Physician
Pediatric Associates of Durango, INC
Pediatric Associates of Durango, INC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF DURANGO, INC
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1679756431assigned 12/14/2007
33bProvider typePediatrics Physician
28Total paid$1.22M
24GClaims27,066
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#33 of 186
Median peer was paid$68K
This provider vs. median18×
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 | 4,887 | $206K | |
| 2019 | 6,011 | $270K | |
| 2020 | 3,400 | $170K | |
| 2021 | 2,314 | $131K | |
| 2022 | 3,553 | $190K | |
| 2023 | 3,880 | $157K | |
| 2024incomplete | 3,021 | $93K |
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 | 33% | 6,306 | 4,962 | $404K |
| 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 | 31% | 4,213 | 2,999 | $374K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 16% | 517 | 486 | $200K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 470 | 422 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 439 | 375 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 2,227 | 1,970 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 1,820 | 1,492 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 130 | 112 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 138 | 95 | $14K |
| 94760 | 1.1% | 6,799 | 5,400 | $13K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 143 | 117 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 463 | 432 | $9K |
24 more codes
| 92587 | <1% | 545 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 158 | $5K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 458 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 249 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 230 | $2K |
| 99177 | <1% | 217 | $2K | |
| 90686 | <1% | 389 | $2K | |
| 96127 | <1% | 116 | $1K | |
| 99000 | <1% | 541 | $1K | |
| 94010 | <1% | 36 | $978.37 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $947.50 |
| 87807 | <1% | 76 | $802.31 | |
| 99173 | <1% | 89 | $439.17 | |
| H0049 | Alcohol and/or drug screening | <1% | 36 | $389.21 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 38 | $371.90 |
| 90716 | <1% | 13 | $292.54 | |
| 90715 | <1% | 16 | $238.05 | |
| 90707 | <1% | 12 | $169.30 | |
| 94761 | <1% | 38 | $126.67 | |
| 99174 | <1% | 21 | $51.33 | |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 38 | $46.50 |
| 81002 | <1% | 20 | $33.40 | |
| 90633 | 0% | 12 | $0.00 | |
| 90656 | 0% | 28 | $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 officialBOWER, STACY (PRESIDENT)