Physician
Cedar Point Health LLC
Cedar Point Health LLC was paid $5.60M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCEDAR POINT HEALTH LLC
MONTROSE, CO 81401
MONTROSE, CO 81401
33aNPI1902804032assigned 07/12/2005
33bProvider typeFamily Medicine Physician
28Total paid$5.60M
24GClaims111,506
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#6 of 532
Median peer was paid$35K
This provider vs. median162×
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 | 19,946 | $910K | |
| 2019 | 28,942 | $1.41M | |
| 2020 | 16,901 | $968K | |
| 2021 | 9,647 | $561K | |
| 2022 | 13,107 | $666K | |
| 2023 | 13,984 | $662K | |
| 2024incomplete | 8,979 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 34,631 | 25,045 | $2.00M |
| 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 | 27% | 21,474 | 16,322 | $1.52M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 15,454 | 11,283 | $1.33M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.0% | 4,831 | 4,593 | $170K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.5% | 2,260 | 1,288 | $137K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 1,355 | 604 | $105K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 7,313 | 5,314 | $103K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 5,046 | 2,454 | $70K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,531 | 1,337 | $39K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 8,821 | 7,362 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 630 | 539 | $21K |
| 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 | <1% | 145 | 137 | $17K |
24 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 140 | $10K |
| 81002 | <1% | 3,084 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 505 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 19 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 33 | $3K |
| 87634 | <1% | 40 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 404 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 43 | $2K |
| 96127 | <1% | 228 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 493 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 41 | $705.37 |
| 81025 | <1% | 77 | $597.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $437.43 |
| 81003 | <1% | 266 | $400.81 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 276 | $393.40 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 662 | $355.72 |
| 99000 | <1% | 119 | $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) | <1% | 178 | $136.83 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 12 | $134.78 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 19 | $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 | <1% | 66 | $14.95 |
| 3078F | 0% | 59 | $0.00 | |
| 3074F | 0% | 209 | $0.00 | |
| 3079F | 0% | 15 | $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 officialPHILLIPS, CORY (PRACTICE ADMINISTRATOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.