Physician
Green Mountain Pediatrics
Green Mountain Pediatrics was paid $1.01M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoGREEN MOUNTAIN PEDIATRICS
LAKEWOOD, CO 80228
LAKEWOOD, CO 80228
33aNPI1669499489assigned 07/16/2006
33bProvider typePediatrics Physician
28Total paid$1.01M
24GClaims25,571
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#37 of 186
Median peer was paid$68K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 3,515 | $132K | |
| 2019 | 3,928 | $147K | |
| 2020 | 3,293 | $124K | |
| 2021 | 4,242 | $155K | |
| 2022 | 4,069 | $177K | |
| 2023 | 4,398 | $191K | |
| 2024incomplete | 2,126 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 5,853 | 5,413 | $364K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 24% | 6,000 | 5,693 | $240K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,616 | 1,457 | $131K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 988 | 938 | $90K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.0% | 4,434 | 4,180 | $70K |
| 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 | 4.8% | 533 | 469 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 368 | 337 | $33K |
| 99174 | <1% | 333 | 314 | $5K | |
| 90670 | <1% | 349 | 337 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 317 | 300 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | 28 | $3K |
| 90461 | <1% | 2,197 | 2,109 | $2K |
22 more codes
| 0071A | <1% | 60 | $2K | |
| 99173 | <1% | 244 | $2K | |
| 90686 | <1% | 704 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $1K |
| 0072A | <1% | 23 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 27 | $828.12 |
| 90480 | <1% | 12 | $741.24 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $609.84 |
| 90648 | <1% | 406 | $481.49 | |
| 92558 | <1% | 41 | $383.07 | |
| 96127 | <1% | 42 | $333.86 | |
| 90723 | <1% | 106 | $214.60 | |
| 90707 | <1% | 28 | $197.10 | |
| 90672 | <1% | 97 | $180.91 | |
| 99000 | <1% | 286 | $177.82 | |
| 90685 | <1% | 200 | $93.64 | |
| 90656 | 0% | 59 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90677 | 0% | 24 | $0.00 | |
| 91307 | 0% | 95 | $0.00 | |
| 90688 | 0% | 16 | $0.00 | |
| 90681 | 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 officialPASTON, FRANCINE (MANAGING PARTNER)