Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201815,934$781K
201917,683$793K
202015,219$602K
20219,061$310K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)