Medicaid Provider Spending

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

ROCKY MOUNTAIN PRIMARY CARE CLINIC

NPI: 1720385016 · PUEBLO, CO 81003 · Primary Care Nurse Practitioner · NPI assigned 02/22/2011

$3.02M
Total Medicaid Paid
101,163
Total Claims
86,026
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIRBY, ASHLEY (NURSE PRACTITIONER/OWNER)
NPI Enumeration Date02/22/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,619 24,658 $2.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,586 9,051 $589K
94760 32,635 26,880 $73K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,163 3,787 $57K
80305 4,342 3,910 $46K
Q3014 Telehealth originating site facility fee 2,174 1,842 $38K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,628 2,491 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 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 Screening for depression is documented as being positive and a follow-up plan is documented 246 228 $5K
99406 462 378 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 126 110 $4K
99407 205 163 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 32 32 $3K
90674 163 159 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,734 1,579 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 16 $2K
96127 368 350 $2K
82947 660 583 $1K
0134A 24 21 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 14 $1K
90656 61 53 $961.05
90688 78 74 $916.34
82962 399 355 $737.95
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 15 15 $579.32
81025 32 30 $210.33
J1885 Injection, ketorolac tromethamine, per 15 mg 153 135 $120.64
99050 15 15 $106.96
81002 29 26 $62.28
1000F 2,440 2,206 $0.00
G0008 Administration of influenza virus vaccine 94 82 $0.00
4000F 527 485 $0.00