Clinic
Denver Health and Hospital Authority
Denver Health and Hospital Authority was paid $15.23M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoDENVER HEALTH AND HOSPITAL AUTHORITY
DENVER, CO 80239
DENVER, CO 80239
33aNPI1194766428assigned 06/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.23M
24GClaims171,919
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#22 of 197
Median peer was paid$1.11M
This provider vs. median14×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official AUDAIN, APRIL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 13,508 | $1.97M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 62,226 | 50,167 | $8.67M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.7% | 7,149 | 5,883 | $1.02M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.5% | 5,247 | 4,770 | $983K |
| D0999 | Unspecified diagnostic procedure, by report | 5.8% | 3,904 | 3,059 | $890K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.8% | 5,926 | 5,168 | $890K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 6,127 | 5,529 | $675K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 4.0% | 4,267 | 1,963 | $610K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 3,236 | 2,221 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 2,494 | 2,077 | $291K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 972 | 509 | $146K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,908 | 3,305 | $126K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 864 | 686 | $99K |
53 more codes
| D1120 | Dental cleaning, child | <1% | 1,560 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 450 | $45K |
| D1206 | Topical application of fluoride varnish | <1% | 1,796 | $36K |
| 0002A | <1% | 688 | $34K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 320 | $32K |
| 0071A | <1% | 684 | $30K | |
| D0120 | Dental checkup, returning patient | <1% | 1,188 | $29K |
| 0001A | <1% | 571 | $27K | |
| 0072A | <1% | 406 | $24K | |
| 0012A | <1% | 543 | $22K | |
| 0011A | <1% | 576 | $22K | |
| D1351 | Sealant - per tooth | <1% | 599 | $17K |
| D0330 | Panoramic radiographic image | <1% | 292 | $15K |
| D0272 | Bitewings - two radiographic images | <1% | 648 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 462 | $13K |
| G0467 | Community health center visit, returning patient | <1% | 1,131 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,248 | $9K |
| 0054A | <1% | 287 | $9K | |
| 0064A | <1% | 312 | $8K | |
| D1110 | Prophylaxis - adult | <1% | 133 | $7K |
| 0052A | <1% | 149 | $7K | |
| 0124A | <1% | 107 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 621 | $6K |
| 0004A | <1% | 224 | $6K | |
| H0031 | Mental health assessment, by non-physician | <1% | 45 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $5K |
| 99381 | <1% | 37 | $5K | |
| 0051A | <1% | 88 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $4K |
| 90480 | <1% | 110 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 425 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 134 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,331 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 29 | $2K |
| D0240 | <1% | 53 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 23,249 | $2K |
| 36416 | <1% | 1,715 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,254 | $562.36 |
| 90688 | <1% | 1,660 | $468.00 | |
| 0013A | <1% | 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 | <1% | 119 | $423.43 |
| 91322 | <1% | 33 | $216.24 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 93 | $148.00 |
| 90686 | <1% | 138 | $23.56 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 135 | $0.00 |
| 81025 | 0% | 44 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90474 | 0% | 560 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 56 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 138 | $0.00 |
| 90674 | 0% | 15 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 22 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAUDAIN, APRIL (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.