Physician
Rocky Mountain Pediatric Gastroenterology
Rocky Mountain Pediatric Gastroenterology was paid $1.18M by Medicaid between Jan 2018 and Apr 2022, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 45% of everything it billed.
33Billing provider infoROCKY MOUNTAIN PEDIATRIC GASTROENTEROLOGY
LONE TREE, CO 80124
LONE TREE, CO 80124
33aNPI1699895755assigned 03/30/2007
33bProvider typePediatric Gastroenterology Physician
28Total paid$1.18M
24GClaims15,072
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2022
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 | 3,206 | $379K | |
| 2019 | 2,928 | $211K | |
| 2020 | 4,255 | $261K | |
| 2021 | 4,020 | $253K | |
| 2022 | 663 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 45% | 6,233 | 4,193 | $528K |
| 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 | 36% | 6,642 | 4,617 | $428K |
| 99205 | Prolong outpt/office vis | 5.5% | 420 | 370 | $65K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.9% | 384 | 142 | $57K |
| 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 | 4.5% | 525 | 374 | $53K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.5% | 646 | 133 | $30K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 144 | 97 | $14K |
| 99223 | Prolong inpt eval add15 m | <1% | 24 | 12 | $752.10 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 27 | 12 | $574.07 |
| 99072 | <1% | 27 | 15 | $10.20 |
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 officialSTATHOS, THEODORE (AUTHORIZED OFFICIAL, PRESIDENT)