Mainstreet Pediatrics

Mainstreet Pediatrics was paid $759K by Medicaid between Jun 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoMAINSTREET PEDIATRICS
PARKER, CO 80138

33aNPI1720511058assigned 04/04/2017

33bProvider typePediatrics Physician

28Total paid$759K

24GClaims14,722

24DCodes billed26

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#48 of 186

Median peer was paid$68K

This provider vs. median11×

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.

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	470	$17K
2019	1,758	$85K
2020	2,180	$77K
2021	2,301	$110K
2022	2,541	$153K
2023	3,263	$186K
2024incomplete	2,209	$130K

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	53%	4,655	3,947	$403K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	2,135	1,758	$122K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	2,399	2,156	$81K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.7%	454	388	$35K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.1%	2,338	2,047	$31K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.1%	358	328	$31K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.3%	231	183	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	372	322	$13K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	185	166	$7K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	28	26	$3K
0072A		<1%	26	22	$1K
99177		<1%	73	66	$1K

14 more codes

0071A		<1%	31	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	120	$951.18
99000		<1%	254	$478.46
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	39	$415.25
90461		<1%	368	$390.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	26	$388.15
90686		<1%	360	$382.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	12	$361.10
99050		<1%	53	$351.58
36415	Collection of venous blood by venipuncture	<1%	60	$130.57
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	<1%	27	$24.00
91307		0%	68	$0.00
90670		0%	12	$0.00
90658		0%	38	$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 officialPHIPPS, LORRI (OWNER)