Physician
LA Plata Family Medicine Assoc PC
LA Plata Family Medicine Assoc PC was paid $66K by Medicaid between Jan 2022 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoLA PLATA FAMILY MEDICINE ASSOC PC
DURANGO, CO 81303
DURANGO, CO 81303
33aNPI1609868116assigned 08/19/2005
33bProvider typeFamily Medicine Physician
28Total paid$66K
24GClaims910
24DCodes billed2
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#223 of 532
Median peer was paid$35K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2022 | 171 | $13K | |
| 2023 | 469 | $32K | |
| 2024incomplete | 270 | $20K |
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 | 85% | 747 | 651 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 163 | 135 | $10K |
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 officialBEAVER, ASHLEY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Laplata Urological Associates PC | Durango, CO | $222.72 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.