Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Vanguard Medical Specialists LLC

Vanguard Medical Specialists LLC was paid $502K by Medicaid between Jul 2020 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoVANGUARD MEDICAL SPECIALISTS LLC
PUEBLO, CO 81008
33aNPI1639799257assigned 04/23/2020
28Total paid$502K
24GClaims8,318
24DCodes billed12
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other MOHS-Micrographic Surgery Physician providers in Colorado

Rank by total paid#4 of 17
Median peer was paid$146K
This provider vs. median3.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2020564$29K
20211,456$89K
20221,823$109K
20232,484$150K
2024incomplete1,991$125K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 3,870 3,502 $181K
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 28% 1,752 1,627 $138K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 1,450 1,282 $102K
17311 5.9% 157 124 $29K
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 4.8% 250 225 $24K
11102 2.3% 337 302 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.3% 120 114 $6K
17000 <1% 223 192 $4K
17312 <1% 27 24 $2K
17110 <1% 53 51 $2K
17003 <1% 49 37 $625.65
11103 <1% 30 25 $325.92

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)
Same official

Other billing entities under GUST-ALLEN, AMBER

Full network →
ProviderLocationPaid
Vanguard Medical Specialists LLCColorado Springs, CO$1.15M
Vanguard Medical Specialists LLCColorado Springs, CO$939K
Vanguard Medical Specialists LLCColorado Springs, CO$377K
Vanguard Medical Specialists LLCColorado Springs, CO$146K
Vanguard Medical Specialists LLCCanon City, CO$22K
Vanguard Medical Specialists LLCWoodland Park, CO$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.