Physician
Vanguard Medical Specialists LLC
Vanguard Medical Specialists LLC was paid $939K by Medicaid between Jan 2018 and Jun 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoVANGUARD MEDICAL SPECIALISTS LLC
COLORADO SPRINGS, CO 80924
COLORADO SPRINGS, CO 80924
33aNPI1518105253assigned 02/03/2009
33bProvider typeMOHS-Micrographic Surgery Physician
28Total paid$939K
24GClaims17,464
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other MOHS-Micrographic Surgery Physician providers in Colorado
Rank by total paid#2 of 17
Median peer was paid$146K
This provider vs. median6.4×
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 | 7,783 | $390K | |
| 2019 | 7,599 | $428K | |
| 2020 | 2,082 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 5,110 | 4,932 | $280K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 20% | 2,862 | 2,745 | $190K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 13% | 2,087 | 2,039 | $119K |
| 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 | 11% | 1,242 | 1,206 | $102K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.6% | 1,100 | 1,066 | $90K |
| 11102 | 3.1% | 618 | 601 | $29K | |
| 17000 | 2.6% | 765 | 731 | $25K | |
| 99201 | 1.9% | 524 | 512 | $18K | |
| 88304 | 1.9% | 412 | 396 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 520 | 504 | $17K |
| 17311 | 1.7% | 69 | 67 | $16K | |
| 17110 | 1.6% | 915 | 853 | $15K |
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)
| Provider | Location | Paid |
|---|---|---|
| Vanguard Medical Specialists LLC | Colorado Springs, CO | $1.15M |
| Vanguard Medical Specialists LLC | Pueblo, CO | $502K |
| Vanguard Medical Specialists LLC | Colorado Springs, CO | $377K |
| Vanguard Medical Specialists LLC | Colorado Springs, CO | $146K |
| Vanguard Medical Specialists LLC | Canon City, CO | $22K |
| Vanguard Medical Specialists LLC | Woodland Park, CO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.