Medicaid Provider Spending

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

CHILDREN'S HOSPITAL COLORADO

NPI: 1336245828 · AURORA, CO 80045 · Developmentally Disabled Services Day Training Agency · NPI assigned 09/15/2006

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

Authorized official MICHAEL, LINDA controls 20+ related entities in our dataset. Read more

$114.90M
Total Medicaid Paid
1,144,502
Total Claims
962,048
Beneficiaries
376
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
NPI Enumeration Date09/15/2006

Related Entities

Other providers sharing the same authorized official: MICHAEL, LINDA

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $17.82M
CHILDREN'S HOSPITAL COLORADO AURORA CO $12.85M
CHILDREN'S HOSPITAL COLORADO BROOMFIELD CO $11.38M
CHILDREN'S HOSPITAL COLORADO AURORA CO $7.38M
CHILDREN'S HOSPITAL COLORADO AURORA CO $1.76M
CHILDREN'S HOSPITAL COLORADO HIGHLANDS RANCH CO $1.75M
CHILDREN'S HOSPITAL COLORADO BROOMFIELD CO $1.54M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $1.44M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $1.43M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $1.09M
CHILDREN'S NORTH SURGERY CENTER, LLC BROOMFIELD CO $1.04M
CHILDREN'S HOSPITAL COLORADO HIGHLANDS RANCH CO $924K
CHILDREN'S HOSPITAL COLORADO BROOMFIELD CO $552K
CHILDREN'S HOSPITAL COLORADO AURORA CO $312K
CHILDREN'S HOSPITAL COLORADO WHEAT RIDGE CO $304K
CHILDREN'S HOSPITAL COLORADO PUEBLO CO $253K
CHILDREN'S HOSPITAL COLORADO AURORA CO $212K
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $112K
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $111K
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 292,963 $25.74M
2019 238,248 $22.90M
2020 153,229 $15.07M
2021 139,830 $14.50M
2022 116,523 $14.16M
2023 109,526 $12.29M
2024 94,183 $10.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 124,387 117,343 $37.34M
99282 Emergency department visit for the evaluation and management, low to moderate severity 41,456 39,158 $10.67M
41899 Unlisted procedure, dentoalveolar structures 2,628 2,409 $6.22M
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,401 3,044 $4.70M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 23,456 8,431 $4.63M
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 26,263 24,867 $4.31M
95782 1,663 1,575 $2.51M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15,399 14,664 $2.47M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 42,956 18,182 $2.28M
99281 Emergency department visit for the evaluation and management, self-limited or minor 8,599 8,283 $2.15M
97803 12,307 11,261 $2.14M
99284 Emergency department visit for the evaluation and management, high severity 6,175 5,798 $1.94M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 10,952 10,115 $1.57M
97530 Therapeutic activities, direct patient contact, each 15 minutes 34,122 13,390 $1.41M
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 9,403 8,970 $1.41M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,922 2,739 $1.30M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 10,483 9,945 $1.15M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27,230 25,468 $972K
J0475 Injection, baclofen, 10 mg 1,000 915 $971K
92609 5,264 2,099 $969K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,624 1,537 $912K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 23,456 22,300 $865K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5,526 5,250 $783K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 7,497 2,774 $768K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,209 12,223 $700K
76770 2,413 2,274 $683K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,354 2,269 $668K
