Physician
Grand Mesa Spine and Sport LLC
Grand Mesa Spine and Sport LLC was paid $1.71M by Medicaid between Jan 2018 and May 2022, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoGRAND MESA SPINE AND SPORT LLC
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
33aNPI1700220993assigned 04/18/2013
33bProvider typeInterventional Pain Medicine Physician
28Total paid$1.71M
24GClaims38,073
24DCodes billed41
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Colorado
Rank by total paid#2 of 8
Median peer was paid$192K
This provider vs. median8.9×
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.
Entity ProliferationAuthorized official JAMES, WILLIAM controls 11+ related entities in our dataset. Read more
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 | 6,203 | $262K | |
| 2019 | 7,958 | $328K | |
| 2020 | 9,899 | $446K | |
| 2021 | 10,116 | $503K | |
| 2022 | 3,897 | $170K |
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 | 26% | 7,480 | 6,533 | $439K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 13% | 7,572 | 2,823 | $214K |
| 01992 | 11% | 1,318 | 1,130 | $193K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,815 | 3,396 | $181K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 8.8% | 5,920 | 2,285 | $151K |
| 64635 | 4.1% | 300 | 204 | $70K | |
| 01935 | 3.3% | 379 | 305 | $57K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.8% | 2,057 | 897 | $48K |
| 27096 | 2.8% | 485 | 446 | $48K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 710 | 588 | $42K |
| 99205 | Prolong outpt/office vis | 2.4% | 321 | 291 | $41K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 951 | 530 | $38K |
29 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 225 | $25K |
| 97163 | 1.3% | 411 | $23K | |
| 20553 | <1% | 479 | $16K | |
| 01936 | <1% | 88 | $16K | |
| 64636 | <1% | 194 | $15K | |
| 64633 | <1% | 66 | $15K | |
| 64493 | <1% | 144 | $13K | |
| 80305 | <1% | 1,412 | $11K | |
| 97014 | <1% | 1,603 | $10K | |
| 97012 | <1% | 1,098 | $7K | |
| 64490 | <1% | 68 | $7K | |
| 64494 | <1% | 104 | $5K | |
| 64634 | <1% | 29 | $5K | |
| 62323 | <1% | 54 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 95 | $3K |
| 97162 | <1% | 64 | $2K | |
| 01939 | <1% | 18 | $2K | |
| 64483 | <1% | 16 | $2K | |
| 64491 | <1% | 33 | $1K | |
| 62321 | <1% | 14 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 72 | $958.83 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 28 | $600.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $449.94 |
| Q3014 | Telehealth originating site facility fee | <1% | 164 | $287.90 |
| 99406 | <1% | 20 | $200.34 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 32 | $27.59 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 176 | $26.17 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 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.
From NPPES
Who's on the registration
Authorized officialJAMES, WILLIAM (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.