Physician
Digestive Diseases Specialists of Colorado,llc
Digestive Diseases Specialists of Colorado,llc was paid $120K by Medicaid between Jan 2018 and Jan 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoDIGESTIVE DISEASES SPECIALISTS OF COLORADO,LLC
PUEBLO, CO 81003
PUEBLO, CO 81003
33aNPI1033135330assigned 07/14/2006
33bProvider typeGastroenterology Physician
28Total paid$120K
24GClaims1,807
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Gastroenterology Physician providers in Colorado
Rank by total paid#16 of 34
Median peer was paid$75K
This provider vs. median1.6×
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 | 357 | $26K | |
| 2019 | 602 | $46K | |
| 2020 | 440 | $26K | |
| 2021 | 165 | $10K | |
| 2022 | 119 | $6K | |
| 2023 | 110 | $5K | |
| 2024incomplete | 14 | $670.46 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,159 | 1,080 | $52K |
| 00731 | 21% | 197 | 191 | $26K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 178 | 169 | $21K |
| 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 | 7.8% | 79 | 74 | $9K |
| 00811 | 4.8% | 44 | 42 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.7% | 69 | 68 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 14 | $887.27 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 35 | 25 | $751.20 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 19 | 12 | $665.52 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $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 officialVAHIL, ATUL (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pueblo Endoscopy Suites, LLC | Pueblo, CO | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.