Physician
Colorado Provider Network LLC
Colorado Provider Network LLC was paid $334K by Medicaid between Jun 2021 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoCOLORADO PROVIDER NETWORK LLC
LAKEWOOD, CO 80215
LAKEWOOD, CO 80215
33aNPI1649851155assigned 04/16/2021
33bProvider typeAdult Medicine Physician
28Total paid$334K
24GClaims4,722
24DCodes billed13
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Adult Medicine Physician providers in Colorado
Rank by total paid#3 of 9
Median peer was paid$13K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2021 | 47 | $274.37 | |
| 2022 | 291 | $5K | |
| 2023 | 2,809 | $194K | |
| 2024incomplete | 1,575 | $134K |
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 | 54% | 2,107 | 1,735 | $180K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 25% | 670 | 501 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 885 | 705 | $52K |
| 99310 | Prolong nursin fac eval 15m | 2.1% | 352 | 299 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 300 | 147 | $3K |
| 96127 | <1% | 186 | 156 | $3K | |
| 99417 | Prolong home eval add 15m | <1% | 32 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | 29 | $554.06 |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 14 | 12 | $342.90 |
| 90686 | <1% | 15 | 14 | $245.85 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | 27 | $211.78 |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | 24 | $66.06 |
1 more codes
| 96160 | <1% | 76 | $1.14 |
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 officialMARQUEZ, JOHN (CEO)