Physician
Mountainland Pediatrics INC
Mountainland Pediatrics INC was paid $5.79M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoMOUNTAINLAND PEDIATRICS INC
THORNTON, CO 80260
THORNTON, CO 80260
33aNPI1619152576assigned 01/09/2008
33bProvider typePediatrics Physician
28Total paid$5.79M
24GClaims206,539
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#5 of 186
Median peer was paid$68K
This provider vs. median85×
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 | 36,450 | $1.00M | |
| 2019 | 35,305 | $991K | |
| 2020 | 26,283 | $691K | |
| 2021 | 31,371 | $819K | |
| 2022 | 27,895 | $829K | |
| 2023 | 30,055 | $907K | |
| 2024incomplete | 19,180 | $554K |
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 | 28% | 26,227 | 22,288 | $1.61M |
| 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 | 15% | 9,463 | 8,348 | $849K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 6,052 | 5,665 | $531K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 4,592 | 4,224 | $443K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 4,792 | 4,554 | $428K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.1% | 16,517 | 15,284 | $294K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 3,349 | 3,135 | $278K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 8,511 | 7,933 | $173K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 11,911 | 11,390 | $156K |
| D0190 | 2.2% | 8,419 | 8,058 | $129K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 3,893 | 3,762 | $113K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.3% | 7,450 | 6,907 | $75K |
64 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 5,324 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,920 | $71K |
| 92552 | 1.2% | 4,857 | $68K | |
| 96127 | 1.1% | 5,482 | $65K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,432 | $39K |
| 99173 | <1% | 4,386 | $38K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,532 | $36K |
| 97802 | <1% | 1,373 | $34K | |
| 99381 | <1% | 378 | $32K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,648 | $26K |
| 90474 | <1% | 2,244 | $23K | |
| 90651 | <1% | 2,683 | $23K | |
| 94760 | <1% | 8,680 | $18K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 341 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 167 | $16K |
| 99000 | <1% | 6,659 | $15K | |
| 90734 | <1% | 2,168 | $13K | |
| 99401 | <1% | 297 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,831 | $8K |
| 85018 | <1% | 3,259 | $8K | |
| 90473 | <1% | 1,015 | $8K | |
| 36416 | <1% | 4,961 | $7K | |
| 81002 | <1% | 1,886 | $6K | |
| 99382 | <1% | 54 | $5K | |
| 90716 | <1% | 2,009 | $5K | |
| 99383 | <1% | 44 | $4K | |
| 90480 | <1% | 69 | $4K | |
| 0071A | <1% | 70 | $4K | |
| 90707 | <1% | 1,999 | $4K | |
| 90670 | <1% | 2,756 | $4K | |
| 90671 | <1% | 394 | $3K | |
| 90686 | <1% | 5,347 | $3K | |
| 90715 | <1% | 1,300 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 248 | $3K |
| 0001A | <1% | 42 | $2K | |
| 99384 | <1% | 15 | $2K | |
| 90700 | <1% | 2,019 | $2K | |
| 0002A | <1% | 41 | $2K | |
| 90633 | <1% | 2,023 | $2K | |
| 90713 | <1% | 1,069 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 0072A | <1% | 24 | $1K | |
| 90710 | <1% | 204 | $924.00 | |
| 90680 | <1% | 1,862 | $863.57 | |
| 92551 | <1% | 142 | $763.98 | |
| 90656 | <1% | 318 | $432.67 | |
| 90723 | <1% | 1,216 | $383.32 | |
| 94761 | <1% | 61 | $265.97 | |
| 90697 | <1% | 253 | $232.00 | |
| 90685 | <1% | 552 | $201.44 | |
| 94664 | <1% | 13 | $159.48 | |
| 90648 | <1% | 1,875 | $159.19 | |
| 90698 | <1% | 609 | $85.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 212 | $50.88 |
| 90744 | <1% | 28 | $49.02 | |
| 90619 | <1% | 20 | $48.00 | |
| 96160 | <1% | 60 | $7.17 | |
| 90658 | <1% | 171 | $6.50 | |
| 91321 | 0% | 46 | $0.00 | |
| 90672 | 0% | 265 | $0.00 | |
| 91300 | 0% | 83 | $0.00 | |
| 91307 | 0% | 94 | $0.00 | |
| 90660 | 0% | 1,164 | $0.00 | |
| 90674 | 0% | 57 | $0.00 |
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 officialDOUCET, RICHARD (CHIEF EXECUTIVE OFFICE)
Parent organizationCOMMUNITY REACH CENTER
| Provider | Location | Paid |
|---|---|---|
| Community Reach Center, INC | Thornton, CO | $10.33M |
| Community Reach Center, INC | Thornton, CO | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.