Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Vanguard Medical Specialists LLC

Vanguard Medical Specialists LLC was paid $22K by Medicaid between Mar 2021 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoVANGUARD MEDICAL SPECIALISTS LLC
CANON CITY, CO 81212
33aNPI1366062994assigned 04/23/2020
28Total paid$22K
24GClaims521
24DCodes billed4
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers

Next to other MOHS-Micrographic Surgery Physician providers in Colorado

Rank by total paid#12 of 17
Median peer was paid$146K
This provider vs. median0.1×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202199$5K
2022114$4K
2023209$8K
2024incomplete99$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69% 360 312 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 41 39 $3K
17000 8.3% 70 65 $2K
11102 8.1% 50 43 $2K

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)
Same official

Other billing entities under GUST-ALLEN, AMBER

Full network →
ProviderLocationPaid
Vanguard Medical Specialists LLCColorado Springs, CO$1.15M
Vanguard Medical Specialists LLCColorado Springs, CO$939K
Vanguard Medical Specialists LLCPueblo, CO$502K
Vanguard Medical Specialists LLCColorado Springs, CO$377K
Vanguard Medical Specialists LLCColorado Springs, CO$146K
Vanguard Medical Specialists LLCWoodland Park, CO$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.