Heritage Internal Medicine, PC

Heritage Internal Medicine, PC was paid $175K by Medicaid between Mar 2020 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.

33Billing provider infoHERITAGE INTERNAL MEDICINE, PC
PUEBLO, CO 81004

33aNPI1669681581assigned 05/21/2007

33bProvider typeInternal Medicine Physician

28Total paid$175K

24GClaims3,343

24DCodes billed5

24AFirst – last monthMar 2020 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Colorado

Rank by total paid#55 of 193

Median peer was paid$34K

This provider vs. median5.1×

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
2020	669	$38K
2021	543	$35K
2022	706	$34K
2023	807	$36K
2024incomplete	618	$33K

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	99%	3,249	2,958	$173K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	27	25	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	28	27	$481.78
90756		<1%	27	27	$463.13
90688		<1%	12	12	$102.96

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 officialSTJERNHOLM, JAMES (PRESIDENT)