Onpoint Medical Group, LLC
Onpoint Medical Group, LLC was paid $383K by Medicaid between Aug 2020 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
LONE TREE, CO 80124
Next to other Pediatrics Physician providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,546 | $37K | |
| 2021 | 2,043 | $85K | |
| 2022 | 1,687 | $89K | |
| 2023 | 2,288 | $118K | |
| 2024incomplete | 914 | $54K |
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% | 2,163 | 1,937 | $137K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 1,969 | 1,769 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 669 | 571 | $55K |
| 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 | 11% | 476 | 428 | $43K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 334 | 307 | $30K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 1,169 | 1,079 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 69 | 63 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 41 | 39 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 272 | 188 | $4K |
| 90671 | <1% | 70 | 64 | $3K | |
| 92587 | <1% | 69 | 63 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | 16 | $2K |
13 more codes
| 90686 | <1% | 833 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 21 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 33 | $387.09 |
| 96127 | <1% | 14 | $253.72 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $252.34 |
| 90656 | <1% | 66 | $194.25 | |
| 99177 | <1% | 24 | $171.96 | |
| 99173 | <1% | 12 | $126.60 | |
| 36416 | <1% | 92 | $44.32 | |
| 90697 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90633 | 0% | 16 | $0.00 | |
| 90670 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Onpoint Medical Group, LLC | Highlands Ranch, CO | $882K |
| Onpoint Medical Group, LLC | Highlands Ranch, CO | $655K |
| Onpoint Medical Group | Denver, CO | $620K |
| Onpoint Medical Group, LLC | Littleton, CO | $319K |
| Onpoint Medical Group, LLC | Greenwood Village, CO | $187K |
| Onpoint Medical Group, LLC | Littleton, CO | $171K |
| Pahs Onpoint Urgent Care LLC | Aurora, CO | $168K |
| Pahs Onpoint Urgent Care LLC | Highlands Ranch, CO | $80K |
| Rose Pediatrics | Highlands Ranch, CO | $78K |
| Pahs Onpoint Urgent Care LLC | Lone Tree, CO | $36K |
| Pahs Onpoint Urgent Care LLC | Highlands Ranch, CO | $36K |
| Medventures, PLLC | Castle Pines, CO | $26K |
| Pahs Onpoint Urgent Care LLC | Englewood, CO | $17K |
| Onpoint Medical Group, LLC | Parker, CO | $7K |
| Onpoint Medical Group, LLC | Parker, CO | $2K |
| Onpoint Medical Group, LLC | Greenwood Village, CO | $2K |
| Omg Specialty Care LLC | Littleton, CO | $231.24 |
| Onpoint Medical Group, LLC | Castle Pines, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.