Physician
Mountain States Pathology PC
Mountain States Pathology PC was paid $55K by Medicaid between Feb 2022 and Nov 2024, across 5 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 92% of everything it billed.
33Billing provider infoMOUNTAIN STATES PATHOLOGY PC
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1861064453assigned 07/13/2021
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$55K
24GClaims1,538
24DCodes billed5
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Colorado
Rank by total paid#17 of 40
Median peer was paid$32K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 874 | $23K | |
| 2023 | 367 | $17K | |
| 2024incomplete | 297 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 92% | 1,209 | 1,023 | $50K |
| 88342 | 6.3% | 212 | 150 | $3K | |
| 85060 | 1.8% | 87 | 65 | $996.90 | |
| 88307 | <1% | 16 | 15 | $132.60 | |
| 88304 | <1% | 14 | 12 | $21.77 |
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 officialNEWTON, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | New Britain, CT | $22.22M |
| Mountain States Pathology PC | Longmont, CO | $44K |
| Mountain States Pathology PC | Pueblo, CO | $37K |
| Mountain States Pathology PC | Castle Rock, CO | $32K |
| Mountain States Pathology PC | Denver, CO | $29K |
| Mountain States Pathology PC | Colorado Springs, CO | $24K |
| Mountain States Pathology PC | Parker, CO | $10K |
| CR Newton Co., LTD | Honolulu, HI | $4K |
| Mountain States Pathology | Lakewood, CO | $2K |
| Mountain States Pathology | Westminster, CO | $821.06 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.