Physician
Rocky Mountain Family Practice of Leadville PC
Rocky Mountain Family Practice of Leadville PC was paid $355K by Medicaid between Jan 2018 and May 2021, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoROCKY MOUNTAIN FAMILY PRACTICE OF LEADVILLE PC
LEADVILLE, CO 80461
LEADVILLE, CO 80461
33aNPI1609814284assigned 06/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$355K
24GClaims6,165
24DCodes billed15
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#99 of 532
Median peer was paid$35K
This provider vs. median10×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,602 | $87K | |
| 2019 | 1,777 | $109K | |
| 2020 | 1,815 | $103K | |
| 2021 | 971 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 3,667 | 3,149 | $225K |
| 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 | 28% | 1,196 | 1,031 | $101K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 210 | 201 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 161 | 137 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 112 | 109 | $4K |
| 0011A | 1.2% | 114 | 113 | $4K | |
| 0012A | 1.0% | 91 | 91 | $4K | |
| 90688 | <1% | 144 | 139 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 64 | 62 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 304 | 277 | $812.01 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | 27 | $418.55 |
3 more codes
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 officialZWERDLINGER, LISA (OWNER)