Medicaid Provider Spending

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

CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC

NPI: 1609247857 · ENGLEWOOD, CO 80113 · Medical Physician Assistant · NPI assigned 10/14/2015

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

Authorized official SMITH, DEBORAH controls 20+ related entities in our dataset. Read more

$971K
Total Medicaid Paid
12,319
Total Claims
10,617
Beneficiaries
27
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSMITH, DEBORAH (VP/GENERAL COUNSEL)
NPI Enumeration Date10/14/2015

Related Entities

Other providers sharing the same authorized official: SMITH, DEBORAH

ProviderCityStateTotal Paid
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $22.49M
CAREPOINT EMERGENCY MEDICINE KANSAS LLC WICHITA KS $11.81M
CAREPOINT EMERGENCY MEDICINE, PLLC THORNTON CO $7.61M
CAREPOINT EMERGENCY MEDICINE, PLLC AURORA CO $6.70M
CAREPOINT HEALTH EMERGENCY MEDICINE IDAHO, PLLC CALDWELL ID $4.29M
CAREPOINT EMERGENCY MEDICINE, PLLC ENGLEWOOD CO $4.10M
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $3.53M
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $2.51M
CAREPOINT PEDIATRICS PLLC DENVER CO $1.87M
CAREPOINT PEDIATRICS PLLC DENVER CO $1.83M
CAREPOINT HOSPITAL MEDICINE, PLLC DENVER CO $939K
CAREPOINT EMERGENCY MEDICINE, PLLC LAKEWOOD CO $892K
CAREPOINT HOSPITAL MEDICINE, PLLC DENVER CO $831K
CAREPOINT EMERGENCY MEDICINE, PLLC LONE TREE CO $729K
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $585K
CAREPOINT EMERGENCY MEDICINE, PLLC ENGLEWOOD CO $495K
CAREPOINT HOSPITAL MEDICINE KANSAS LLC WICHITA KS $372K
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $309K
CAREPOINT EMERGENCY MEDICINE, PLLC THORNTON CO $275K
NORTHERN EYE CENTER PA BRAINERD MN $250K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,578 $198K
2019 3,094 $248K
2020 2,208 $153K
2021 3,408 $290K
2022 1,031 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,420 5,714 $451K
99205 Prolong outpt/office vis 736 671 $111K
99215 Prolong outpt/office vis 990 879 $94K
J0585 Injection, onabotulinumtoxina, 1 unit 122 79 $66K
95720 324 158 $50K
95951 391 154 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 374 353 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 780 732 $43K
95886 255 222 $14K
95816 447 399 $12K
95819 488 418 $9K
99223 Prolong inpt eval add15 m 38 32 $4K
92250 84 65 $4K
92060 79 59 $3K
92083 92 72 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 29 26 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 24 $2K
95911 15 12 $2K
99232 Subsequent hospital care, per day, moderate complexity 51 26 $1K
99233 Prolong inpt eval add15 m 24 12 $1K
95718 13 12 $1K
64615 13 13 $1K
95874 14 12 $316.95
1101F 202 193 $0.00
1036F 19 14 $0.00
99072 126 121 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 167 145 $0.00