Physician
Rose Pediatrics
Rose Pediatrics was paid $2.49M by Medicaid between Jan 2018 and Jul 2021, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoROSE PEDIATRICS
DENVER, CO 80220
DENVER, CO 80220
33aNPI1992971402assigned 05/05/2008
33bProvider typePediatrics Physician
28Total paid$2.49M
24GClaims57,897
24DCodes billed39
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#16 of 186
Median peer was paid$68K
This provider vs. median36×
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 | 15,934 | $781K | |
| 2019 | 17,683 | $793K | |
| 2020 | 15,219 | $602K | |
| 2021 | 9,061 | $310K |
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 | 33% | 8,996 | 7,826 | $813K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 4,444 | 3,611 | $367K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 8,498 | 8,110 | $350K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,386 | 3,292 | $315K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,720 | 1,673 | $159K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 2,254 | 2,066 | $141K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.2% | 7,048 | 6,721 | $130K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 692 | 640 | $67K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,200 | 1,096 | $21K |
| 99381 | <1% | 226 | 181 | $20K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,897 | 1,621 | $19K |
| Q3014 | Telehealth originating site facility fee | <1% | 951 | 884 | $18K |
27 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,002 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 522 | $12K |
| 99000 | <1% | 3,922 | $9K | |
| 94760 | <1% | 2,395 | $6K | |
| 36416 | <1% | 2,337 | $5K | |
| 96127 | <1% | 240 | $4K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 151 | $3K |
| 90670 | <1% | 570 | $2K | |
| 90461 | <1% | 2,150 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $2K |
| 85018 | <1% | 639 | $2K | |
| 99383 | <1% | 14 | $1K | |
| 90723 | <1% | 413 | $716.91 | |
| 90651 | <1% | 37 | $546.74 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $542.76 |
| 90680 | <1% | 371 | $315.94 | |
| 90710 | <1% | 12 | $282.64 | |
| 90696 | <1% | 46 | $262.24 | |
| 90647 | <1% | 414 | $227.86 | |
| 81002 | <1% | 69 | $222.70 | |
| 90686 | <1% | 797 | $113.46 | |
| 90707 | <1% | 46 | $98.95 | |
| 90715 | <1% | 12 | $92.66 | |
| 90633 | <1% | 270 | $81.17 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $32.60 |
| 90716 | 0% | 80 | $0.00 | |
| 90700 | 0% | 39 | $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 officialKEY, HEATHER (OFFICE MANAGER)