NP / PA
Integrative Pediatric Health Care, LLC
Integrative Pediatric Health Care, LLC was paid $582K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoINTEGRATIVE PEDIATRIC HEALTH CARE, LLC
DENVER, CO 80237
DENVER, CO 80237
33aNPI1902275712assigned 09/22/2015
33bProvider typePediatric Nurse Practitioner
28Total paid$582K
24GClaims13,741
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Colorado
Rank by total paid#1 of 14
Median peer was paid$4K
This provider vs. median149×
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 | 3,839 | $185K | |
| 2019 | 2,667 | $143K | |
| 2020 | 1,406 | $57K | |
| 2021 | 1,664 | $56K | |
| 2022 | 1,753 | $64K | |
| 2023 | 1,469 | $46K | |
| 2024incomplete | 943 | $31K |
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 | 29% | 1,864 | 1,687 | $169K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 1,327 | 1,283 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 1,279 | 1,203 | $109K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 2,602 | 2,505 | $99K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.1% | 3,938 | 3,689 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 184 | 174 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 75 | 71 | $7K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 302 | 277 | $3K |
| 92552 | <1% | 189 | 178 | $3K | |
| 90670 | <1% | 358 | 355 | $3K | |
| 99173 | <1% | 282 | 259 | $1K | |
| 99381 | <1% | 12 | 12 | $1K |
13 more codes
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 officialGAUGHAN, JENNIFER (MEMBER, PRACTITIONER)