Physician
Community Medical Group, LLC
Community Medical Group, LLC was paid $2.85M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL GROUP, LLC
GRAND JUNCTION, CO 81506
GRAND JUNCTION, CO 81506
33aNPI1730505702assigned 03/13/2014
33bProvider typePediatrics Physician
28Total paid$2.85M
24GClaims63,062
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#10 of 186
Median peer was paid$68K
This provider vs. median42×
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 THOMAS, CHRISTIAN controls 20+ 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 | 9,545 | $399K | |
| 2019 | 11,050 | $539K | |
| 2020 | 8,686 | $395K | |
| 2021 | 10,010 | $420K | |
| 2022 | 9,030 | $429K | |
| 2023 | 8,369 | $351K | |
| 2024incomplete | 6,372 | $315K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 12,858 | 11,494 | $817K |
| 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 | 23% | 7,117 | 6,431 | $667K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 9,059 | 8,474 | $372K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,574 | 3,347 | $327K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 3,655 | 3,310 | $311K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 1,148 | 1,087 | $105K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 7,873 | 7,329 | $100K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,548 | 1,447 | $22K |
| 90670 | <1% | 1,932 | 1,854 | $21K | |
| 90461 | <1% | 4,813 | 4,555 | $19K | |
| 96127 | <1% | 1,481 | 1,395 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 133 | 117 | $13K |
23 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 353 | $12K |
| D0190 | <1% | 484 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 206 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 400 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 273 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 318 | $5K |
| 90723 | <1% | 1,143 | $4K | |
| 90686 | <1% | 1,671 | $3K | |
| 90710 | <1% | 173 | $2K | |
| 90647 | <1% | 1,038 | $2K | |
| 90685 | <1% | 501 | $1K | |
| 90633 | <1% | 442 | $1K | |
| 99173 | <1% | 119 | $1K | |
| 92551 | <1% | 91 | $982.65 | |
| 90681 | <1% | 110 | $546.83 | |
| 90651 | <1% | 42 | $472.00 | |
| 90671 | <1% | 250 | $266.91 | |
| 90700 | <1% | 15 | $150.00 | |
| 90734 | <1% | 17 | $139.41 | |
| 90656 | <1% | 134 | $117.65 | |
| 90696 | <1% | 26 | $68.06 | |
| 90715 | <1% | 12 | $45.00 | |
| 90672 | 0% | 53 | $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 officialTHOMAS, CHRISTIAN (PRESIDENT/CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.