Medicaid Provider Spending

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

COLORADO PLAINS PHYSICIAN PRACTICES LLC

NPI: 1821042409 · FORT MORGAN, CO 80701 · Family Medicine Physician · NPI assigned 05/19/2006

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

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$1.28M
Total Medicaid Paid
29,882
Total Claims
27,003
Beneficiaries
44
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,344 $288K
2019 6,444 $266K
2020 5,989 $241K
2021 7,655 $362K
2022 2,450 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,798 9,557 $583K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,640 4,089 $320K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,121 1,014 $94K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 889 822 $72K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 662 641 $60K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,676 2,582 $49K
90472 Immunization administration, each additional vaccine (list separately) 1,287 1,253 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,737 1,627 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,189 1,113 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 64 62 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 447 247 $6K
76801 55 50 $4K
90474 256 252 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 46 42 $2K
90686 479 463 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $1K
81025 236 167 $1K
99174 125 121 $1K
99460 16 15 $1K
90670 663 647 $1K
81002 641 559 $1K
51798 138 105 $1K
76830 Ultrasound, transvaginal 13 12 $969.88
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 13 $801.71
99238 Hospital discharge day management, 30 minutes or less 12 12 $639.54
59025 Fetal non-stress test 19 16 $565.21
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 37 $554.76
81001 223 155 $502.98
99222 Initial hospital care, per day, moderate complexity 13 12 $373.14
99000 259 237 $323.63
99232 Subsequent hospital care, per day, moderate complexity 24 15 $221.84
90674 16 13 $173.92
90633 137 136 $158.49
81003 50 45 $108.80
90698 142 136 $90.00
85018 12 12 $28.44
90710 26 26 $0.00
90648 97 94 $0.00
90685 121 118 $0.00
99499 17 17 $0.00
90680 247 243 $0.00
90723 67 66 $0.00
90647 135 133 $0.00
90744 17 15 $0.00