Active NPI 1104894252 Individual Practitioner Female Practitioner

Dr. Andrea Kathleen Sotelo , MD

Pathology - Anatomic Pathology • Denver, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Sotelo, MD is a certified Pathology - Anatomic Pathology practicing in Denver, CO. With approximately 28 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1998, Dr. Sotelo delivers high-quality medical care to the local community at 6116 E WARREN AVE.

Dr. Sotelo is affiliated with Healthone Irl Pathology Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, pathology examination of tissue using a microscope, moderately high complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6116 E Warren Ave

Denver, CO 802225703

Telephone 3035120888

Fax 3035122268

Associated Practice Facility / Clinic

🏢 Russellville Holdings Llc Facility NPI 1033160049

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology in Denver, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Denver, CO (25 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sotelo (28 Years) 28 Yrs

Denver Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	266	152	$260.00	$35.96
88341 Special stained specimen slides to examine tissue	207	37	$260.00	$26.97
88307 Pathology examination of tissue using a microscope, moderately high complexity	87	67	$468.00	$78.88
88342 Special stained specimen slides to examine tissue, initial procedure	62	51	$260.00	$33.61
88312 Special stained specimen slides to identify organisms including interpretation and report	49	22	$156.00	$25.61
88112 Cell examination of specimen, selective cellular enhancement technique	49	40	$83.00	$26.61
88311 Preparation of tissue for examination by removing any calcium present	48	32	$88.00	$11.58
88331 Pathology examination of specimen during surgery, first tissue block	35	18	$333.00	$59.67
88313 Special stained specimen slides to examine tissue including interpretation and report	32	18	$104.00	$11.62
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	19	$192.00	$10.92
88333 Pathology cytologic examination of specimen during surgery, initial site	14	13	$333.00	$59.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	443	88	$260.00	$27.80
88305 Pathology examination of tissue using a microscope, intermediate complexity	336	165	$260.00	$36.46
88313 Special stained specimen slides to examine tissue including interpretation and report	163	60	$104.00	$11.81
88311 Preparation of tissue for examination by removing any calcium present	130	100	$88.00	$12.10
88342 Special stained specimen slides to examine tissue, initial procedure	119	97	$260.00	$34.24
88307 Pathology examination of tissue using a microscope, moderately high complexity	91	63	$468.00	$81.00
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	54	50	$624.00	$82.95
85097 Bone marrow, smear interpretation	54	48	$260.00	$47.65
88112 Cell examination of specimen, selective cellular enhancement technique	43	30	$84.93	$27.11
88331 Pathology examination of specimen during surgery, first tissue block	35	15	$333.00	$61.10
88312 Special stained specimen slides to identify organisms including interpretation and report	26	14	$156.00	$26.11
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	18	$192.00	$11.15
85060 Blood smear interpretation by physician with written report	15	14	$125.00	$23.85
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	15	13	$463.00	$61.44
88108 Cell examination of specimen, concentration technique	14	12	$166.00	$22.02
88333 Pathology cytologic examination of specimen during surgery, initial site	12	12	$333.00	$61.09
88300 Pathology examination of tissue using a microscope, limited examination	12	11	$78.00	$4.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	311	158	$260.00	$37.47
88341 Special stained specimen slides to examine tissue	299	84	$260.00	$28.05
88313 Special stained specimen slides to examine tissue including interpretation and report	181	64	$104.00	$12.07
88311 Preparation of tissue for examination by removing any calcium present	128	94	$88.00	$12.43
88342 Special stained specimen slides to examine tissue, initial procedure	110	92	$260.00	$34.68
88307 Pathology examination of tissue using a microscope, moderately high complexity	110	77	$468.00	$82.47
88331 Pathology examination of specimen during surgery, first tissue block	65	21	$333.00	$62.22
85097 Bone marrow, smear interpretation	51	46	$260.00	$48.26
88312 Special stained specimen slides to identify organisms including interpretation and report	48	18	$156.00	$26.32
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	48	43	$624.00	$84.01