93325 4,723 4,226 $649K
96125 860 438 $635K
96118 709 532 $577K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,547 8,924 $549K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,574 3,487 $540K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 192,039 176,484 $491K
G0378 Hospital observation service, per hour 848 776 $447K
97802 1,720 1,648 $428K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,512 22,492 $422K
92523 1,753 1,673 $420K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,547 8,924 $405K
94010 3,990 3,745 $386K
80053 Comprehensive metabolic panel 9,786 7,318 $382K
97535 Self-care/home management training, each 15 minutes 4,160 1,999 $360K
81025 4,454 4,188 $358K
97161 5,108 4,799 $343K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 6,285 6,039 $318K
11900 609 580 $292K
92526 1,778 826 $292K
74018 3,310 2,507 $288K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,556 5,746 $286K
36415 Collection of venous blood by venipuncture 31,372 27,198 $283K
90472 Immunization administration, each additional vaccine (list separately) 10,854 9,853 $270K
97760 5,727 3,941 $263K
51798 1,764 1,660 $263K
80197 2,923 1,838 $245K
96132 270 233 $232K
92587 1,162 1,103 $217K
42820 Tonsillectomy and adenoidectomy; younger than age 12 81 81 $212K
94060 1,290 1,230 $180K
97165 1,452 1,344 $179K
95816 490 451 $175K
99173 1,920 1,742 $158K
81001 2,611 2,146 $156K
99215 Prolong outpt/office vis 15,657 13,659 $152K
92551 3,335 3,087 $152K
71046 Radiologic examination, chest; 2 views 1,397 1,211 $150K
J0585 Injection, onabotulinumtoxina, 1 unit 112 107 $145K
97166 1,637 1,530 $143K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,512 1,420 $141K
92610 798 736 $140K
93225 1,485 1,407 $136K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 52 50 $134K
90686 2,905 2,684 $130K
99499 251 107 $125K
72082 912 852 $123K
J3490 Unclassified drugs 21,335 11,756 $122K
96116 189 172 $118K
82728 6,267 5,411 $116K
95012 1,552 1,480 $115K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 150 150 $113K
97162 1,850 1,706 $112K
80069 3,141 2,499 $112K
84510 1,915 1,263 $112K
95811 72 68 $111K
P9016 Red blood cells, leukocytes reduced, each unit 160 130 $107K
91300 7,308 6,316 $103K
0002A 4,177 3,820 $102K
93226 1,485 1,407 $92K
96156 531 468 $90K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,286 2,878 $90K
90378 87 75 $89K
96040 1,679 1,561 $88K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 194 24 $87K
96000 197 184 $83K
93320 3,055 2,863 $79K
51736 888 844 $79K
80076 1,691 1,513 $79K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,345 1,690 $78K
0001A 3,131 2,884 $76K
96133 345 284 $71K
80061 Lipid panel 2,047 1,883 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58,557 54,027 $64K
87631 445 434 $59K
70360 373 363 $59K
83735 2,519 1,702 $56K
62370 268 245 $50K
85046 5,950 5,055 $49K
84030 1,917 1,263 $48K
94621 145 134 $44K
54161 14 13 $44K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,192 13,405 $43K
17110 199 185 $42K
83036 Hemoglobin; glycosylated (A1C) 3,229 2,939 $41K
73140 443 380 $39K
92585 88 83 $39K
88305 Level IV - Surgical pathology, gross and microscopic examination 169 157 $39K
95819 117 115 $38K
90837 Psychotherapy, 53 minutes with patient 290 133 $37K
31575 81 81 $36K
93296 481 466 $35K
36430 165 140 $34K
84443 Thyroid stimulating hormone (TSH) 3,157 2,321 $32K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,935 6,222 $31K
31622 15 13 $31K
90791 Psychiatric diagnostic evaluation 106 97 $30K
91200 106 98 $30K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 6,829 6,596 $30K
