Physician
Premier Pediatrics, INC
Premier Pediatrics, INC was paid $2.71M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPREMIER PEDIATRICS, INC
BRIGHTON, CO 80601
BRIGHTON, CO 80601
33aNPI1649314824assigned 02/19/2007
33bProvider typePediatrics Physician
28Total paid$2.71M
24GClaims84,139
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#12 of 186
Median peer was paid$68K
This provider vs. median40×
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 | 5,549 | $176K | |
| 2019 | 6,728 | $249K | |
| 2020 | 9,709 | $311K | |
| 2021 | 15,554 | $484K | |
| 2022 | 18,458 | $584K | |
| 2023 | 17,682 | $573K | |
| 2024incomplete | 10,459 | $334K |
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 | 25% | 10,897 | 9,674 | $674K |
| 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 | 13% | 4,053 | 3,614 | $349K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 3,497 | 2,968 | $275K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 2,778 | 2,655 | $256K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 2,434 | 2,305 | $220K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.6% | 8,170 | 7,666 | $151K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 1,456 | 1,347 | $143K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 4,725 | 4,533 | $106K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.6% | 6,366 | 6,107 | $98K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.8% | 2,266 | 2,122 | $75K |
| 92551 | 2.3% | 5,779 | 5,429 | $62K | |
| 99173 | 1.7% | 6,252 | 5,888 | $46K |
45 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 407 | $36K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 799 | $32K |
| 90710 | <1% | 951 | $19K | |
| 90651 | <1% | 636 | $19K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,908 | $18K |
| 90670 | <1% | 1,401 | $16K | |
| 96127 | <1% | 1,109 | $15K | |
| 90698 | <1% | 2,041 | $15K | |
| 90671 | <1% | 639 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 658 | $9K |
| 94760 | <1% | 4,612 | $8K | |
| 90680 | <1% | 1,328 | $8K | |
| 90619 | <1% | 295 | $6K | |
| 90686 | <1% | 2,244 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 357 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 610 | $5K |
| 0072A | <1% | 82 | $5K | |
| 90633 | <1% | 1,108 | $3K | |
| 0071A | <1% | 63 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $2K |
| 90473 | <1% | 106 | $2K | |
| 85018 | <1% | 824 | $2K | |
| 90744 | <1% | 932 | $2K | |
| 90715 | <1% | 159 | $2K | |
| 99383 | <1% | 12 | $1K | |
| 90621 | <1% | 31 | $1K | |
| 99381 | <1% | 17 | $1K | |
| 0111A | <1% | 16 | $988.32 | |
| 90696 | <1% | 109 | $977.66 | |
| 87634 | <1% | 15 | $910.00 | |
| 0124A | <1% | 17 | $852.41 | |
| 90656 | <1% | 316 | $839.28 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $691.29 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 21 | $477.09 |
| 99460 | <1% | 18 | $408.60 | |
| 90672 | <1% | 115 | $267.46 | |
| 81002 | <1% | 56 | $104.25 | |
| 90660 | <1% | 33 | $88.13 | |
| 36416 | <1% | 277 | $20.30 | |
| 99072 | 0% | 818 | $0.00 | |
| 91311 | 0% | 54 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 91312 | 0% | 17 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 91307 | 0% | 185 | $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 officialSMITH, JOSEPH (OWNER/PRESIDENT)
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