.94
3074F 1,345 1,244 $0.00
4037F 14 13 $0.00
1111F 827 775 $0.00
3079F 52 51 $0.00
3078F 811 759 $0.00
1159F 616 578 $0.00
1160F 613 577 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 44 44 $0.00