BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC
NPI: 1609491174
· LAKEWOOD, CO 80401
· Specialist
· NPI assigned 06/10/2020
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | HOTH, KATHERINE (PRACTICE MANAGER) |
| NPI Enumeration Date | 06/10/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
31 |
$382.54 |
| 2021 |
1,964 |
$28K |
| 2022 |
1,439 |
$21K |
| 2023 |
884 |
$27K |
| 2024 |
667 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
313 |
227 |
$52K |
| 95117 |
|
3,311 |
2,355 |
$36K |
| 95115 |
|
1,299 |
881 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
47 |
43 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |