PRIMARY CARE PARTNERS, INC.

NPI: 1992854723 · GRAND JUNCTION, CO 81506 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 01/10/2007

$14K

Total Medicaid Paid

1,752

Total Claims

1,592

Beneficiaries

Codes Billed

2021-12

First Month

2024-10

Last Month

Provider Details

Authorized Official	CLARK, BEVERLY (CREDENTIALING COORDINATOR)
Parent Organization	PRIMARY CARE PARTNERS, INC.
NPI Enumeration Date	01/10/2007

Other providers sharing the same authorized official: CLARK, BEVERLY

Provider	City	State	Total 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	$5K
PRIMARY CARE PARTNERS, INC.	FRUITA	CO	$1K
PRIMARY CARE PARTNERS, INC.	GRAND JUNCTION	CO	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	234	213	$13K
96110	Developmental screening, with scoring and documentation, per standardized instrument	12	12	$228.48
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)	61	53	$13.24
3074F		677	622	$0.00
3078F		468	422	$0.00
1159F		300	270	$0.00