Physician
Colorado Plains Physician Practices LLC
Colorado Plains Physician Practices LLC was paid $1.28M by Medicaid between Jan 2018 and Apr 2022, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCOLORADO PLAINS PHYSICIAN PRACTICES LLC
FORT MORGAN, CO 80701
FORT MORGAN, CO 80701
33aNPI1821042409assigned 05/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.28M
24GClaims29,882
24DCodes billed44
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#36 of 532
Median peer was paid$35K
This provider vs. median37×
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 BOWMAN, MONICA 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 | 7,344 | $288K | |
| 2019 | 6,444 | $266K | |
| 2020 | 5,989 | $241K | |
| 2021 | 7,655 | $362K | |
| 2022 | 2,450 | $125K |
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 | 45% | 10,798 | 9,557 | $583K |
| 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 | 25% | 4,640 | 4,089 | $320K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 1,121 | 1,014 | $94K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.6% | 889 | 822 | $72K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 662 | 641 | $60K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 2,676 | 2,582 | $49K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 1,287 | 1,253 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 1,737 | 1,627 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,189 | 1,113 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 64 | 62 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 447 | 247 | $6K |
| 76801 | <1% | 55 | 50 | $4K |
32 more codes
| 90474 | <1% | 256 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $2K |
| 90686 | <1% | 479 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 81025 | <1% | 236 | $1K | |
| 99174 | <1% | 125 | $1K | |
| 99460 | <1% | 16 | $1K | |
| 90670 | <1% | 663 | $1K | |
| 81002 | <1% | 641 | $1K | |
| 51798 | <1% | 138 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $969.88 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $801.71 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $639.54 |
| 59025 | Fetal non-stress test | <1% | 19 | $565.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $554.76 |
| 81001 | <1% | 223 | $502.98 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $373.14 |
| 99000 | <1% | 259 | $323.63 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 24 | $221.84 |
| 90674 | <1% | 16 | $173.92 | |
| 90633 | <1% | 137 | $158.49 | |
| 81003 | <1% | 50 | $108.80 | |
| 90698 | <1% | 142 | $90.00 | |
| 85018 | <1% | 12 | $28.44 | |
| 90710 | 0% | 26 | $0.00 | |
| 90648 | 0% | 97 | $0.00 | |
| 90685 | 0% | 121 | $0.00 | |
| 99499 | 0% | 17 | $0.00 | |
| 90680 | 0% | 247 | $0.00 | |
| 90723 | 0% | 67 | $0.00 | |
| 90647 | 0% | 135 | $0.00 | |
| 90744 | 0% | 17 | $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 officialBOWMAN, MONICA (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.