Banner Health Physicians Colorado LLC
Banner Health Physicians Colorado LLC was paid $53K by Medicaid between Jan 2018 and Jul 2018, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
FORT MORGAN, CO 80701
Next to other Multi-Specialty Clinic/Center 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 | 1,108 | $53K |
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 | 79% | 791 | 610 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 195 | 171 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 14 | 12 | $674.45 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 44 | 40 | $535.62 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | 12 | $292.41 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 19 | 16 | $249.90 |
| 90461 | 0% | 21 | 13 | $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 |
|---|---|---|
| Mayo Clinic | Rochester, MN | $74.39M |
| Mayo Clinic Hospital-Rochester | Rochester, MN | $11.46M |
| Mayo Foundation for Medical Education & Research | Rochester, MN | $2.83M |
| Mayo Clinic Hospital-Rochester | Onalaska, WI | $832K |
| Mayo Clinic Hospital-Rochester | Fairmont, MN | $682K |
| Mayo Foundation for Medical Education & Research | Rochester, MN | $320K |
| Mayo Clinic Hospital-Rochester | Rochester, MN | $193K |
| Mayo Clinic Hospital-Rochester | Rochester, MN | $181K |
| Mayo Clinic Hospital-Rochester | Albert Lea, MN | $52K |
| Mayo Clinic Hospital-Rochester | Owatonna, MN | $15K |
| Mayo Clinic Hospital-Rochester | Decorah, IA | $423.45 |
| Mayo Clinic | Rochester, MN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.