Medicaid Provider Spending

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

DENVER HEALTH AND HOSPITAL AUTHORITY

NPI: 1285675371 · DENVER, CO 80205 · 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

$28.23M
Total Medicaid Paid
334,903
Total Claims
291,753
Beneficiaries
90
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 $25.45M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $17.32M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $15.23M
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 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
2024 33,764 $3.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,218 74,309 $11.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,537 30,578 $4.85M
D0999 Unspecified diagnostic procedure, by report 9,242 7,077 $2.11M
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,289 8,803 $1.77M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,239 9,578 $1.64M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 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) 6,972 3,422 $1.01M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,478 6,058 $755K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,344 3,983 $592K
90832 Psychotherapy, 30 minutes with patient 5,317 3,952 $489K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,528 9,015 $431K
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 15,751 12,415 $219K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 599 424 $109K
0012A 2,012 1,980 $82K
D1206 Topical application of fluoride varnish 2,913 2,470 $68K
D7140 Extraction, erupted tooth or exposed root 770 402 $68K
D1120 Prophylaxis - child 1,725 1,463 $64K
0011A 1,733 1,694 $62K
D0120 Periodic oral evaluation - established patient 2,096 1,790 $59K
D0150 Comprehensive oral evaluation - new or established patient 1,297 1,147 $55K
90480 1,510 1,154 $50K
0002A 993 968 $45K
D0330 Panoramic radiographic image 928 809 $42K
0001A 962 931 $42K
0064A 1,303 1,011 $41K
D0220 Intraoral - periapical first radiographic image 2,625 2,240 $40K
0124A 689 617 $37K
D0140 Limited oral evaluation - problem focused 889 781 $33K
0071A 716 479 $29K
D1110 Prophylaxis - adult 615 533 $29K
91322 744 667 $23K
D0230 Intraoral - periapical each additional radiographic image 1,837 1,563 $23K
D2150 Silver amalgam - two surfaces, primary or permanent 257 195 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 200 179 $21K
0072A 334 327 $20K
D0145 Oral evaluation for a patient under three years of age 622 551 $19K
D0274 Bitewings - four radiographic images 596 516 $19K
D0272 Bitewings - two radiographic images 867 760 $18K
D2140 242 164 $18K
90847 Family psychotherapy with the patient present, 50 minutes 88 62 $11K
D9310 95 52 $11K
36415 Collection of venous blood by venipuncture 32,825 29,322 $10K
99173 158 123 $10K
99215 Prolong outpt/office vis 62 55 $10K
D0190 546 496 $10K
D0210 Intraoral - complete series of radiographic images 81 66 $10K
0004A 307 211 $8K
20610 98 64 $7K
0054A 228 133 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 35 $7K
99383 54 50 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 27 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,112 492 $4K
0052A 86 69 $4K
0154A 68 66 $4K
90834 Psychotherapy, 45 minutes with patient 69 39 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 35,164 32,601 $4K
0013A 69 69 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 39 18 $3K
0111A 35 27 $2K
99384 14 12 $2K
90472 Immunization administration, each additional vaccine (list separately) 14,730 13,750 $2K
D1208 Topical application of fluoride, excluding varnish 203 203 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15 14 $1K
0051A 28 20 $1K
0003A 32 32 $1K
0073A 17 17 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 17 12 $1K
91321 216 216 $926.40
0112A 21 14 $864.78
0164A 12 12 $741.24
90677 77 74 $504.28
90688 3,506 2,947 $81.33
36416 803 743 $52.73
90474 1,212 1,114 $19.50
92551 50 50 $12.72
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,078 2,920 $0.17
99442 605 497 $0.00
90662 34 26 $0.00
81002 232 201 $0.00
90750 88 83 $0.00
81025 309 280 $0.00
90715 42 38 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 55 49 $0.00
G0008 Administration of influenza virus vaccine 265 179 $0.00
90686 1,032 946 $0.00
90656 119 111 $0.00
D1351 Sealant - per tooth 104 30 $0.00
90674 39 38 $0.00
99441 15 13 $0.00