Colorado Pulmonary Associates, PC

Colorado Pulmonary Associates, PC was paid $303K by Medicaid between Jan 2018 and May 2024, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 94% of everything it billed.

33Billing provider infoCOLORADO PULMONARY ASSOCIATES, PC
DENVER, CO 80218

33aNPI1477678092assigned 03/20/2007

33bProvider typePulmonary Disease Physician

28Total paid$303K

24GClaims2,156

24DCodes billed4

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Colorado

Rank by total paid#10 of 30

Median peer was paid$72K

This provider vs. median4.2×

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	326	$39K
2019	475	$56K
2020	629	$92K
2021	147	$25K
2022	186	$23K
2023	334	$54K
2024incomplete	59	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	94%	1,824	719	$285K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.8%	302	169	$17K
94727		<1%	15	12	$86.35
94729		<1%	15	12	$84.86

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 officialSCHWARTZ, JEFFREY (PRESIDENT, M.D.)