Providers
HEATHER RENEE DAIGLE, PA
NPI 1093099145, individual, Greeley, CO, Physician Assistant
5
Evidence tier
informational
- Medicaid dollars per patient on code 99214 ($175 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10224, $598K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HEATHER RENEE DAIGLE, PA (also HEATHER LEE) |
| Type | Individual |
| Status | Active |
| NPI issued | October 7, 2011, last updated April 19, 2024 |
| Practice location | 1300 N 17TH AVE, Greeley, CO 80631-9584, 970-347-2120 |
| Specialties | Physician Assistant (363A00000X, primary, license 3291 CO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $713K | 42% | $140 | $49 (top 5% from $109) | 98th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $661K | 39% | $114 | $44 (top 5% from $110) | 95th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $264K | 16% | $175 | $60 (top 5% from $133) | 98th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $48K | 3% | $169 | $112 (top 5% from $313) | 78th percentile | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $497 | 0% | $15 | $21 (top 5% from $104) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 163 | 52 | $8K | $187 | $78 | 2.4x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | 11 | $1K | $226 | $108 | 2.1x | 2.3x (90th percentile 3.8x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 22 | 14 | $813 | $125 | $61 | 2.1x | 2.1x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
6 providers in Weld County, CO carry an indicator in the public record, with $14.6M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CENTER AT CENTERPLACE, LLC Greeley, CO, ranked 4655 | $0 |
|
| 4 | MICHAEL MULLIN Greeley, CO, ranked 7454 | $5.0M |
|
| 4 | THAD MAKOWSKI Greeley, CO, ranked 7609 | $2.6M |
|
| 4 | NICHOLAS BERGER Longmont, CO, ranked 7758 | $1.4M |
|
| 4 | SARAH POFAHL Greeley, CO, ranked 8421 | $4.7M |
|
| 5 | SARAH WILLIAMSON Greeley, CO, ranked 10584 | $884K |
|
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJun 23, 2026
Colorado Man Charged In Medicaid Fraud Scheme Connected To Arapahoe County Adult Daycare
Omer offered three $500 kickback payments in exchange for referrals of Medicaid beneficiaries for adult daycare, and $10,000 in other kickback payments described as marketing expenses or office supply, to induce beneficiaries to attend Nadina Adult Daycare Center.
DOJCivil settlementNov 24, 2025
Southern Colorado Hospital and Doctors Agree to Pay $650,000 to Resolve Allegations That They Unlawfully Prescribed Opioids and Other Controlled Substances
Three physicians employed by Mt. San Rafael Hospital allegedly issued invalid prescriptions for controlled substances including opioids not for a legitimate medical purpose or outside the usual course of professional practice, and caused claims for those prescriptions to be submitted to Medicare and other federal health care programs.
DOJCivil settlementDec 3, 2024
$2 Million Resolves Kickback Allegations Relating to Denver Neuromonitoring Company
Assure paid remuneration to surgeons through joint venture companies to induce them to order intraoperative neuromonitoring services, resulting in claims submitted to federally funded healthcare programs.
DOJIndictedSep 24, 2024
Seven People Charged With Over $40 Million In Medicare And Medicaid Fraud
Defendants, through genetic testing laboratories they owned and operated, paid kickbacks and bribes to marketing companies for referrals for medically unnecessary genetic testing, resulting in more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid, and three defendants laundered the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.