Physician
North Metro Infectious Disease Specialists, P.C.
North Metro Infectious Disease Specialists, P.C. was paid $283K by Medicaid between Jan 2018 and May 2023, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.
33Billing provider infoNORTH METRO INFECTIOUS DISEASE SPECIALISTS, P.C.
THORNTON, CO 80229
THORNTON, CO 80229
33aNPI1851423875assigned 03/12/2007
33bProvider typeInfectious Disease Physician
28Total paid$283K
24GClaims5,374
24DCodes billed5
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Infectious Disease Physician providers in Colorado
Rank by total paid#6 of 12
Median peer was paid$206K
This provider vs. median1.4×
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
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 | 337 | $15K | |
| 2019 | 1,239 | $59K | |
| 2020 | 1,008 | $54K | |
| 2021 | 1,572 | $83K | |
| 2022 | 1,198 | $71K | |
| 2023 | 20 | $879.14 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 51% | 2,412 | 1,010 | $143K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 34% | 2,430 | 1,003 | $97K |
| 99223 | Prolong inpt eval add15 m | 12% | 333 | 292 | $35K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.8% | 160 | 89 | $5K |
| 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 | <1% | 39 | 26 | $2K |
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 officialCULLINAN, MARY (PHYSICIAN)