PUEBLO WEST PRIMARY CARE LLC
NPI: 1659939403
· PUEBLO WEST, CO 81007
· 207Q00000X
$570K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
245 |
$13K |
| 2020 |
959 |
$55K |
| 2021 |
1,738 |
$112K |
| 2022 |
1,777 |
$121K |
| 2023 |
2,505 |
$131K |
| 2024 |
3,656 |
$138K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,137 |
3,370 |
$327K |
| 99213 |
|
3,658 |
2,997 |
$207K |
| 99204 |
|
173 |
149 |
$19K |
| 87635 |
|
155 |
138 |
$7K |
| 96127 |
|
218 |
198 |
$3K |
| 90471 |
|
150 |
131 |
$2K |
| 99203 |
|
13 |
12 |
$1K |
| 90688 |
|
88 |
88 |
$833.13 |
| 99211 |
|
58 |
57 |
$805.14 |
| 83036 |
|
93 |
85 |
$690.88 |
| 90756 |
|
20 |
20 |
$512.05 |
| 90658 |
|
18 |
18 |
$257.81 |
| 99000 |
|
669 |
546 |
$240.92 |
| 99173 |
|
41 |
39 |
$183.40 |
| 90694 |
|
20 |
18 |
$61.00 |
| 81002 |
|
32 |
25 |
$54.31 |
| 96160 |
|
136 |
125 |
$5.73 |
| G8510 |
Scr dep neg, no plan reqd |
13 |
13 |
$0.13 |
| 3351F |
|
20 |
19 |
$0.00 |
| 1036F |
|
103 |
94 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
64 |
59 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
76 |
60 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
18 |
18 |
$0.00 |
| 3353F |
|
14 |
14 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
680 |
539 |
$0.00 |
| 4064F |
|
32 |
28 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
167 |
147 |
$0.00 |
| 87502 |
|
14 |
12 |
$0.00 |