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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Adler
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    Douglas Adler — Billing Profile & Reimbursement Data

    NPI 1891748687 · Colorado Springs, CO · Gastroenterology Physician

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    Douglas Adler is a gastroenterology physician provider located in Colorado Springs, Colorado. This profile covers 18 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
    OrganizationDouglas Adler
    Address2920 N Cascade Ave Ste 301
    CityColorado Springs
    StateCO
    ZIP80907
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$85.4K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…60$340$18.6K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…40$300$10.8K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…30$350$10.1K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…60$130$7.9K
    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…90$80$7.1K
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…30$170$5.4K
    43253An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of a flexible endoscope through the mouth. During this procedure, the provider uses ultrasound to…30$140$4.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$140$4.1K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$90$3.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$60$2.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4327631030$310$15.3K
    992147,8978,16080$80$11.3K
    4327531040$270$10K
    4327432020$300$9.2K
    4323924328050$120$9.1K
    992152,0093,23040$110$8.1K
    992231,4501,90030$130$6.7K
    992136,5367,20070$60$6.6K
    992321,5362,34050$60$6.5K
    4325311030$140$4.4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kirk MitchellCOGeriatric Medicine (Internal Medicine) Physician$27.1M$1M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$23.6M
    Davis Hospital & Medical Center LPUTGeneral Acute Care Hospital$0$22.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$15.6M
    Marian Health Center-smhcIAGeneral Acute Care Hospital$0$15.5M
    Shahid JaveryCOInternal Medicine Physician$11.4M$0
    Salt Lake Regional Medical Center LPUTGeneral Acute Care Hospital$0$9.8M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$8.9M
    Catholic Health Initiatives ColoradoCORural Health Clinic/Center$0$8.3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Douglas Adler — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado