Clinic
Denver Health and Hospital Authority
Denver Health and Hospital Authority was paid $28.23M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoDENVER HEALTH AND HOSPITAL AUTHORITY
DENVER, CO 80205
DENVER, CO 80205
33aNPI1285675371assigned 06/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$28.23M
24GClaims334,903
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#8 of 197
Median peer was paid$1.11M
This provider vs. median26×
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 | 38,443 | $3.89M | |
| 2019 | 59,884 | $4.09M | |
| 2020 | 44,680 | $2.82M | |
| 2021 | 54,372 | $2.89M | |
| 2022 | 51,065 | $4.60M | |
| 2023 | 52,695 | $6.13M | |
| 2024incomplete | 33,764 | $3.81M |
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 | 42% | 85,218 | 74,309 | $11.90M |
| 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 | 17% | 34,537 | 30,578 | $4.85M |
| D0999 | Unspecified diagnostic procedure, by report | 7.5% | 9,242 | 7,077 | $2.11M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.3% | 9,289 | 8,803 | $1.77M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 11,239 | 9,578 | $1.64M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 8,693 | 8,030 | $1.17M |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 3.6% | 6,972 | 3,422 | $1.01M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 6,478 | 6,058 | $755K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 4,344 | 3,983 | $592K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 5,317 | 3,952 | $489K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 9,528 | 9,015 | $431K |
| G0467 | Community health center visit, returning patientFederally 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% | 15,751 | 12,415 | $219K |
78 more codes
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 599 | $109K |
| 0012A | <1% | 2,012 | $82K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,913 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 770 | $68K |
| D1120 | Dental cleaning, child | <1% | 1,725 | $64K |
| 0011A | <1% | 1,733 | $62K | |
| D0120 | Dental checkup, returning patient | <1% | 2,096 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,297 | $55K |
| 90480 | <1% | 1,510 | $50K | |
| 0002A | <1% | 993 | $45K | |
| D0330 | Panoramic radiographic image | <1% | 928 | $42K |
| 0001A | <1% | 962 | $42K | |
| 0064A | <1% | 1,303 | $41K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,625 | $40K |
| 0124A | <1% | 689 | $37K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 889 | $33K |
| 0071A | <1% | 716 | $29K | |
| D1110 | Prophylaxis - adult | <1% | 615 | $29K |
| 91322 | <1% | 744 | $23K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,837 | $23K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 257 | $22K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 200 | $21K |
| 0072A | <1% | 334 | $20K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 622 | $19K |
| D0274 | Bitewings - four radiographic images | <1% | 596 | $19K |
| D0272 | Bitewings - two radiographic images | <1% | 867 | $18K |
| D2140 | <1% | 242 | $18K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 88 | $11K |
| D9310 | <1% | 95 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 32,825 | $10K |
| 99173 | <1% | 158 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $10K |
| D0190 | <1% | 546 | $10K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 81 | $10K |
| 0004A | <1% | 307 | $8K | |
| 20610 | <1% | 98 | $7K | |
| 0054A | <1% | 228 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 38 | $7K |
| 99383 | <1% | 54 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,112 | $4K |
| 0052A | <1% | 86 | $4K | |
| 0154A | <1% | 68 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 69 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35,164 | $4K |
| 0013A | <1% | 69 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 39 | $3K |
| 0111A | <1% | 35 | $2K | |
| 99384 | <1% | 14 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14,730 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 203 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 15 | $1K |
| 0051A | <1% | 28 | $1K | |
| 0003A | <1% | 32 | $1K | |
| 0073A | <1% | 17 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $1K |
| 91321 | <1% | 216 | $926.40 | |
| 0112A | <1% | 21 | $864.78 | |
| 0164A | <1% | 12 | $741.24 | |
| 90677 | <1% | 77 | $504.28 | |
| 90688 | <1% | 3,506 | $81.33 | |
| 36416 | <1% | 803 | $52.73 | |
| 90474 | <1% | 1,212 | $19.50 | |
| 92551 | <1% | 50 | $12.72 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,078 | $0.17 |
| 99442 | 0% | 605 | $0.00 | |
| 90662 | 0% | 34 | $0.00 | |
| 81002 | 0% | 232 | $0.00 | |
| 90750 | 0% | 88 | $0.00 | |
| 81025 | 0% | 309 | $0.00 | |
| 90715 | 0% | 42 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 55 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 265 | $0.00 |
| 90686 | 0% | 1,032 | $0.00 | |
| 90656 | 0% | 119 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 104 | $0.00 |
| 90674 | 0% | 39 | $0.00 | |
| 99441 | 0% | 15 | $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.