Providers
All 51 in CO
JOHN H. BISSELL, M.D.
NPI 1902821531, individual, Colorado Springs, CO, 208VP0000X
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 15 months, but with up to 1785 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($200 per patient-month) sit in the top 5% of every provider billing that code.
- Medicare submitted charges on code J3490 are 272.1 time the typical charge-to-allowed ratio for that code.
score 57 of 100, rank 7298, $2.8M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 39.0 | 39.6 | 26.4 | 35.5 | 571 | 2 | 99204 99214 | $190K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 54.9 | 50.9 | 34.0 | 47.1 | 982 | 3 | 96137 97112 99204 99214 | $247K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 63.5 | 49.1 | 32.7 | 46.1 | 1188 | 3 | 96137 99204 99214 | $241K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 74.1 | 59.9 | 39.9 | 54.4 | 1277 | 3 | 96137 99204 99214 | $287K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 53.4 | 42.9 | 28.6 | 42.2 | 1118 | 2 | 96137 99204 99214 | $209K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 47.5 | 29.6 | 19.7 | 26.6 | 1495 | 3 | 96136 96137 99214 | $154K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 59.6 | 40.3 | 26.9 | 37.1 | 1331 | 2 | 96136 96137 99214 | $196K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 52.5 | 34.5 | 23.0 | 33.9 | 1308 | 2 | 96136 96137 99214 | $179K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 50.3 | 31.5 | 21.0 | 28.6 | 1249 | 2 | 96136 96137 99214 | $158K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 47.6 | 32.4 | 21.6 | 29.1 | 1250 | 2 | 96136 96137 99214 | $168K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 41.7 | 26.9 | 17.9 | 26.9 | 1195 | 2 | 96136 96137 99204 99214 | $135K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 61.4 | 37.4 | 24.9 | 33.6 | 1229 | 2 | 96136 96137 99214 | $193K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 40.6 | 25.6 | 17.1 | 24.1 | 1342 | 2 | 96136 96137 99204 99214 | $132K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 52.4 | 27.1 | 18.1 | 25.8 | 1785 | 2 | 96136 96137 99204 99214 | $135K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 39.9 | 18.2 | 12.1 | 16.3 | 1352 | 2 | 96132 96136 96137 99204 99214 | $86K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN H. BISSELL, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 13, 2006, last updated October 9, 2024 |
| Practice location | 3910 S CAREFREE CIR STE F, Colorado Springs, CO 80917-3053, 719-635-3764 |
| Mailing address | 1605 N UNION BLVD, Colorado Springs, CO 80909-2828 |
| Specialties | (208VP0000X, primary, license 27753 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2.6M | 50% | $184 | $60 (top 5% from $133) | 98th percentile | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $1.4M | 27% | $158 | $146 (top 5% from $318) | 56th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $278K | 5% | $33 | $45 (top 5% from $110) | 36th percentile | |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | $158K | 3% | $47 | $116 (top 5% from $454) | 20th percentile | |
| J3490 | Unclassified drugs | $144K | 3% | $200 | $4.55 (top 5% from $108) | 97th percentile | |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | $140K | 3% | $55 | $36 (top 5% from $90) | 86th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $111K | 2% | $55 | $44 (top 5% from $110) | 65th percentile | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | $60K | 1% | $105 | $77 (top 5% from $218) | 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 |
|---|---|---|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1,312 | 189 | $315K | $650 | $240 | 2.7x | 2.6x (90th percentile 5.4x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 2,388 | 228 | $223K | $220 | $128 | 1.7x | 2.3x (90th percentile 3.8x) |
| 80307 | Testing for presence of drug, by chemistry analyzers | 1,318 | 189 | $80K | $300 | $60 | 5.0x | 3.2x (90th percentile 7.6x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,715 | 163 | $66K | $60 | $48 | 1.2x | 1.9x (90th percentile 3.1x) |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 672 | 167 | $44K | $120 | $82 | 1.5x | 2.3x (90th percentile 4.5x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 884 | 166 | $44K | $87 | $63 | 1.4x | 1.8x (90th percentile 2.9x) |
| G3003 | Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) | 1,319 | 168 | $32K | $35 | $30 | 1.2x | 2.9x (90th percentile 5.8x) |
| 96132 | Evaluation of neuropsychological test, first hour | 75 | 73 | $8K | $375 | $128 | 2.9x | 2.3x (90th percentile 4.7x) |
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
51 providers in El Paso County, CO carry an indicator in the public record, with $31.8M at stake between them. The most common is more hours than a day holds, on 39 of them, followed by part of a provider network on 6. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TANNA SKINNER Colorado Springs, CO, ranked 214 | $34K |
|
| 1 | SUMMIT ASSESSMENTS AND THERAPY LLC Monument, CO, ranked 436 | $198 |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Colorado Springs, CO, ranked 1323 | $131K |
|
| 3 | MGA HOME HEALTHCARE COLORADO, LLC Colorado Springs, CO, ranked 1329 | $127K |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Fountain, CO, ranked 1591 | $5K |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Colorado Springs, CO, ranked 2322 | $0 |
|
| 3 | CENTER AT CENTENNIAL, LLC Colorado Springs, CO, ranked 3147 | $0 |
|
| 3 | CENTER AT CENTENNIAL, LLC Colorado Springs, CO, ranked 3211 | $0 |
|
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.