Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Denver › NPI 1992297469
Physician

Epiphany Dermatology of Colorado, LLC

Epiphany Dermatology of Colorado, LLC was paid $350K by Medicaid between Oct 2019 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoEPIPHANY DERMATOLOGY OF COLORADO, LLC
DENVER, CO 80209
33aNPI1992297469assigned 05/31/2018
33bProvider typeDermatology Physician
28Total paid$350K
24GClaims6,717
24DCodes billed13
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers

Next to other Dermatology Physician providers in Colorado

Rank by total paid#8 of 36
Median peer was paid$40K
This provider vs. median8.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PUSTA, GHEORGHE controls 11+ related entities in our dataset. Read more
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
201928$2K
2020726$35K
20211,321$49K
20221,795$102K
20232,166$125K
2024incomplete681$37K
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 35% 2,576 2,247 $121K
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 29% 1,414 1,246 $102K
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 15% 540 444 $54K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10% 606 527 $36K
17110 3.2% 643 560 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.9% 371 334 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.9% 142 115 $6K
17000 1.1% 186 163 $4K
11102 <1% 100 90 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 61 49 $906.23
11900 <1% 26 25 $339.51
17003 <1% 14 12 $273.21
1 more codes
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 38 $70.47

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 officialPUSTA, GHEORGHE (CEO)
Parent organizationEPIPHANY BUSINESS SERVICES, LLC
Same official

Other billing entities under PUSTA, GHEORGHE

Full network →

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