Physician
Peak Gastroenterology Associates
Peak Gastroenterology Associates was paid $6.79M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 25% of everything it billed.
33Billing provider infoPEAK GASTROENTEROLOGY ASSOCIATES
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
33aNPI1023112117assigned 09/11/2006
33bProvider typeGastroenterology Physician
28Total paid$6.79M
24GClaims68,463
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Colorado
Rank by total paid#1 of 34
Median peer was paid$75K
This provider vs. median91×
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 | 9,117 | $902K | |
| 2019 | 8,195 | $888K | |
| 2020 | 8,501 | $882K | |
| 2021 | 9,720 | $876K | |
| 2022 | 11,354 | $1.09M | |
| 2023 | 13,363 | $1.34M | |
| 2024incomplete | 8,213 | $811K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 14,285 | 12,644 | $1.72M |
| 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 | 13% | 12,519 | 11,588 | $916K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 13% | 9,000 | 7,100 | $905K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 4,387 | 3,878 | $773K |
| 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 | 7.2% | 4,315 | 4,015 | $492K |
| 00731 | 6.4% | 3,155 | 2,950 | $436K | |
| 99223 | Prolong inpt eval add15 m | 3.4% | 2,566 | 2,079 | $232K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 3.2% | 1,078 | 1,009 | $218K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 4,203 | 3,886 | $206K |
| 43264 | 2.5% | 1,231 | 806 | $173K | |
| 00811 | 2.1% | 1,003 | 950 | $143K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.9% | 574 | 521 | $131K |
22 more codes
| 00812 | 1.5% | 778 | $99K | |
| 88312 | 1.1% | 3,067 | $72K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 752 | $57K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,165 | $43K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 645 | $43K |
| 43235 | <1% | 305 | $27K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 212 | $26K |
| 88313 | <1% | 1,206 | $19K | |
| 99205 | Prolong outpt/office vis | <1% | 84 | $13K |
| 43273 | <1% | 391 | $11K | |
| 99221 | <1% | 221 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 134 | $7K |
| 74328 | <1% | 500 | $6K | |
| 43274 | <1% | 90 | $5K | |
| 91200 | <1% | 235 | $5K | |
| 88342 | <1% | 135 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 70 | $2K |
| 43262 | <1% | 19 | $2K | |
| 99152 | <1% | 32 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 74 | $944.31 |
| 99153 | Mod sedat endo service >5yrs | <1% | 13 | $140.90 |
| 76981 | 0% | 19 | $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 officialPATEL, SMITA (ADMINISTRATOR)
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|---|---|---|
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| Hamilton Dental Associates of Lehigh Valley,llc | Allentown, PA | $58K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.