NP / PA
Heartlight Family Clinic, LLC
Heartlight Family Clinic, LLC was paid $2.19M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoHEARTLIGHT FAMILY CLINIC, LLC
CASTLE ROCK, CO 80104
CASTLE ROCK, CO 80104
33aNPI1639529738assigned 06/20/2016
33bProvider typePrimary Care Nurse Practitioner
28Total paid$2.19M
24GClaims35,247
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in Colorado
Rank by total paid#2 of 11
Median peer was paid$13K
This provider vs. median167×
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 | 3,920 | $237K | |
| 2019 | 5,497 | $313K | |
| 2020 | 5,380 | $301K | |
| 2021 | 5,017 | $286K | |
| 2022 | 3,339 | $252K | |
| 2023 | 4,945 | $319K | |
| 2024incomplete | 7,149 | $482K |
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 | 46% | 11,529 | 9,461 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 4,690 | 4,063 | $279K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 2,492 | 2,034 | $278K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.2% | 2,265 | 1,020 | $201K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.4% | 2,569 | 2,237 | $119K |
| 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 | 4.5% | 725 | 695 | $98K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.7% | 1,409 | 1,224 | $38K |
| 99205 | Prolong outpt/office vis | 1.2% | 160 | 155 | $27K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.1% | 2,420 | 2,150 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 264 | 255 | $24K |
| 99385 | <1% | 221 | 200 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 533 | 476 | $9K |
30 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,128 | $6K |
| 0012A | <1% | 142 | $5K | |
| 90686 | <1% | 432 | $5K | |
| 0011A | <1% | 165 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 46 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 91 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 96 | $3K |
| 99406 | <1% | 326 | $3K | |
| 96127 | <1% | 353 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 68 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 18 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 113 | $2K |
| 99000 | <1% | 967 | $2K | |
| 99386 | <1% | 13 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $2K |
| 0064A | <1% | 38 | $1K | |
| 99383 | <1% | 14 | $1K | |
| 90674 | <1% | 43 | $906.08 | |
| 99417 | Prolong home eval add 15m | <1% | 13 | $622.20 |
| 81002 | <1% | 220 | $614.73 | |
| 90688 | <1% | 34 | $482.72 | |
| 90656 | <1% | 24 | $364.35 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 31 | $320.75 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $231.37 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 78 | $0.00 |
| 86328 | 0% | 42 | $0.00 | |
| 91300 | 0% | 26 | $0.00 | |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 0% | 36 | $0.00 |
| 91301 | 0% | 338 | $0.00 | |
| 91306 | 0% | 42 | $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 officialHERRON, BRENT (OWNER)
Parent organizationHEARTLIGHT FAMILY CLINIC, LLC