Medicaid Provider Spending

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

CRESTED BUTTE PEDIATRICS PROF LLC

NPI: 1992235873 · CRESTED BUTTE, CO 81224 · Pediatrics Physician · NPI assigned 06/14/2017

$4K
Total Medicaid Paid
111
Total Claims
66
Beneficiaries
3
Codes Billed
2018-05
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSANDERFORD, JENNIFER (SOLE MEMBER)
NPI Enumeration Date06/14/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $576.83
2019 21 $2K
2021 24 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45 24 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 46 29 $415.95
99174 20 13 $160.88