Springs Gastroenterology, PLLC

Springs Gastroenterology, PLLC was paid $199K by Medicaid between Feb 2018 and Jul 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoSPRINGS GASTROENTEROLOGY, PLLC
COLORADO SPRINGS, CO 80907

33aNPI1285783092assigned 01/10/2007

33bProvider typeGastroenterology Physician

28Total paid$199K

24GClaims2,527

24DCodes billed10

24AFirst – last monthFeb 2018 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in Colorado

Rank by total paid#13 of 34

Median peer was paid$75K

This provider vs. median2.7×

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	274	$21K
2019	301	$25K
2020	287	$21K
2021	672	$50K
2022	649	$55K
2023	252	$20K
2024incomplete	92	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	51%	1,218	1,134	$101K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	18%	277	266	$35K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	498	318	$22K
99222	Initial hospital care, per day, moderate complexity	9.5%	241	223	$19K
44361		6.1%	96	91	$12K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.6%	27	27	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	79	78	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	38	38	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	17	13	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	36	31	$901.48

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 officialHOR, JAMES (CHIEF OPERATING OFFICER)