Medicaid Provider Spending

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

CAREPOINT HOSPITAL MEDICINE, PLLC

NPI: 1205330453 · DENVER, CO 80218 · Physical Medicine & Rehabilitation Physician · NPI assigned 03/22/2018

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

Authorized official SMITH, DEBORAH controls 20+ related entities in our dataset. Read more

$939K
Total Medicaid Paid
18,881
Total Claims
7,893
Beneficiaries
7
Codes Billed
2018-05
First Month
2021-05
Last Month

Provider Details

Authorized OfficialSMITH, DEBORAH (VP/GENERAL COUNSEL)
NPI Enumeration Date03/22/2018

Related Entities

Other providers sharing the same authorized official: SMITH, DEBORAH

ProviderCityStateTotal Paid
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $22.49M
CAREPOINT EMERGENCY MEDICINE KANSAS LLC WICHITA KS $11.81M
CAREPOINT EMERGENCY MEDICINE, PLLC THORNTON CO $7.61M
CAREPOINT EMERGENCY MEDICINE, PLLC AURORA CO $6.70M
CAREPOINT HEALTH EMERGENCY MEDICINE IDAHO, PLLC CALDWELL ID $4.29M
CAREPOINT EMERGENCY MEDICINE, PLLC ENGLEWOOD CO $4.10M
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $3.53M
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $2.51M
CAREPOINT PEDIATRICS PLLC DENVER CO $1.87M
CAREPOINT PEDIATRICS PLLC DENVER CO $1.83M
CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $971K
CAREPOINT EMERGENCY MEDICINE, PLLC LAKEWOOD CO $892K
CAREPOINT HOSPITAL MEDICINE, PLLC DENVER CO $831K
CAREPOINT EMERGENCY MEDICINE, PLLC LONE TREE CO $729K
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $585K
CAREPOINT EMERGENCY MEDICINE, PLLC ENGLEWOOD CO $495K
CAREPOINT HOSPITAL MEDICINE KANSAS LLC WICHITA KS $372K
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $309K
CAREPOINT EMERGENCY MEDICINE, PLLC THORNTON CO $275K
NORTHERN EYE CENTER PA BRAINERD MN $250K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,450 $165K
2019 7,218 $340K
2020 6,141 $331K
2021 2,072 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 12,505 4,573 $600K
99223 Prolong inpt eval add15 m 1,782 1,388 $161K
99232 Subsequent hospital care, per day, moderate complexity 3,365 931 $123K
99238 Hospital discharge day management, 30 minutes or less 645 492 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 215 212 $16K
99239 Hospital discharge day management, more than 30 minutes 269 243 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 100 54 $3K