Physician
Pueblo West Primary Care LLC
Pueblo West Primary Care LLC was paid $570K by Medicaid between Oct 2019 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoPUEBLO WEST PRIMARY CARE LLC
PUEBLO WEST, CO 81007
PUEBLO WEST, CO 81007
33aNPI1659939403assigned 06/05/2019
33bProvider typeFamily Medicine Physician
28Total paid$570K
24GClaims10,880
24DCodes billed28
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#68 of 532
Median peer was paid$35K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2019 | 245 | $13K | |
| 2020 | 959 | $55K | |
| 2021 | 1,738 | $112K | |
| 2022 | 1,777 | $121K | |
| 2023 | 2,505 | $131K | |
| 2024incomplete | 3,656 | $138K |
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 | 57% | 4,137 | 3,370 | $327K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,658 | 2,997 | $207K |
| 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 | 3.4% | 173 | 149 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 155 | 138 | $7K |
| 96127 | <1% | 218 | 198 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 150 | 131 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $1K |
| 90688 | <1% | 88 | 88 | $833.13 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | 57 | $805.14 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 93 | 85 | $690.88 |
| 90756 | <1% | 20 | 20 | $512.05 | |
| 90658 | <1% | 18 | 18 | $257.81 |
16 more codes
| 99000 | <1% | 669 | $240.92 | |
| 99173 | <1% | 41 | $183.40 | |
| 90694 | <1% | 20 | $61.00 | |
| 81002 | <1% | 32 | $54.31 | |
| 96160 | <1% | 136 | $5.73 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $0.13 |
| 3351F | 0% | 20 | $0.00 | |
| 1036F | 0% | 103 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 64 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 76 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 18 | $0.00 |
| 3353F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 680 | $0.00 |
| 4064F | 0% | 32 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 167 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 14 | $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 officialSHAWCROFT, TERRI (OFFICE MANAGER)