ROCKY MOUNTAIN PRIMARY CARE CLINIC
NPI: 1720385016
· PUEBLO, CO 81003
· 363LP2300X
$3.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,790 |
$561K |
| 2019 |
19,069 |
$542K |
| 2020 |
13,030 |
$467K |
| 2021 |
13,692 |
$473K |
| 2022 |
12,617 |
$401K |
| 2023 |
11,864 |
$353K |
| 2024 |
8,101 |
$223K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
28,619 |
24,658 |
$2.11M |
| 99213 |
|
10,586 |
9,051 |
$589K |
| 94760 |
|
32,635 |
26,880 |
$73K |
| 96372 |
|
5,163 |
3,787 |
$57K |
| 80305 |
|
4,342 |
3,910 |
$46K |
| Q3014 |
Telehealth facility fee |
2,174 |
1,842 |
$38K |
| G8510 |
Scr dep neg, no plan reqd |
2,628 |
2,491 |
$26K |
| 90471 |
|
917 |
869 |
$17K |
| 99000 |
|
5,234 |
4,535 |
$10K |
| 99215 |
Prolong outpt/office vis |
81 |
66 |
$8K |
| 90756 |
|
459 |
442 |
$7K |
| 90686 |
|
422 |
386 |
$6K |
| G8431 |
Pos clin depres scrn f/u doc |
246 |
228 |
$5K |
| 99406 |
|
462 |
378 |
$4K |
| 99212 |
|
126 |
110 |
$4K |
| 99407 |
|
205 |
163 |
$4K |
| 99396 |
|
32 |
32 |
$3K |
| 90674 |
|
163 |
159 |
$3K |
| J3420 |
Vitamin b12 injection |
1,734 |
1,579 |
$2K |
| 99204 |
|
24 |
16 |
$2K |
| 96127 |
|
368 |
350 |
$2K |
| 82947 |
|
660 |
583 |
$1K |
| 0134A |
|
24 |
21 |
$1K |
| 99203 |
|
16 |
14 |
$1K |
| 90656 |
|
61 |
53 |
$961.05 |
| 90688 |
|
78 |
74 |
$916.34 |
| 82962 |
|
399 |
355 |
$737.95 |
| 87811 |
|
15 |
15 |
$579.32 |
| 81025 |
|
32 |
30 |
$210.33 |
| J1885 |
Ketorolac tromethamine inj |
153 |
135 |
$120.64 |
| 99050 |
|
15 |
15 |
$106.96 |
| 81002 |
|
29 |
26 |
$62.28 |
| 1000F |
|
2,440 |
2,206 |
$0.00 |
| G0008 |
Admin influenza virus vac |
94 |
82 |
$0.00 |
| 4000F |
|
527 |
485 |
$0.00 |