Physician
Peak Pediatrics PLLC
Peak Pediatrics PLLC was paid $11.46M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoPEAK PEDIATRICS PLLC
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
33aNPI1952471971assigned 11/08/2006
33bProvider typePediatrics Physician
28Total paid$11.46M
24GClaims395,007
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#2 of 186
Median peer was paid$68K
This provider vs. median168×
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 | 46,129 | $1.41M | |
| 2019 | 51,107 | $1.43M | |
| 2020 | 40,470 | $1.18M | |
| 2021 | 63,873 | $1.76M | |
| 2022 | 62,579 | $1.94M | |
| 2023 | 74,020 | $2.11M | |
| 2024incomplete | 56,829 | $1.62M |
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 | 22% | 38,975 | 36,627 | $2.52M |
| 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 | 17% | 21,094 | 19,688 | $1.93M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 32,449 | 30,700 | $1.50M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 13,247 | 12,439 | $1.11M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 11,315 | 10,863 | $1.02M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 5,414 | 5,071 | $473K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 28,768 | 27,397 | $469K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.7% | 6,527 | 6,251 | $306K |
| D0145 | Oral evaluation for a patient under three years of age | 2.3% | 8,549 | 8,253 | $263K |
| 94760 | 1.9% | 97,414 | 89,795 | $223K | |
| G9012 | Other specified case management service not elsewhere classified | 1.4% | 3,055 | 2,518 | $161K |
| 92551 | 1.3% | 14,079 | 13,040 | $145K |
83 more codes
| D0190 | 1.2% | 8,784 | $137K | |
| 99177 | <1% | 9,100 | $108K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 3,295 | $106K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 889 | $102K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,009 | $89K |
| 99173 | <1% | 11,410 | $83K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 833 | $76K |
| 96127 | <1% | 3,782 | $62K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,855 | $61K |
| 90837 | Psychotherapy session, about an hour | <1% | 702 | $56K |
| T1017 | Case management, billed per 15 minutes | <1% | 2,825 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,023 | $42K |
| 99174 | <1% | 2,678 | $42K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 222 | $33K |
| H0031 | Mental health assessment, by non-physician | <1% | 354 | $29K |
| 0071A | <1% | 639 | $22K | |
| 99381 | <1% | 224 | $21K | |
| 90670 | <1% | 3,717 | $21K | |
| 0072A | <1% | 503 | $20K | |
| D1206 | Topical application of fluoride varnish | <1% | 989 | $16K |
| 90480 | <1% | 447 | $13K | |
| 83655 | <1% | 886 | $11K | |
| 90461 | <1% | 16,839 | $11K | |
| 88720 | <1% | 2,249 | $10K | |
| 90698 | <1% | 2,627 | $9K | |
| 87634 | <1% | 126 | $9K | |
| 94761 | <1% | 1,831 | $8K | |
| 36416 | <1% | 6,290 | $8K | |
| 90671 | <1% | 819 | $7K | |
| 90686 | <1% | 6,304 | $7K | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 247 | $6K |
| 0002A | <1% | 146 | $5K | |
| 90651 | <1% | 164 | $5K | |
| 90680 | <1% | 1,830 | $5K | |
| 90716 | <1% | 664 | $4K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 116 | $4K |
| 0001A | <1% | 102 | $4K | |
| 99000 | <1% | 4,240 | $4K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 121 | $4K |
| 85018 | <1% | 1,329 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 90707 | <1% | 674 | $2K | |
| 0081A | <1% | 53 | $2K | |
| 90633 | <1% | 895 | $2K | |
| 90700 | <1% | 767 | $1K | |
| 99383 | <1% | 15 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 22 | $1K |
| 0082A | <1% | 17 | $1K | |
| 0124A | <1% | 17 | $926.55 | |
| 90656 | <1% | 860 | $918.56 | |
| 90619 | <1% | 102 | $910.46 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 29 | $860.86 |
| 96380 | <1% | 41 | $846.80 | |
| 90744 | <1% | 1,123 | $833.02 | |
| 90734 | <1% | 44 | $807.85 | |
| 0154A | <1% | 12 | $701.24 | |
| 99460 | <1% | 13 | $700.36 | |
| 91319 | <1% | 133 | $588.35 | |
| 0054A | <1% | 15 | $577.70 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 103 | $304.68 |
| 90688 | <1% | 432 | $290.31 | |
| 91318 | <1% | 81 | $218.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $189.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $184.68 |
| 81003 | <1% | 87 | $178.09 | |
| 87807 | <1% | 15 | $141.31 | |
| 90715 | <1% | 81 | $111.26 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 15 | $45.87 |
| 90713 | <1% | 76 | $44.11 | |
| 81002 | <1% | 14 | $36.83 | |
| 90648 | <1% | 84 | $21.01 | |
| 90677 | 0% | 132 | $0.00 | |
| 91307 | 0% | 1,223 | $0.00 | |
| 91305 | 0% | 34 | $0.00 | |
| 91315 | 0% | 12 | $0.00 | |
| 90381 | 0% | 14 | $0.00 | |
| 91308 | 0% | 144 | $0.00 | |
| 91300 | 0% | 320 | $0.00 | |
| 91320 | 0% | 62 | $0.00 | |
| 90649 | 0% | 19 | $0.00 | |
| 90380 | 0% | 15 | $0.00 | |
| 90658 | 0% | 37 | $0.00 | |
| 91312 | 0% | 17 | $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 officialHERRMANN, MELISSA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Peak Pediatrics PLLC | Thornton, CO | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.