Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENVER HEALTH AND HOSPITAL AUTHORITY

NPI: 1194766428 · DENVER, CO 80239 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official AUDAIN, APRIL controls 20+ related entities in our dataset. Read more

$15.23M
Total Medicaid Paid
171,919
Total Claims
141,050
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAUDAIN, APRIL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: AUDAIN, APRIL

ProviderCityStateTotal Paid
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $94.83M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $77.00M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $68.44M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $40.33M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $29.44M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $28.23M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $25.45M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $17.32M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $11.96M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $11.05M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $9.50M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $9.08M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $8.29M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $8.14M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $7.84M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $6.85M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $3.27M
DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO $1.17M
DENVER HEALTH & HOSPTIAL AUTHORITY DENVER CO $1.05M
DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,618 $1.62M
2019 28,208 $1.88M
2020 32,968 $1.81M
2021 31,083 $1.72M
2022 26,188 $2.70M
2023 25,346 $3.53M
2024 13,508 $1.97M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,226 50,167 $8.67M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,149 5,883 $1.02M
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,247 4,770 $983K
D0999 Unspecified diagnostic procedure, by report 3,904 3,059 $890K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,926 5,168 $890K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,127 5,529 $675K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 4,267 1,963 $610K
90832 Psychotherapy, 30 minutes with patient 3,236 2,221 $302K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,494 2,077 $291K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 972 509 $146K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,908 3,305 $126K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 864 686 $99K
D1120 Prophylaxis - child 1,560 1,358 $51K
D2391 Resin-based composite - one surface, posterior, primary or permanent 450 242 $45K
D1206 Topical application of fluoride varnish 1,796 1,554 $36K
0002A 688 677 $34K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 320 218 $32K
0071A 684 501 $30K
D0120 Periodic oral evaluation - established patient 1,188 1,010 $29K
0001A 571 550 $27K
0072A 406 397 $24K
0012A 543 531 $22K
0011A 576 562 $22K
D1351 Sealant - per tooth 599 200 $17K
D0330 Panoramic radiographic image 292 274 $15K
D0272 Bitewings - two radiographic images 648 565 $14K
D0150 Comprehensive oral evaluation - new or established patient 462 421 $13K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,131 752 $12K
D0145 Oral evaluation for a patient under three years of age 1,248 1,063 $9K
0054A 287 168 $9K
0064A 312 202 $8K
D1110 Prophylaxis - adult 133 97 $7K
0052A 149 116 $7K
0124A 107 102 $6K
D0220 Intraoral - periapical first radiographic image 621 594 $6K
0004A 224 145 $6K
H0031 Mental health assessment, by non-physician 45 26 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 25 $5K
99381 37 36 $5K
0051A 88 74 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 57 39 $4K
90480 110 95 $3K
D0230 Intraoral - periapical each additional radiographic image 425 408 $3K
99215 Prolong outpt/office vis 13 13 $3K
D0274 Bitewings - four radiographic images 134 116 $3K
36415 Collection of venous blood by venipuncture 13,331 11,513 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 29 12 $2K
D0240 53 31 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,249 19,947 $2K
36416 1,715 1,449 $1K
90472 Immunization administration, each additional vaccine (list separately) 8,254 7,186 $562.36
90688 1,660 1,263 $468.00
0013A 12 12 $452.98
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 119 37 $423.43
91322 33 30 $216.24
D0140 Limited oral evaluation - problem focused 93 91 $148.00
90686 138 137 $23.56
J1050 Injection, medroxyprogesterone acetate, 1 mg 135 119 $0.00
81025 44 40 $0.00
90648 13 13 $0.00
90474 560 495 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 56 56 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 138 120 $0.00
90674 15 15 $0.00
D7140 Extraction, erupted tooth or exposed root 22 16 $0.00