Physician
Pikes Peak Ent
Pikes Peak Ent was paid $243K by Medicaid between Dec 2019 and Dec 2024, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 30% of everything it billed.
33Billing provider infoPIKES PEAK ENT
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1467829309assigned 08/26/2015
33bProvider typeOtolaryngology Physician
28Total paid$243K
24GClaims3,417
24DCodes billed11
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Colorado
Rank by total paid#3 of 38
Median peer was paid$21K
This provider vs. median11×
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 | 17 | $2K | |
| 2020 | 79 | $8K | |
| 2021 | 212 | $21K | |
| 2022 | 602 | $46K | |
| 2023 | 1,688 | $81K | |
| 2024incomplete | 819 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 699 | 642 | $73K |
| 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 | 24% | 857 | 762 | $58K |
| J2356 | Injection, tezepelumab-ekko, 1 mg | 17% | 41 | 26 | $42K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 8.9% | 188 | 168 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 316 | 286 | $16K |
| 96401 | 5.9% | 245 | 182 | $14K | |
| 94010 | 3.5% | 397 | 343 | $9K | |
| 95117 | 2.5% | 508 | 159 | $6K | |
| 31231 | <1% | 33 | 26 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 120 | 87 | $627.70 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | 12 | $39.75 |
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 officialWILHELM, MICHAEL (MANAGING PARTNER)