Boulder Care Provider Group PA

Boulder Care Provider Group PA was paid $6.72M by Medicaid between Dec 2020 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

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
2020	50	$838.36
2021	3,180	$245K
2022	12,430	$768K
2023	44,013	$2.66M
2024incomplete	36,755	$3.05M

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	47%	54,731	39,611	$3.15M
H2036	Alcohol and/or other drug treatment program, per diem	13%	2,414	2,370	$889K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	11%	1,843	1,794	$725K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	7.6%	2,724	2,630	$513K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.8%	9,007	7,081	$458K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.7%	6,105	3,861	$452K
99205	Prolong outpt/office vis	2.7%	1,848	1,399	$183K
T1041	Medicaid certified community behavioral health clinic services, per month	2.0%	497	495	$136K
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	1.3%	1,252	955	$87K
99406		<1%	9,727	7,940	$65K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	3,377	2,768	$33K
S9475	Ambulatory setting substance abuse treatment or detoxification services, per diem	<1%	100	98	$27K

7 more codes

99408		<1%	2,332	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	98	$2K
99442		<1%	39	$1K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	25	$1K
99443		<1%	13	$930.34
99441		<1%	279	$29.95
H0038	Self-help/peer services, per 15 minutes	0%	17	$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 officialSHIVDASANI, PIA (VP OPERATIONS, AUTHORIZED AGENT)