Denver Metro Orthopedics, P.C.

Denver Metro Orthopedics, P.C. was paid $5K by Medicaid between May 2021 and Feb 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoDENVER METRO ORTHOPEDICS, P.C.
ENGLEWOOD, CO 80113

33aNPI1982913307assigned 10/04/2010

33bProvider typeOrthopaedic Surgery Physician

28Total paid$5K

24GClaims77

24DCodes billed3

24AFirst – last monthMay 2021 – Feb 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Colorado

Rank by total paid#46 of 67

Median peer was paid$18K

This provider vs. median0.3×

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
2021	43	$3K
2022	15	$663.80
2024incomplete	19	$975.37

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	45%	48	40	$2K
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	30%	16	14	$2K
99222	Initial hospital care, per day, moderate complexity	25%	13	12	$1K

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 officialSCHWAPPACH, JOHN (PRESIDENT)