Physician
Boulder Valley Gastroenterology INC.
Boulder Valley Gastroenterology INC. was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 47% of everything it billed.
33Billing provider infoBOULDER VALLEY GASTROENTEROLOGY INC.
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
33aNPI1902832603assigned 06/24/2006
33bProvider typeGastroenterology Physician
28Total paid$2.50M
24GClaims26,266
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Colorado
Rank by total paid#3 of 34
Median peer was paid$75K
This provider vs. median33×
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 | 2,508 | $206K | |
| 2019 | 2,578 | $258K | |
| 2020 | 2,677 | $245K | |
| 2021 | 4,503 | $433K | |
| 2022 | 5,239 | $505K | |
| 2023 | 5,467 | $525K | |
| 2024incomplete | 3,294 | $322K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 47% | 10,019 | 9,335 | $1.18M |
| 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 | 22% | 6,990 | 6,768 | $539K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 10% | 2,136 | 2,011 | $255K |
| 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 | 6.2% | 1,293 | 1,248 | $154K |
| 88342 | 5.5% | 2,647 | 2,431 | $138K | |
| 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% | 1,586 | 1,536 | $83K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.9% | 310 | 300 | $73K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 191 | 179 | $32K |
| 00731 | <1% | 149 | 145 | $22K | |
| 00813 | <1% | 37 | 37 | $6K | |
| 00812 | <1% | 27 | 27 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 44 | 40 | $3K |
4 more codes
| 00811 | <1% | 26 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | $340.89 |
| 88313 | <1% | 31 | $179.04 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 763 | $99.51 |
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 officialMAHNKE, DAUS (BOARD MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Denver West Endoscopy Center, LLC | Lakewood, CO | $623K |
| Northglenn Endoscopy Center LLC | Northglenn, CO | $504K |
| Endoscopy Center of the Rockies LLC | Boulder, CO | $96K |
| Endoscopy Center of the Rockies LLC | Lafayette, CO | $48K |
| Endoscopy Center of the Rockies LLC | Longmont, CO | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.