Arena, Elizabeth

Arena, Elizabeth was paid $6K by Medicaid between Aug 2019 and Feb 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoARENA, ELIZABETH
GRAND JUNCTION, CO 81501

33aNPI1881878759assigned 12/27/2007

33bProvider typeRheumatology Physician

28Total paid$6K

24GClaims59

24DCodes billed3

24AFirst – last monthAug 2019 – Feb 2020

Compared with peers

Next to other Rheumatology Physician providers in Colorado

Rank by total paid#17 of 31

Median peer was paid$7K

This provider vs. median0.9×

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
2019	45	$5K
2020	14	$2K

Box 24 · Service lines

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	37%	28	24	$2K
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	35%	17	12	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	28%	14	13	$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.