Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Boulder Primary Care INC.

Boulder Primary Care INC. was paid $51K by Medicaid between Jul 2018 and Jun 2021, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoBOULDER PRIMARY CARE INC.
BOULDER CITY, NV 89005
33aNPI1780059675assigned 12/03/2015
28Total paid$51K
24GClaims1,291
24DCodes billed6
24AFirst – last monthJul 2018 – Jun 2021
Compared with peers

Next to other Primary Care Nurse Practitioner providers in Nevada

Rank by total paid#17 of 37
Median peer was paid$41K
This provider vs. median1.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018131$5K
20191,034$43K
2020111$3K
202115$697.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52% 702 482 $27K
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 35% 321 260 $18K
98926 8.7% 173 125 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2.8% 58 36 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 24 17 $416.06
99305 <1% 13 12 $334.09

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 officialSMITH, MARCIA (CORPORATE SECRETARY)