PRIMARY CARE PARTNERS, INC.

NPI: 1861990699 · GRAND JUNCTION, CO 81501 · Family Medicine Physician · NPI assigned 01/26/2018

$5K

Total Medicaid Paid

1,068

Total Claims

975

Beneficiaries

Codes Billed

2021-12

First Month

2024-11

Last Month

Provider Details

Authorized Official	CLARK, BEVERLY (CREDENTIALING COORDINATOR)
Parent Organization	PRIMARY CARE PARTNERS, INC.
NPI Enumeration Date	01/26/2018

Other providers sharing the same authorized official: CLARK, BEVERLY

Provider	City	State	Total Paid
PRIMARY CARE PARTNERS, INC.	GRAND JUNCTION	CO	$2.48M
PRIMARY CARE PARTNERS, INC.	GRAND JUNCTION	CO	$518K
PRIMARY CARE PARTNERS, INC.	FRUITA	CO	$299K
PRIMARY CARE PARTNERS, INC.	GRAND JUNCTION	CO	$30K
PRIMARY CARE PARTNERS, INC.	GRAND JUNCTION	CO	$14K
PRIMARY CARE PARTNERS, INC.	FRUITA	CO	$1K
PRIMARY CARE PARTNERS, INC.	GRAND JUNCTION	CO	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43	37	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	14	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	58	56	$1K
90686		14	14	$20.03
3078F		183	165	$0.00
1159F		266	245	$0.00
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	15	14	$0.00
3074F		475	430	$0.00