Medicaid Provider Spending

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

CHILDREN'S HOSPITAL COLORADO

NPI: 1336637438 · COLORADO SPRINGS, CO 80920 · Children's Hospital · NPI assigned 04/25/2018

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

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

$17.82M
Total Medicaid Paid
99,403
Total Claims
87,239
Beneficiaries
66
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
NPI Enumeration Date04/25/2018

Related Entities

Other providers sharing the same authorized official: MICHAEL, LINDA

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL COLORADO AURORA CO $114.90M
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
2019 5,068 $620K
2020 11,867 $905K
2021 14,590 $1.67M
2022 24,281 $4.72M
2023 24,478 $5.51M
2024 19,119 $4.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 31,227 29,886 $8.75M
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,477 11,016 $3.08M
42820 Tonsillectomy and adenoidectomy; younger than age 12 988 963 $2.65M
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,517 4,336 $1.14M
99284 Emergency department visit for the evaluation and management, high severity 2,319 2,157 $536K
95810 Polysomnography; sleep staging with 4 or more additional parameters 304 292 $368K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,376 2,301 $362K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 136 132 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 117 113 $126K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,345 3,241 $120K
42830 24 24 $67K
G0378 Hospital observation service, per hour 73 67 $61K
95819 163 163 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,743 4,095 $49K
54161 12 12 $34K
95782 24 24 $30K
80053 Comprehensive metabolic panel 933 840 $22K
J3490 Unclassified drugs 10,129 4,440 $21K
88305 Level IV - Surgical pathology, gross and microscopic examination 93 89 $18K
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 136 131 $15K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 153 120 $11K
96361 Intravenous infusion, hydration; each additional hour 17 14 $11K
91300 717 623 $10K
0002A 393 361 $10K
87631 81 80 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling 44 44 $9K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,220 3,969 $8K
0001A 242 214 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,957 3,566 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 81 80 $5K
95715 12 12 $5K
81001 915 862 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 4,551 3,403 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 53 51 $4K
J7050 Infusion, normal saline solution, 250 cc 107 90 $4K
95700 12 12 $3K
71046 Radiologic examination, chest; 2 views 188 182 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44 41 $3K
J2704 Injection, propofol, 10 mg 3,139 2,712 $2K
91307 130 130 $2K
74240 12 12 $2K
36415 Collection of venous blood by venipuncture 669 629 $2K
0071A 84 84 $2K
J7120 Ringers lactate infusion, up to 1000 cc 1,127 774 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 30 29 $1K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,238 1,173 $1K
0072A 46 46 $1K
90656 30 30 $1K
87086 Culture, bacterial; quantitative colony count, urine 209 201 $1K
J0690 Injection, cefazolin sodium, 500 mg 384 341 $781.46
86140 134 129 $743.23
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $576.24
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 88 85 $544.19
J1885 Injection, ketorolac tromethamine, per 15 mg 437 356 $323.67
85046 39 38 $270.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 30 $223.36
82728 17 12 $159.52
J0131 Injection, acetaminophen, not otherwise specified,10 mg 38 37 $139.46
83690 28 24 $98.48
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,909 1,751 $79.00
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 136 131 $66.02
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 37 37 $50.68
J8499 Prescription drug, oral, non chemotherapeutic, nos 214 165 $26.72
J8540 Dexamethasone, oral, 0.25 mg 145 112 $11.75
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 24 24 $8.58
C1889 Implantable/insertable device, not otherwise classified 92 87 $0.00