Clinic
Optumcare Colorado Asc, LLC
Optumcare Colorado Asc, LLC was paid $87K by Medicaid between Apr 2018 and Mar 2024, across 2 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 97% of everything it billed.
33Billing provider infoOPTUMCARE COLORADO ASC, LLC
COLORADO SPRINGS, CO 80903
COLORADO SPRINGS, CO 80903
33aNPI1326563537assigned 08/08/2017
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$87K
24GClaims472
24DCodes billed2
24AFirst – last monthApr 2018 – Mar 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Colorado
Rank by total paid#45 of 76
Median peer was paid$126K
This provider vs. median0.7×
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 | 220 | $38K | |
| 2019 | 111 | $28K | |
| 2020 | 15 | $2K | |
| 2021 | 25 | $2K | |
| 2022 | 45 | $8K | |
| 2023 | 12 | $3K | |
| 2024incomplete | 44 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 97% | 459 | 350 | $84K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.4% | 13 | 13 | $3K |
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 officialLIETHEN, JOHN (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Healthcare Partners Asc-Hb, LLC | Huntington Beach, CA | $4.05M |
| Talbert Medical Group, P.C. | Fountain Valley, CA | $4.00M |
| Davita Medical Group Talbert California, P.C. | Anaheim, CA | $3.74M |
| Talbert Medical Group, P.C. | Huntington Beach, CA | $3.73M |
| Optumcare New Mexico, LLC | Albuquerque, NM | $241K |
| Arta Western California, INC. | Irvine, CA | $31K |
| Talbert Medical Group, P.C. | Santa Ana, CA | $10K |
| Optumcare Endoscopy Center New Mexico, LLC | Albuquerque, NM | $9K |
| Talbert Medical Group, P.C. | Compton, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.