Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CEDAR POINT HEALTH LLC

NPI: 1902804032 · MONTROSE, CO 81401 · Family Medicine Physician · NPI assigned 07/12/2005

$5.60M
Total Medicaid Paid
111,506
Total Claims
80,603
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHILLIPS, CORY (PRACTICE ADMINISTRATOR)
NPI Enumeration Date07/12/2005

Related Entities

Other providers sharing the same authorized official: PHILLIPS, CORY

ProviderCityStateTotal Paid
CEDAR POINT HEALTH LLC MONTROSE CO $638K
CEDAR POINT HEALTH LLC GRAND JUNCTION CO $497K
CEDAR POINT HEALTH LLC GRAND JUNCTION CO $140K
CEDAR POINT HEALTH LLC RIDGWAY CO $3K
CEDAR POINT HEALTH LLC MONTROSE CO $1K
CEDAR POINT HEALTH LLC DELTA CO $434.58
CEDAR POINT HEALTH LLC CEDAREDGE CO $116.94
CEDAR POINT HEALTH LLC MONTROSE CO $6.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,946 $910K
2019 28,942 $1.41M
2020 16,901 $968K
2021 9,647 $561K
2022 13,107 $666K
2023 13,984 $662K
2024 8,979 $419K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,631 25,045 $2.00M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,474 16,322 $1.52M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,454 11,283 $1.33M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4,831 4,593 $170K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,260 1,288 $137K
90837 Psychotherapy, 53 minutes with patient 1,355 604 $105K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,313 5,314 $103K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,046 2,454 $70K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,531 1,337 $39K
S9088 Services provided in an urgent care center (list in addition to code for service) 8,821 7,362 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 630 539 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 145 137 $17K
90834 Psychotherapy, 45 minutes with patient 140 78 $10K
81002 3,084 1,609 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 505 247 $6K
90792 Psychiatric diagnostic evaluation with medical services 19 12 $3K
90791 Psychiatric diagnostic evaluation 33 25 $3K
87634 40 40 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 404 257 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 43 40 $2K
96127 228 190 $2K
36415 Collection of venous blood by venipuncture 493 411 $1K
99308 Subsequent nursing facility care, per day, straightforward 41 30 $705.37
81025 77 37 $597.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $437.43
81003 266 195 $400.81
J1885 Injection, ketorolac tromethamine, per 15 mg 276 139 $393.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg 662 399 $355.72
99000 119 102 $274.82
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) 178 144 $136.83
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $134.78
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 19 17 $130.32
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 66 45 $14.95
3078F 59 58 $0.00
3074F 209 197 $0.00
3079F 15 14 $0.00