88112 Cell examination of specimen, selective cellular enhancement technique	36	32	$83.00	$27.73
88304 Pathology examination of tissue using a microscope, moderately low complexity	34	31	$192.00	$11.38
88333 Pathology cytologic examination of specimen during surgery, initial site	24	23	$333.00	$61.79
85060 Blood smear interpretation by physician with written report	17	16	$125.00	$24.39
88309 Pathology examination of tissue using a microscope, high complexity	16	14	$608.00	$144.97
88108 Cell examination of specimen, concentration technique	14	14	$166.00	$22.49
88329 Pathology examination of specimen during surgery	12	12	$100.00	$35.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	188	44	$260.00	$28.96
88305 Pathology examination of tissue using a microscope, intermediate complexity	157	74	$260.00	$38.14
88313 Special stained specimen slides to examine tissue including interpretation and report	87	32	$104.00	$12.33
88311 Preparation of tissue for examination by removing any calcium present	70	56	$88.00	$12.68
88342 Special stained specimen slides to examine tissue, initial procedure	58	49	$260.00	$35.67
88307 Pathology examination of tissue using a microscope, moderately high complexity	48	35	$468.00	$84.38
88331 Pathology examination of specimen during surgery, first tissue block	32	13	$333.00	$63.29
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	30	25	$624.00	$85.76
85097 Bone marrow, smear interpretation	28	23	$260.00	$49.51
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	17	$192.00	$11.61
88309 Pathology examination of tissue using a microscope, high complexity	13	12	$608.00	$148.82
88112 Cell examination of specimen, selective cellular enhancement technique	13	12	$83.00	$28.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	130	57	$96.58	$40.57
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	77	77	$1259.00	$186.82
88344 Special stained specimen slides to examine tissue	40	23	$301.00	$40.77
88307 Pathology examination of tissue using a microscope, moderately high complexity	29	20	$212.00	$88.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	272	120	$147.74	$39.34
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	200	195	$1311.29	$183.41
88344 Special stained specimen slides to examine tissue	78	45	$301.00	$40.00
88307 Pathology examination of tissue using a microscope, moderately high complexity	42	25	$387.19	$85.04
88342 Special stained specimen slides to examine tissue, initial procedure	33	31	$110.84	$36.83
88304 Pathology examination of tissue using a microscope, moderately low complexity	13	12	$70.92	$11.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	269	91	$184.77	$40.92
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	172	168	$1853.40	$184.93
88305 Pathology examination of tissue using a microscope, intermediate complexity	84	54	$150.00	$39.57
88344 Special stained specimen slides to examine tissue	55	38	$134.56	$49.24
88307 Pathology examination of tissue using a microscope, moderately high complexity	42	34	$397.52	$91.36
88342 Special stained specimen slides to examine tissue, initial procedure	24	23	$105.28	$37.08
88307 Pathology examination of tissue using a microscope, moderately high complexity	20	12	$308.00	$87.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	151	101	$144.07	$39.48
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	101	101	$1950.00	$184.26
88305 Pathology examination of tissue using a microscope, intermediate complexity	80	32	$147.20	$39.43
88307 Pathology examination of tissue using a microscope, moderately high complexity	45	34	$308.00	$85.53
88342 Special stained specimen slides to examine tissue, initial procedure	44	37	$105.28	$36.95
88341 Special stained specimen slides to examine tissue	37	11	$56.00	$29.51
88311 Preparation of tissue for examination by removing any calcium present	30	23	$47.00	$13.17
88344 Special stained specimen slides to examine tissue	22	18	$102.00	$40.49
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	17	$96.00	$12.09
88307 Pathology examination of tissue using a microscope, moderately high complexity	12	11	$308.00	$87.04

Medical Specialties & State Licenses

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

State License CO 42674

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0156791 (MT)

Medicaid State Provider ID

83357076 (NM)

Medicaid State Provider ID

Z2990 (UT)

Medicaid State Provider ID

425420100 (MN)

Medicaid State Provider ID

03106322 (CO)

Hospital & Practice Group Affiliations

Healthone Irl Pathology Services Llc

1719 E 19th Ave, Denver, CO 802181235

Phone: 7207546851