Physician
Colorado Springs Pulmonary Consultants PC
Colorado Springs Pulmonary Consultants PC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 66% of everything it billed.
33Billing provider infoCOLORADO SPRINGS PULMONARY CONSULTANTS PC
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
33aNPI1528269099assigned 05/30/2007
33bProvider typePulmonary Disease Physician
28Total paid$1.09M
24GClaims21,329
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Colorado
Rank by total paid#6 of 30
Median peer was paid$72K
This provider vs. median15×
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 | 2,892 | $132K | |
| 2019 | 3,675 | $137K | |
| 2020 | 1,966 | $72K | |
| 2021 | 4,865 | $288K | |
| 2022 | 3,573 | $143K | |
| 2023 | 2,901 | $164K | |
| 2024incomplete | 1,457 | $149K |
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 | 66% | 4,738 | 2,037 | $720K |
| 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 | 18% | 3,420 | 3,046 | $200K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.4% | 1,403 | 790 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 940 | 829 | $36K |
| 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 | 1.7% | 167 | 161 | $19K |
| 99205 | Prolong outpt/office vis | <1% | 73 | 66 | $9K |
| 94729 | <1% | 309 | 276 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 147 | 88 | $6K |
| 94726 | <1% | 97 | 91 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 28 | 24 | $2K |
| 94060 | <1% | 108 | 93 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 30 | 25 | $1K |
18 more codes
| 95811 | <1% | 14 | $1K | |
| 95806 | <1% | 12 | $749.68 | |
| 99406 | <1% | 71 | $596.76 | |
| 88738 | <1% | 53 | $122.56 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,382 | $0.00 |
| 4040F | 0% | 1,392 | $0.00 | |
| 1124F | 0% | 1,187 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,749 | $0.00 |
| 3023F | 0% | 68 | $0.00 | |
| G8855 | Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given | 0% | 16 | $0.00 |
| 99072 | 0% | 170 | $0.00 | |
| 4025F | 0% | 13 | $0.00 | |
| 98960 | 0% | 19 | $0.00 | |
| 1036F | 0% | 528 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 251 | $0.00 |
| 1123F | 0% | 844 | $0.00 | |
| G8924 | Spirometry results documented (fev1/fvc < 70%) | 0% | 85 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 15 | $0.00 |
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 officialPETERSON, CRYSTAL (PRACTICE ADMINISTRATOR)