Onpoint Medical Group, LLC
Onpoint Medical Group, LLC was paid $882K by Medicaid between Jan 2018 and Oct 2021, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
HIGHLANDS RANCH, CO 80129
Next to other Pediatrics Physician providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,399 | $260K | |
| 2019 | 6,019 | $352K | |
| 2020 | 4,073 | $248K | |
| 2021 | 2,509 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 6,167 | 5,239 | $455K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,746 | 3,027 | $184K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 2,349 | 2,203 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 885 | 695 | $52K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 1,961 | 1,806 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 363 | 344 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 206 | 175 | $16K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 63 | 51 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 133 | 77 | $7K |
| Q3014 | Telehealth originating site facility fee | <1% | 378 | 313 | $7K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 174 | 155 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 356 | 351 | $6K |
27 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 122 | $4K |
| 92587 | <1% | 91 | $3K | |
| 96127 | <1% | 383 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 90686 | <1% | 210 | $1K | |
| 93922 | <1% | 12 | $940.32 | |
| 36416 | <1% | 394 | $883.83 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | $878.45 |
| 99381 | <1% | 15 | $783.44 | |
| 90670 | <1% | 62 | $762.27 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 86 | $563.90 |
| 99173 | <1% | 58 | $479.64 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 12 | $302.20 |
| 90723 | <1% | 31 | $214.60 | |
| 90680 | <1% | 28 | $210.62 | |
| 94760 | <1% | 93 | $202.74 | |
| 80061 | Lipid panel | <1% | 12 | $159.12 |
| 87807 | <1% | 15 | $116.30 | |
| 90647 | <1% | 27 | $97.65 | |
| 90461 | <1% | 211 | $91.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 108 | $90.46 |
| 81002 | <1% | 57 | $76.82 | |
| 90633 | <1% | 28 | $41.37 | |
| 85018 | <1% | 45 | $41.26 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $37.92 |
| 81003 | <1% | 14 | $11.15 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 44 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Onpoint Medical Group, LLC | Highlands Ranch, CO | $655K |
| Onpoint Medical Group | Denver, CO | $620K |
| Onpoint Medical Group, LLC | Lone Tree, CO | $383K |
| Onpoint Medical Group, LLC | Littleton, CO | $319K |
| Onpoint Medical Group, LLC | Greenwood Village, CO | $187K |
| Onpoint Medical Group, LLC | Littleton, CO | $171K |
| Pahs Onpoint Urgent Care LLC | Aurora, CO | $168K |
| Pahs Onpoint Urgent Care LLC | Highlands Ranch, CO | $80K |
| Rose Pediatrics | Highlands Ranch, CO | $78K |
| Pahs Onpoint Urgent Care LLC | Lone Tree, CO | $36K |
| Pahs Onpoint Urgent Care LLC | Highlands Ranch, CO | $36K |
| Medventures, PLLC | Castle Pines, CO | $26K |
| Pahs Onpoint Urgent Care LLC | Englewood, CO | $17K |
| Onpoint Medical Group, LLC | Parker, CO | $7K |
| Onpoint Medical Group, LLC | Parker, CO | $2K |
| Onpoint Medical Group, LLC | Greenwood Village, CO | $2K |
| Omg Specialty Care LLC | Littleton, CO | $231.24 |
| Onpoint Medical Group, LLC | Castle Pines, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.