Medicaid Provider Spending

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

PURE HEALTHCARE OF COLORADO LLC

NPI: 1609400407 · COLORADO SPRINGS, CO 80907 · Multi-Specialty Clinic/Center · NPI assigned 03/02/2020

$90K
Total Medicaid Paid
1,843
Total Claims
1,206
Beneficiaries
8
Codes Billed
2022-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRAGA, RACHEL (CONTRACTING MANAGER)
NPI Enumeration Date03/02/2020

Related Entities

Other providers sharing the same authorized official: FRAGA, RACHEL

ProviderCityStateTotal Paid
PURE INFUSION SUITES OF MONTANA LLC BILLINGS MT $620K
MONTANA ARTHRITIS CENTER LLC BILLINGS MT $484K
PURE HEALTHCARE OF IDAHO LLC BOISE ID $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 520 $18K
2023 745 $42K
2024 578 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 685 582 $59K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 886 482 $27K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 119 53 $2K
96375 Therapeutic injection; each additional sequential IV push 80 39 $1K
96415 18 12 $525.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $131.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 19 12 $65.55
J7050 Infusion, normal saline solution, 250 cc 22 12 $16.25