Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Prairie View Family Care, LLC

Prairie View Family Care, LLC was paid $374K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoPRAIRIE VIEW FAMILY CARE, LLC
FALCON, CO 80831
33aNPI1902176704assigned 01/10/2012
28Total paid$374K
24GClaims13,187
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Colorado

Rank by total paid#34 of 101
Median peer was paid$140K
This provider vs. median2.7×

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

$0$5.0K$10K2018201920202021202220232024
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
20182,239$60K
20192,077$56K
20201,931$54K
20211,851$52K
20221,994$56K
20232,164$62K
2024incomplete931$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68% 4,431 3,953 $253K
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 19% 882 839 $71K
96127 3.2% 1,253 1,205 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 2.1% 342 312 $8K
H0049 Alcohol and/or drug screening 1.8% 1,069 642 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.5% 539 519 $6K
36415 Collection of venous blood by venipuncture 1.4% 1,988 1,783 $5K
99000 <1% 2,417 2,164 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 25 25 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 15 15 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 15 15 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 13 $1K
7 more codes
D0190 <1% 30 $483.90
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 24 $408.57
90686 <1% 34 $257.86
90688 <1% 41 $242.23
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $233.52
81002 <1% 43 $130.59
90658 0% 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.

From NPPES

Who's on the registration

Authorized officialMIGLIACCIO, KAREN (FAMILY NURSE PRACTITIONER/OWNER)