Medicaid Provider Spending

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

COLORADO PRIMARY CARE CLINIC INC

NPI: 1942525902 · AURORA, CO 80014 · Nurse Practitioner · NPI assigned 04/02/2010

$1.25M
Total Medicaid Paid
41,517
Total Claims
35,371
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFETZKO, DAWN (NURSE PRACTITIONER)
NPI Enumeration Date04/02/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,595 $203K
2019 9,195 $216K
2020 6,952 $178K
2021 8,250 $194K
2022 3,208 $144K
2023 2,637 $142K
2024 2,680 $172K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,215 5,304 $496K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,871 5,086 $322K
99215 Prolong outpt/office vis 2,103 1,761 $206K
96127 3,072 2,435 $45K
90837 Psychotherapy, 53 minutes with patient 606 255 $37K
94760 8,094 6,752 $18K
99401 570 454 $17K
90791 Psychiatric diagnostic evaluation 144 124 $14K
36415 Collection of venous blood by venipuncture 4,737 4,281 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 143 131 $12K
99385 121 108 $11K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 336 304 $9K
99000 4,687 4,173 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 46 $6K
99070 962 770 $5K
99443 116 93 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 120 110 $4K
99386 26 25 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 135 134 $3K
Q3014 Telehealth originating site facility fee 152 120 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 200 181 $2K
90686 137 136 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 200 182 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 31 24 $2K
81002 384 355 $1K
99173 254 235 $869.70
T1017 Targeted case management, each 15 minutes 154 99 $60.00
96160 1,691 1,495 $58.47
G9903 Patient screened for tobacco use and identified as a tobacco non-user 96 92 $0.00
81000 113 106 $0.00