Clinic
Boulder Community Health
Boulder Community Health was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoBOULDER COMMUNITY HEALTH
BOULDER, CO 80301
BOULDER, CO 80301
33aNPI1609822030assigned 05/26/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.73M
24GClaims42,960
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Colorado
Rank by total paid#8 of 103
Median peer was paid$293K
This provider vs. median9.3×
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 | 6,079 | $340K | |
| 2019 | 6,111 | $341K | |
| 2020 | 4,873 | $241K | |
| 2021 | 6,470 | $411K | |
| 2022 | 7,407 | $512K | |
| 2023 | 7,975 | $548K | |
| 2024incomplete | 4,045 | $334K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 20,965 | 19,336 | $1.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 8,304 | 7,746 | $471K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 4,344 | 2,123 | $280K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 430 | 389 | $51K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 2,158 | 2,070 | $39K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.4% | 49 | 48 | $39K |
| 95800 | 1.3% | 263 | 255 | $34K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 758 | 355 | $28K |
| 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 | <1% | 180 | 169 | $19K |
| 99223 | Prolong inpt eval add15 m | <1% | 115 | 109 | $15K |
| 90686 | <1% | 1,089 | 1,059 | $14K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,735 | 1,401 | $9K |
18 more codes
| 99417 | Prolong home eval add 15m | <1% | 130 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 81 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 210 | $7K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 71 | $7K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 115 | $5K |
| 64615 | <1% | 49 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 68 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,389 | $4K |
| 95886 | <1% | 25 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 68 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 29 | $2K |
| 99220 | <1% | 14 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 43 | $761.79 |
| 99442 | <1% | 16 | $419.55 | |
| 99000 | <1% | 224 | $373.25 | |
| 94729 | <1% | 13 | $369.19 | |
| 94727 | <1% | 12 | $291.43 | |
| 90656 | <1% | 13 | $156.45 |
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 officialMUNSON, WILLIAM (VICE PRESIDENT & CHIEF FINANCIAL OF)
| Provider | Location | Paid |
|---|---|---|
| Boulder Community Health | Boulder, CO | $7.84M |
| Boulder Community Health Sports Medicine Imaging LLC | Boulder, CO | $879.65 |
| Boulder Community Health | Boulder, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.