Managed care
NPI deactivated
Rocky Mountain Infectious Disease Specialists, P.C.
Rocky Mountain Infectious Disease Specialists, P.C. was paid $1.74M by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 76% of everything it billed.
33Billing provider infoROCKY MOUNTAIN INFECTIOUS DISEASE SPECIALISTS, P.C.
AURORA, CO 80012
AURORA, CO 80012
33aNPI1629078993assigned 07/28/2005
33bProvider typePreferred Provider Organization
28Total paid$1.74M
24GClaims30,414
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Preferred Provider Organization providers in Colorado
Rank by total paid#3 of 7
Median peer was paid$588K
This provider vs. median3.0×
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 | 3,405 | $167K | |
| 2019 | 4,524 | $246K | |
| 2020 | 5,142 | $291K | |
| 2021 | 4,793 | $233K | |
| 2022 | 4,752 | $278K | |
| 2023 | 4,885 | $315K | |
| 2024incomplete | 2,913 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 76% | 21,635 | 10,705 | $1.33M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 5,569 | 3,388 | $220K |
| 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 | 7.2% | 1,880 | 1,035 | $125K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.4% | 1,061 | 130 | $41K |
| 99223 | Prolong inpt eval add15 m | <1% | 124 | 113 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 145 | 136 | $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 officialNEID, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Rocky Mountain Infectious Disease Specialists, P.C. | Lone Tree, CO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.