Medicaid Provider Spending

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

MOUNTAIN MEDICAL CENTER LLC

NPI: 1689642571 · RIDGWAY, CO 81432 · Family Medicine Physician · NPI assigned 03/08/2006

$88K
Total Medicaid Paid
1,554
Total Claims
1,339
Beneficiary Records
6
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialGATES, JOEL (OWNER)
NPI Enumeration Date03/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 304 $19K
2019 210 $13K
2020 297 $17K
2021 512 $25K
2022 231 $14K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,034 875 $59K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 341 298 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 22 $385.40
90686 16 16 $269.55
36415 Collection of venous blood by venipuncture 107 97 $256.03
1036F 32 31 $0.00