Medicaid Provider Spending

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

HERITAGE INTERNAL MEDICINE, PC

NPI: 1669681581 · PUEBLO, CO 81004 · Internal Medicine Physician · NPI assigned 05/21/2007

$175K
Total Medicaid Paid
3,343
Total Claims
3,049
Beneficiaries
5
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTJERNHOLM, JAMES (PRESIDENT)
NPI Enumeration Date05/21/2007

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,249 2,958 $173K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 25 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 27 $481.78
90756 27 27 $463.13
90688 12 12 $102.96