Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEARTLIGHT FAMILY CLINIC, LLC

NPI: 1639529738 · CASTLE ROCK, CO 80104 · Primary Care Nurse Practitioner · NPI assigned 06/20/2016

$2.19M
Total Medicaid Paid
35,247
Total Claims
29,318
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERRON, BRENT (OWNER)
Parent OrganizationHEARTLIGHT FAMILY CLINIC, LLC
NPI Enumeration Date06/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,149 $482K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,529 9,461 $1.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,690 4,063 $279K
99215 Prolong outpt/office vis 2,492 2,034 $278K
90837 Psychotherapy, 53 minutes with patient 2,265 1,020 $201K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,569 2,237 $119K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 725 695 $98K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,409 1,224 $38K
99205 Prolong outpt/office vis 160 155 $27K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,420 2,150 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 264 255 $24K
99385 221 200 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 533 476 $9K
36415 Collection of venous blood by venipuncture 2,128 1,920 $6K
0012A 142 141 $5K
90686 432 402 $5K
0011A 165 147 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 46 45 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 91 80 $3K
90792 Psychiatric diagnostic evaluation with medical services 96 62 $3K
99406 326 232 $3K
96127 353 305 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 68 65 $3K
90791 Psychiatric diagnostic evaluation 18 18 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 113 100 $2K
99000 967 895 $2K
99386 13 13 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 14 $2K
0064A 38 37 $1K
99383 14 13 $1K
90674 43 42 $906.08
99417 Prolong home eval add 15m 13 12 $622.20
81002 220 191 $614.73
90688 34 29 $482.72
90656 24 22 $364.35
83036 Hemoglobin; glycosylated (A1C) 31 28 $320.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18 16 $231.37
G0444 Annual depression screening, 5 to 15 minutes 78 74 $0.00
86328 42 38 $0.00
91300 26 25 $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 36 33 $0.00
91301 338 308 $0.00
91306 42 41 $0.00