Physician
Colorado Springs Nephrology
Colorado Springs Nephrology was paid $57K by Medicaid between Mar 2019 and Aug 2024, across 4 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 87% of everything it billed.
33Billing provider infoCOLORADO SPRINGS NEPHROLOGY
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
33aNPI1376879254assigned 10/27/2009
33bProvider typeNephrology Physician
28Total paid$57K
24GClaims877
24DCodes billed4
24AFirst – last monthMar 2019 – Aug 2024
Compared with peers
Next to other Nephrology Physician providers in Colorado
Rank by total paid#9 of 16
Median peer was paid$57K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 124 | $5K | |
| 2020 | 192 | $12K | |
| 2021 | 83 | $6K | |
| 2022 | 118 | $7K | |
| 2023 | 230 | $19K | |
| 2024incomplete | 130 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 87% | 768 | 665 | $50K |
| 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 | 9.0% | 84 | 76 | $5K |
| 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 | 2.6% | 12 | 12 | $1K |
| 90961 | 1.2% | 13 | 12 | $691.52 |
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 officialPROVENZANO, ROBERT (PRESIDENT)