Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Carepoint Outpatient Blue Sky Neurology PLLC

Carepoint Outpatient Blue Sky Neurology PLLC was paid $971K by Medicaid between Jan 2018 and Apr 2022, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoCAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC
ENGLEWOOD, CO 80113
33aNPI1609247857assigned 10/14/2015
28Total paid$971K
24GClaims12,319
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Medical Physician Assistant providers in Colorado

Rank by total paid#4 of 31
Median peer was paid$10K
This provider vs. median100×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, DEBORAH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,578$198K
20193,094$248K
20202,208$153K
20213,408$290K
20221,031$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 46% 6,420 5,714 $451K
99205 Prolong outpt/office vis 11% 736 671 $111K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 9.7% 990 879 $94K
J0585 Injection, onabotulinumtoxina, 1 unit 6.8% 122 79 $66K
95720 5.1% 324 158 $50K
95951 5.0% 391 154 $49K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.8% 374 353 $47K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.5% 780 732 $43K
95886 1.5% 255 222 $14K
95816 1.2% 447 399 $12K
95819 <1% 488 418 $9K
99223 Prolong inpt eval add15 m <1% 38 32 $4K
15 more codes
92250 <1% 84 $4K
92060 <1% 79 $3K
92083 <1% 92 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 29 $2K
99203 Doctor's office visit, new patient (routine) <1% 26 $2K
95911 <1% 15 $2K
99232 Hospital visit by a doctor, follow-up day <1% 51 $1K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 24 $1K
95718 <1% 13 $1K
64615 <1% 13 $1K
95874 <1% 14 $316.95
1101F 0% 202 $0.00
1036F 0% 19 $0.00
99072 0% 126 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 167 $0.00

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 officialSMITH, DEBORAH (VP/GENERAL COUNSEL)
Same official

Other billing entities under SMITH, DEBORAH

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.