Medicaid Provider Spending

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

PRIMARY CARE PARTNERS, INC.

NPI: 1972932622 · FRUITA, CO 81521 · Family Medicine Physician · NPI assigned 11/04/2013

$1K
Total Medicaid Paid
104
Total Claims
88
Beneficiaries
5
Codes Billed
2021-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCLARK, BEVERLY (CREDENTIALING COORDINATOR)
Parent OrganizationPRIMARY CARE PARTNERS, INC.
NPI Enumeration Date11/04/2013

Related Entities

Other providers sharing the same authorized official: CLARK, BEVERLY

ProviderCityStateTotal Paid
PRIMARY CARE PARTNERS, INC. GRAND JUNCTION CO $2.48M
PRIMARY CARE PARTNERS, INC. GRAND JUNCTION CO $518K
PRIMARY CARE PARTNERS, INC. FRUITA CO $299K
PRIMARY CARE PARTNERS, INC. GRAND JUNCTION CO $30K
PRIMARY CARE PARTNERS, INC. GRAND JUNCTION CO $14K
PRIMARY CARE PARTNERS, INC. GRAND JUNCTION CO $5K
PRIMARY CARE PARTNERS, INC. GRAND JUNCTION CO $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $217.25
2022 28 $884.11
2024 64 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 13 $884.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $217.25
1159F 48 39 $0.00
3078F 16 12 $0.00
3074F 13 12 $0.00