Medicaid Provider Spending

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

COMMUNITY MEDICAL GROUP, LLC

NPI: 1730505702 · GRAND JUNCTION, CO 81506 · Pediatrics Physician · NPI assigned 03/13/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THOMAS, CHRISTIAN controls 20+ related entities in our dataset. Read more

$2.85M
Total Medicaid Paid
63,062
Total Claims
58,128
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, CHRISTIAN (PRESIDENT/CEO)
NPI Enumeration Date03/13/2014

Related Entities

Other providers sharing the same authorized official: THOMAS, CHRISTIAN

ProviderCityStateTotal Paid
COLORADO WEST HEALTHCARE SYSTEM GRAND JUNCTION CO $12.75M
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $1.82M
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $979K
COLORADO WEST HEALTHCARE SYSTEM GRAND JUNCTION CO $626K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $374K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $318K
COMMUNITY MEDICAL GROUP GRAND JUNCTION CO $96K
COMMUNITY MEDICAL GROUP, LLC FRUITA CO $85K
COLORADO WEST HEALTHCARE SYSTEM GRAND JUNCTION CO $84K
COMMUNITY MEDICAL GROUP GRAND JUNCTION CO $75K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $74K
COMMUNITY MEDICAL GROUP, LLC GRAND JCT CO $62K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $50K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $44K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $33K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $25K
COMMUNITY MEDICAL GROUP, LLC GRAND JUNCTION CO $25K
GRAND VALLEY ORTHOPEDICS GRAND JUNCTION CO $21K
CANYON VIEW ASC, LLC GRAND JUNCTION CO $15K
COMMUNITY MEDICAL GROUP, LLC PALISADE CO $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,545 $399K
2019 11,050 $539K
2020 8,686 $395K
2021 10,010 $420K
2022 9,030 $429K
2023 8,369 $351K
2024 6,372 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,858 11,494 $817K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,117 6,431 $667K
90460 Immunization administration through 18 years of age via any route, first or only component 9,059 8,474 $372K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,574 3,347 $327K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,655 3,310 $311K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,148 1,087 $105K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,873 7,329 $100K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,548 1,447 $22K
90670 1,932 1,854 $21K
90461 4,813 4,555 $19K
96127 1,481 1,395 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 133 117 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 353 305 $12K
D0190 484 474 $8K
D0145 Oral evaluation for a patient under three years of age 206 202 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 400 194 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 273 263 $5K
D1206 Topical application of fluoride varnish 318 308 $5K
90723 1,143 1,086 $4K
90686 1,671 1,567 $3K
90710 173 168 $2K
90647 1,038 984 $2K
90685 501 478 $1K
90633 442 416 $1K
99173 119 113 $1K
92551 91 85 $982.65
90681 110 108 $546.83
90651 42 39 $472.00
90671 250 246 $266.91
90700 15 12 $150.00
90734 17 15 $139.41
90656 134 134 $117.65
90696 26 26 $68.06
90715 12 12 $45.00
90672 53 53 $0.00