Medicaid Provider Spending

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

DENVER HEALTH AND HOSPITAL AUTHORITY

NPI: 1316988413 · DENVER, CO 80230 · 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

$25.45M
Total Medicaid Paid
279,910
Total Claims
241,667
Beneficiaries
77
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 $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 27,410 $3.03M
2019 48,849 $3.89M
2020 44,664 $2.73M
2021 48,428 $2.98M
2022 38,172 $3.77M
2023 45,453 $5.64M
2024 26,934 $3.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87,527 75,429 $14.16M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,628 27,663 $4.96M
D0999 Unspecified diagnostic procedure, by report 7,038 5,505 $1.61M
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,415 3,082 $656K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,207 3,674 $606K
90832 Psychotherapy, 30 minutes with patient 5,379 3,685 $538K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,884 3,549 $512K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 2,044 931 $301K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,373 1,158 $221K
H0031 Mental health assessment, by non-physician 1,250 747 $210K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,351 2,946 $189K
0012A 3,360 3,288 $129K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,194 670 $114K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 728 484 $105K
0011A 2,985 2,911 $101K
99215 Prolong outpt/office vis 886 811 $92K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 366 360 $83K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 476 426 $76K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 370 313 $59K
D1120 Prophylaxis - child 1,553 1,393 $52K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 329 177 $50K
D1206 Topical application of fluoride varnish 2,382 2,125 $49K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 3,079 2,284 $47K
D0120 Periodic oral evaluation - established patient 1,702 1,488 $41K
D0150 Comprehensive oral evaluation - new or established patient 845 751 $38K
D1110 Prophylaxis - adult 760 647 $37K
0002A 739 726 $35K
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 3,492 2,977 $32K
0064A 1,069 736 $30K
0001A 670 645 $30K
D0330 Panoramic radiographic image 483 438 $27K
0071A 605 449 $26K
0072A 429 418 $26K
90480 749 468 $24K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 615 528 $23K
0124A 355 318 $19K
D0274 Bitewings - four radiographic images 500 404 $16K
D0272 Bitewings - two radiographic images 815 760 $16K
D0145 Oral evaluation for a patient under three years of age 1,014 952 $14K
D0220 Intraoral - periapical first radiographic image 980 912 $11K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 30 26 $10K
D7140 Extraction, erupted tooth or exposed root 105 64 $9K
91322 253 240 $8K
36415 Collection of venous blood by venipuncture 35,852 32,075 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 59 $7K
0004A 287 169 $7K
D1351 Sealant - per tooth 431 178 $6K
0054A 226 123 $6K
D0230 Intraoral - periapical each additional radiographic image 629 613 $5K
D0140 Limited oral evaluation - problem focused 100 100 $4K
D9310 63 51 $3K
0052A 58 51 $3K
D0210 Intraoral - complete series of radiographic images 43 43 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33,782 29,936 $2K
99385 17 13 $2K
0111A 26 24 $1K
D0190 50 50 $1K
0013A 23 23 $947.14
90472 Immunization administration, each additional vaccine (list separately) 12,595 11,199 $790.86
90688 3,792 3,039 $496.68
90686 958 902 $483.84
90715 484 425 $97.96
90677 13 13 $73.60
90474 866 801 $32.50
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,796 2,722 $0.03
36416 1,185 1,012 $0.00
G0008 Administration of influenza virus vaccine 66 55 $0.00
99441 128 86 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 24 $0.00
90656 104 103 $0.00
90713 43 42 $0.00
90714 12 12 $0.00
90648 54 48 $0.00
90746 87 82 $0.00
99442 12 12 $0.00
90707 13 12 $0.00
91321 12 12 $0.00