Clinic
Premier Family Medicine LLC
Premier Family Medicine LLC was paid $705K by Medicaid between Sep 2020 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoPREMIER FAMILY MEDICINE LLC
DENVER, CO 80222
DENVER, CO 80222
33aNPI1992339790assigned 03/02/2020
33bProvider typeClinic/Center
28Total paid$705K
24GClaims11,970
24DCodes billed27
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#27 of 87
Median peer was paid$179K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2020 | 1,926 | $104K | |
| 2021 | 4,076 | $217K | |
| 2022 | 2,425 | $152K | |
| 2023 | 2,118 | $139K | |
| 2024incomplete | 1,425 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 6,033 | 5,150 | $496K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 1,045 | 969 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.4% | 307 | 274 | $38K |
| 99402 | 4.1% | 561 | 527 | $29K | |
| 99401 | 2.9% | 661 | 607 | $21K | |
| 99205 | Prolong outpt/office vis | 1.3% | 55 | 51 | $9K |
| 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 | 1.1% | 68 | 65 | $8K |
| 99497 | <1% | 216 | 174 | $7K | |
| 99490 | Ccm add 20min | <1% | 451 | 444 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 274 | 195 | $5K |
| 99443 | <1% | 45 | 41 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 220 | 209 | $4K |
15 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,352 | $4K |
| 99442 | <1% | 42 | $3K | |
| 90674 | <1% | 160 | $2K | |
| 93000 | <1% | 109 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 90756 | <1% | 52 | $1K | |
| 93882 | <1% | 13 | $1K | |
| 99454 | <1% | 24 | $791.46 | |
| 99457 | <1% | 24 | $588.26 | |
| 99173 | <1% | 58 | $565.04 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $547.05 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 57 | $119.22 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 81 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 22 | $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 officialZMILY, MISBAH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| LA Familia Primary Care P C | Raton, NM | $1.73M |
| Zmily Health Group INC. | Denver, CO | $340K |
| Zia Healthcare Services LLC | Raton, NM | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.