72081 182 169 $29K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,705 1,615 $28K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 87 80 $28K
51741 74 67 $27K
J2704 Injection, propofol, 10 mg 11,231 8,205 $27K
29075 146 138 $27K
77072 166 157 $27K
74230 165 152 $26K
96136 192 174 $26K
93271 91 83 $25K
83655 409 397 $25K
97150 Therapeutic procedure(s), group (2 or more individuals) 3,347 1,149 $25K
95076 103 71 $25K
82977 3,276 2,468 $23K
80320 127 119 $22K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 193 77 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 24 $20K
0296T 251 235 $20K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,778 7,022 $20K
96158 339 161 $20K
70551 Magnetic resonance imaging, brain; without contrast material 25 25 $19K
82610 639 598 $19K
87799 502 385 $19K
83970 564 485 $18K
90474 869 826 $18K
96137 162 154 $17K
95079 85 42 $17K
72170 197 196 $17K
84436 1,286 918 $17K
86140 983 919 $16K
J8540 Dexamethasone, oral, 0.25 mg 361 244 $15K
95715 12 12 $15K
0297T 251 235 $15K
97164 310 281 $14K
82784 841 402 $14K
82570 850 635 $14K
97763 337 223 $14K
0202U Oncology (prostate), multianalyte, gene expression profiling 100 93 $14K
99201 13,822 13,453 $13K
90834 Psychotherapy, 45 minutes with patient 156 78 $13K
J3010 Injection, fentanyl citrate, 0.1 mg 4,324 3,644 $13K
83516 852 280 $13K
92524 139 127 $13K
91307 784 732 $12K
86850 442 347 $12K
92567 1,828 1,689 $12K
95991 204 180 $11K
87536 98 78 $11K
96409 55 49 $11K
85027 587 554 $11K
64642 55 55 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 111 106 $10K
0071A 420 418 $10K
96167 1,484 1,328 $10K
97799 879 526 $9K
77073 77 77 $9K
92579 342 325 $9K
73521 70 68 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 358 346 $9K
73130 98 88 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,354 1,250 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,065 2,759 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,571 2,496 $8K
96119 30 27 $8K
0072A 336 334 $8K
87497 210 160 $8K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 154 154 $8K
85652 1,150 1,056 $8K
92522 43 35 $7K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 81 81 $7K
96152 44 28 $7K
87086 Culture, bacterial; quantitative colony count, urine 176 164 $6K
62322 39 36 $6K
90656 214 205 $6K
20560 356 219 $6K
93246 49 44 $6K
81003 1,063 1,021 $6K
86364 333 323 $6K
96900 45 12 $6K
87070 421 399 $6K
87808 142 133 $6K
86832 160 145 $6K
73110 68 63 $5K
92557 154 145 $5K
86901 457 362 $5K
J7120 Ringers lactate infusion, up to 1000 cc 2,198 2,034 $5K
86900 458 362 $5K
95951 13 12 $5K
93247 49 44 $5K
90715 28 28 $5K
83540 558 349 $5K
95700 12 12 $4K
73100 30 24 $4K
73560 35 28 $4K
V5020 Conformity evaluation 186 149 $4K
93270 42 41 $4K
87081 522 486 $4K
86592 282 269 $4K
82248 179 129 $4K
83550 555 346 $4K
J8499 Prescription drug, oral, non chemotherapeutic, nos 944 695 $4K
73090 28 25 $4K
84100 827 558 $4K
31526 19 16 $4K
96154 678 565 $4K
84478 573 523 $4K
83020 107 85 $3K
93243 17 15 $3K
85018 260 240 $3K
86833 160 145 $3K
84460 840 782 $3K
43762 12 12 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 121 116 $3K
84403 94 82 $3K
64615 15 12 $3K
76825 29 26 $3K
92555 168 162 $3K
93242 17 15 $3K
97750 68 67 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 27 27 $3K
73564 17 16 $3K
87205 77 74 $3K
92552 122 117 $3K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 25 25 $3K
84305 296 165 $3K
93356 150 136 $3K
84270 41 38 $3K
82785 90 88 $3K
86003 77 75 $3K
97116 85 45 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 36 30 $3K
J0690 Injection, cefazolin sodium, 500 mg 572 466 $2K
90480 93 92 $2K
96138 14 13 $2K
76885 12 12 $2K
