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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrent Prosser
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    Brent Prosser — Billing Profile & Reimbursement Data

    NPI 1063579555 · Grand Junction, CO · Gastroenterology Physician

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    Brent Prosser is a gastroenterology physician provider located in Grand Junction, Colorado. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrent Prosser
    Address2596 Patterson Rd
    CityGrand Junction
    StateCO
    ZIP81505
    TaxonomyGastroenterology Physician
    NPI EnumeratedJanuary 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$135.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…190$210$40.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…290$100$29.4K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…120$110$12.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk70$180$12.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.150$60$8.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$180$6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…60$90$5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$100$4.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$140$3.6K
    43245The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates one or more gastric and/or duodenal strictures.30$120$3.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453853127060$310$30.5K
    453801227050$200$16.7K
    G01052617030$290$12.9K
    992144,9898,16080$80$11.3K
    992331,2541,89070$90$11K
    G01213815020$300$9.2K
    432392528050$120$9.1K
    4324839030$190$7.4K
    43249169020$260$6.7K
    992231,1221,90030$130$6.7K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Brent Prosser, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Joseph DaiALDermatology Physician$1.6M$0
    John StorheimCOAnesthesiology Physician$1.3M$0
    Christopher EricksonCAAnatomic Pathology & Clinical Pathology Physician$1.3M$4.7K
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Stephen MarkewichAKPain Medicine Physician$1.1M$0
    Cesar GuerreroMSDermatology Physician$596.7K$46K
    Dane StewartCOOphthalmology Physician$641.7K$0
    Jonathan HarderCOOphthalmology Physician$444K$19.3K

    Nearby Providers

    Other providers in the same ZIP code as Brent Prosser, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grand Junction Regional CenterCODevelopmentally Disabled Services Day Training Agency$0$42.3M
    Colorado West Healthcare SystemCOGeneral Acute Care Hospital$0$12.8M
    Senior Care Service LLCCODurable Medical Equipment & Medical Supplies$0$9M
    Pediatric Dental Specialists Of Western CoCOPediatric Dentistry$0$6.7M
    K2taxi, LLCCOTaxi$0$4.6M
    Gj West Dental Prof LLCCOGeneral Practice Dentistry$0$4.3M
    Endoscopy Center Of Western Colorado IncCOAmbulatory Surgical Clinic/Center$549.2K$261.6K
    Canyon View Asc, LLCCOAmbulatory Surgical Clinic/Center$438.3K$14.9K
    William WaterhouseCOOphthalmology Physician$357.3K$24.4K
    Kristin SperleCONurse Practitioner$364.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Brent Prosser — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado