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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRohan Clarke
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    Rohan Clarke — Billing Profile & Reimbursement Data

    NPI 1336364041 · Lakewood, CO · Gastroenterology Physician

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    Rohan Clarke is a gastroenterology physician provider located in Lakewood, Colorado. This profile covers 13 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.

    Table of contents

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRohan Clarke
    Address13952 Denver West Pkwy Ste 100
    CityLakewood
    StateCO
    ZIP80401
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 16, 2007

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

    Payer SourceTotal Paid
    Medicare$37.1K
    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.

    13 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…110$190$20.4K
    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$3.4K
    43251An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare…30$120$2.9K
    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.80$40$2.9K
    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…20$100$1.5K
    99204The provider sees a new 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 provider…10$120$1.5K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…10$90$1.2K
    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…30$40$1.1K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.20$50$940
    45381The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous…50$10$600

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453857027060$310$30.5K
    4538018427050$200$16.7K
    992147,5838,16080$80$11.3K
    432398228050$120$9.1K
    43251102020$320$8.6K
    43249469020$260$6.7K
    992231,1511,90030$130$6.7K
    992043,1673,67030$110$4.7K
    4538144020$140$3.7K
    43264222020$80$3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acclaim Physician Group, IncTXInternal Medicine Physician$0$30.9M
    Victor BurgosTXFamily Medicine Physician$1.6M$0
    Christopher JordanCOHematology & Oncology Physician$970.8K$0
    Saravanan BalamuthusamyTXNephrology Physician$425.4K$0
    Peter NguyenTXNephrology Physician$282.1K$0
    Renee EllisTXNephrology Physician$199.8K$0
    Bibiana SteinbauerCOAnatomic Pathology & Clinical Pathology Physician$191K$0
    Mark KovachMOClinical Cardiac Electrophysiology Physician$105.9K$77.1K
    Amy FaylingCOAnatomic Pathology Physician$181.9K$0
    Karthik RamaswamyOHClinical Cardiac Electrophysiology Physician$156.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parker Personal Care Homes, Inc.COChild Intellectual and/or Developmental Disabilities Respite Care$0$98.2M
    Anton Home Health CareCOIn Home Supportive Care Agency$0$45.5M
    Intermountain Front Range, Inc.COGeneral Acute Care Hospital$0$19M
    Diversified Radiology Of Colorado, IncCODiagnostic Radiology Physician$0$11.4M
    Hygeia Medical Supplies And Services, Inc.CODurable Medical Equipment & Medical Supplies$0$4.4M
    Salil ShuklaCORetina Specialist (Ophthalmology) Physician$2.7M$0
    Cher, LLCCODiagnostic Radiology Physician$260K$841.3K
    Denver West Endoscopy Center, LLCCOAmbulatory Surgical Clinic/Center$297.1K$622.7K
    Golden Ridge Asc, LLCCOAmbulatory Surgical Clinic/Center$756.7K$47.1K
    Denver Eye Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$596.4K$35.5K

    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
    Rohan Clarke — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado