Physician
Springs Medical Associates, PC
Springs Medical Associates, PC was paid $3.99M by Medicaid between Jan 2018 and Sep 2020, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoSPRINGS MEDICAL ASSOCIATES, PC
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
33aNPI1982013082assigned 08/04/2014
33bProvider typeInternal Medicine Physician
28Total paid$3.99M
24GClaims170,868
24DCodes billed65
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Internal Medicine Physician providers in Colorado
Rank by total paid#7 of 193
Median peer was paid$34K
This provider vs. median117×
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 | 13,059 | $462K | |
| 2019 | 21,224 | $652K | |
| 2020 | 136,585 | $2.87M |
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 | 26% | 22,627 | 18,278 | $1.04M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11% | 3,465 | 3,149 | $458K |
| 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 | 4.7% | 2,648 | 2,346 | $185K |
| 80305 | 3.0% | 11,102 | 9,000 | $118K | |
| 83992 | 1.9% | 4,085 | 3,661 | $75K | |
| 80356 | 1.8% | 4,274 | 3,845 | $70K | |
| 80324 | 1.8% | 4,271 | 3,844 | $70K | |
| 80348 | 1.8% | 4,274 | 3,845 | $70K | |
| 80372 | 1.8% | 4,272 | 3,844 | $70K | |
| 80346 | 1.8% | 4,273 | 3,844 | $70K | |
| 80353 | 1.8% | 4,273 | 3,844 | $70K | |
| 80360 | 1.8% | 4,273 | 3,844 | $70K |
53 more codes
| 80354 | 1.8% | 4,273 | $70K | |
| 80362 | 1.8% | 4,272 | $70K | |
| 80373 | 1.8% | 4,272 | $70K | |
| 80359 | 1.8% | 4,273 | $70K | |
| 80358 | 1.8% | 4,273 | $70K | |
| 80365 | 1.8% | 4,272 | $70K | |
| 80361 | 1.8% | 4,272 | $70K | |
| 80357 | 1.8% | 4,269 | $70K | |
| 80335 | 1.7% | 4,085 | $67K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.6% | 5,657 | $63K |
| 80342 | 1.2% | 2,920 | $48K | |
| 80355 | 1.2% | 2,921 | $48K | |
| 80366 | 1.2% | 2,920 | $48K | |
| 80332 | 1.2% | 2,920 | $48K | |
| 80369 | 1.2% | 2,920 | $48K | |
| 80339 | 1.2% | 2,920 | $48K | |
| 80338 | 1.2% | 2,921 | $48K | |
| 80349 | 1.2% | 2,921 | $48K | |
| 80345 | 1.2% | 2,920 | $48K | |
| 80371 | 1.2% | 2,920 | $48K | |
| 80329 | 1.2% | 2,919 | $48K | |
| 80368 | 1.2% | 2,920 | $48K | |
| 80367 | 1.2% | 2,920 | $48K | |
| 80350 | 1.2% | 2,921 | $48K | |
| 80323 | 1.2% | 2,916 | $48K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 359 | $39K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 558 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,073 | $29K |
| 96127 | <1% | 3,546 | $26K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 137 | $11K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 663 | $11K |
| 20552 | <1% | 340 | $8K | |
| 99497 | <1% | 250 | $8K | |
| 86328 | <1% | 179 | $6K | |
| 94010 | <1% | 183 | $5K | |
| 99408 | <1% | 218 | $5K | |
| 99406 | <1% | 442 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 200 | $4K |
| 90686 | <1% | 197 | $3K | |
| 82784 | <1% | 146 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 17 | $2K |
| 99305 | <1% | 61 | $1K | |
| 99386 | <1% | 13 | $1K | |
| J0592 | Injection, buprenorphine hydrochloride, 0.1 mg | <1% | 302 | $1K |
| 86769 | <1% | 15 | $758.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 288 | $703.89 |
| 20553 | <1% | 20 | $638.25 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 16 | $50.24 |
| 99315 | <1% | 17 | $50.18 | |
| 36416 | <1% | 17 | $47.40 | |
| 90653 | 0% | 20 | $0.00 | |
| C9290 | Injection, bupivacaine liposome, 1 mg | 0% | 21 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 16 | $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 officialJOSEPH, FRANCIS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Federal Healthcare INC | Lakewood, CO | $295K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.