Physician
Vanguard Medical Specialists LLC
Vanguard Medical Specialists LLC was paid $1.15M by Medicaid between Jun 2020 and Dec 2024, across 15 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 44% of everything it billed.
33Billing provider infoVANGUARD MEDICAL SPECIALISTS LLC
COLORADO SPRINGS, CO 80924
COLORADO SPRINGS, CO 80924
33aNPI1013538354assigned 04/28/2020
33bProvider typeDermatopathology Physician
28Total paid$1.15M
24GClaims19,174
24DCodes billed15
24AFirst – last monthJun 2020 – Dec 2024
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 | |
|---|---|---|---|
| 2020 | 2,215 | $113K | |
| 2021 | 4,237 | $241K | |
| 2022 | 3,796 | $234K | |
| 2023 | 5,206 | $323K | |
| 2024incomplete | 3,720 | $235K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 44% | 8,361 | 7,240 | $506K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 5,032 | 4,531 | $249K |
| 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 | 12% | 1,685 | 1,571 | $139K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 1,683 | 1,483 | $121K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.4% | 418 | 397 | $51K |
| 88304 | 4.0% | 1,122 | 1,009 | $45K | |
| 11102 | <1% | 307 | 269 | $10K | |
| 17110 | <1% | 210 | 190 | $7K | |
| 17311 | <1% | 25 | 24 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 116 | 106 | $6K |
| 17000 | <1% | 137 | 123 | $3K | |
| 88342 | <1% | 22 | 18 | $575.38 |
3 more codes
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 officialGUST-ALLEN, AMBER (REVENUE CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Vanguard Medical Specialists LLC | Colorado Springs, CO | $939K |
| Vanguard Medical Specialists LLC | Pueblo, CO | $502K |
| Vanguard Medical Specialists LLC | Colorado Springs, CO | $377K |
| Vanguard Medical Specialists LLC | Colorado Springs, CO | $146K |
| Vanguard Medical Specialists LLC | Canon City, CO | $22K |
| Vanguard Medical Specialists LLC | Woodland Park, CO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.