Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Highlands Ranch › NPI 1821413923
Physician

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.

33Billing provider infoONPOINT MEDICAL GROUP, LLC
HIGHLANDS RANCH, CO 80129
33aNPI1821413923assigned 02/26/2014
33bProvider typePediatrics Physician
28Total paid$882K
24GClaims19,000
24DCodes billed39
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#41 of 186
Median peer was paid$68K
This provider vs. median13×

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 LENNON, KATIE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20186,399$260K
20196,019$352K
20204,073$248K
20212,509$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialLENNON, KATIE (DIRECTOR)
Parent organizationONPOINT MEDICAL GROUP, LLC
Same official

Other billing entities under LENNON, KATIE

Full network →
ProviderLocationPaid
Onpoint Medical Group, LLCHighlands Ranch, CO$655K
Onpoint Medical GroupDenver, CO$620K
Onpoint Medical Group, LLCLone Tree, CO$383K
Onpoint Medical Group, LLCLittleton, CO$319K
Onpoint Medical Group, LLCGreenwood Village, CO$187K
Onpoint Medical Group, LLCLittleton, CO$171K
Pahs Onpoint Urgent Care LLCAurora, CO$168K
Pahs Onpoint Urgent Care LLCHighlands Ranch, CO$80K
Rose PediatricsHighlands Ranch, CO$78K
Pahs Onpoint Urgent Care LLCLone Tree, CO$36K
Pahs Onpoint Urgent Care LLCHighlands Ranch, CO$36K
Medventures, PLLCCastle Pines, CO$26K
Pahs Onpoint Urgent Care LLCEnglewood, CO$17K
Onpoint Medical Group, LLCParker, CO$7K
Onpoint Medical Group, LLCParker, CO$2K
Onpoint Medical Group, LLCGreenwood Village, CO$2K
Omg Specialty Care LLCLittleton, CO$231.24
Onpoint Medical Group, LLCCastle Pines, CO$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.