92060 255 250 $2K
84156 300 267 $2K
76819 Fetal biophysical profile; without non-stress testing 21 13 $2K
92595 56 47 $2K
92652 40 37 $2K
92015 Determination of refractive state 594 401 $2K
84439 391 126 $2K
87899 76 75 $2K
J1644 Injection, heparin sodium, per 1000 units 201 100 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 15 13 $2K
91320 49 48 $2K
0003A 87 85 $2K
96150 13 13 $2K
82652 38 27 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 16 14 $2K
83520 136 64 $2K
76827 29 26 $2K
87486 27 27 $2K
J7050 Infusion, normal saline solution, 250 cc 431 259 $2K
87503 36 30 $2K
86762 27 27 $2K
81321 24 24 $2K
92611 401 377 $1K
81302 12 12 $1K
83993 16 13 $1K
87077 163 138 $1K
69210 13 12 $1K
92133 24 24 $1K
0124A 33 32 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,014 1,850 $1K
90911 648 296 $1K
36416 2,282 1,906 $1K
86923 28 24 $1K
D1120 Prophylaxis - child 24 24 $1K
98976 27 24 $1K
90832 Psychotherapy, 30 minutes with patient 22 12 $1K
L3030 Foot, insert, removable, formed to patient foot, each 646 556 $1K
85397 14 14 $1K
87181 195 171 $1K
92025 14 14 $995.42
86255 47 28 $973.60
87184 194 178 $939.23
81405 25 25 $860.45
81407 25 25 $860.45
76000 14 13 $850.40
64643 40 40 $845.00
90912 730 421 $842.09
J1050 Injection, medroxyprogesterone acetate, 1 mg 27 27 $832.78
96155 163 146 $812.80
81406 25 25 $798.98
85610 80 63 $796.74
84402 41 38 $795.24
D1206 Topical application of fluoride varnish 24 24 $792.00
81408 25 25 $768.25
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 27 27 $749.32
87581 27 27 $749.32
81404 24 24 $737.52
92591 14 12 $717.53
82542 12 12 $700.37
V5011 Fitting/orientation/checking of hearing aid 35 32 $633.28
80047 13 12 $608.92
A9577 Injection, gadobenate dimeglumine (multihance), per ml 42 38 $607.32
86376 113 43 $605.48
92582 227 220 $604.27
91312 33 32 $576.53
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 221 210 $551.70
J0171 Injection, adrenalin, epinephrine, 0.1 mg 47 43 $525.64
D0120 Periodic oral evaluation - established patient 15 15 $510.00
87071 15 12 $505.68
85014 43 33 $495.00
87340 28 28 $493.86
86902 92 83 $479.79
82272 105 102 $469.79
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 44 31 $461.64
96002 123 116 $448.04
92556 91 89 $409.75
82950 51 51 $371.13
83615 55 39 $333.79
J9370 Vincristine sulfate, 1 mg 102 91 $282.55
96168 255 211 $246.47
85240 14 14 $237.75
86920 94 85 $231.54
90913 401 247 $221.60
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 242 238 $196.80
89051 15 12 $194.04
86677 14 12 $169.84
84450 48 44 $135.98
J3535 Drug administered through a metered dose inhaler 116 112 $135.11
86800 66 16 $127.94
80048 Basic metabolic panel (calcium, ionized) 13 13 $112.65
82340 32 25 $104.98
96164 70 55 $97.37
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 12 $89.94
88108 27 24 $86.38
36591 29 25 $84.02
82043 61 16 $76.64
V5266 Battery for use in hearing device 393 363 $65.70
J2795 Injection, ropivacaine hydrochloride, 1 mg 143 91 $51.68
J1170 Injection, hydromorphone, up to 4 mg 58 50 $46.38
82947 14 14 $43.50
A4364 Adhesive, liquid or equal, any type, per oz 56 50 $39.56
96165 51 42 $26.95
82803 26 24 $25.40
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 188 186 $6.75
96159 219 113 $0.00
V5257 Hearing aid, digital, monaural, bte 153 115 $0.00
L1832 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 28 28 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 14 12 $0.00
C1769 Guide wire 14 12 $0.00
V5264 Ear mold/insert, not disposable, any type 154 101 $0.00
96171 14 13 $0.00
86803 12 12 $0.00
96170 29 28 $0.00
96139 14 13 $0.00
96151 28 28 $0.00
J9250 Methotrexate sodium, 5 mg 15 12 $0.00