Medicaid Provider Spending

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

PUEBLO WEST PRIMARY CARE LLC

NPI: 1659939403 · PUEBLO WEST, CO 81007 · Family Medicine Physician · NPI assigned 06/05/2019

$570K
Total Medicaid Paid
10,880
Total Claims
9,019
Beneficiaries
28
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAWCROFT, TERRI (OFFICE MANAGER)
NPI Enumeration Date06/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,137 3,370 $327K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,658 2,997 $207K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 173 149 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 155 138 $7K
96127 218 198 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 150 131 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $1K
90688 88 88 $833.13
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 58 57 $805.14
83036 Hemoglobin; glycosylated (A1C) 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 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.13
3351F 20 19 $0.00
1036F 103 94 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 64 59 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 76 60 $0.00
H0001 Alcohol and/or drug assessment 18 18 $0.00
3353F 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 680 539 $0.00
4064F 32 28 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 167 147 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 12 $0.00