Children's Hospital Colorado
Children's Hospital Colorado was paid $17.82M by Medicaid between Jul 2019 and Dec 2024, across 66 billing codes. Its largest line is 99283, emergency room visit (moderate) — 49% of everything it billed.
COLORADO SPRINGS, CO 80920
Next to other Children's Hospital providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 5,068 | $620K | |
| 2020 | 11,867 | $905K | |
| 2021 | 14,590 | $1.67M | |
| 2022 | 24,281 | $4.72M | |
| 2023 | 24,478 | $5.51M | |
| 2024incomplete | 19,119 | $4.39M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 49% | 31,227 | 29,886 | $8.75M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 17% | 11,477 | 11,016 | $3.08M |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 15% | 988 | 963 | $2.65M |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 6.4% | 4,517 | 4,336 | $1.14M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.0% | 2,319 | 2,157 | $536K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.1% | 304 | 292 | $368K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.0% | 2,376 | 2,301 | $362K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.1% | 136 | 132 | $196K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 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 | <1% | 3,345 | 3,241 | $120K |
| 42830 | <1% | 24 | 24 | $67K | |
| G0378 | Hospital observation service, per hour | <1% | 73 | 67 | $61K |
54 more codes
| 95819 | <1% | 163 | $52K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,743 | $49K |
| 54161 | <1% | 12 | $34K | |
| 95782 | <1% | 24 | $30K | |
| 80053 | Comprehensive metabolic panel | <1% | 933 | $22K |
| J3490 | Unclassified drugs | <1% | 10,129 | $21K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 93 | $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 | <1% | 136 | $15K |
| 99285 | Emergency room visit (most serious) | <1% | 153 | $11K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 17 | $11K |
| 91300 | <1% | 717 | $10K | |
| 0002A | <1% | 393 | $10K | |
| 87631 | <1% | 81 | $9K | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 44 | $9K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 4,220 | $8K |
| 0001A | <1% | 242 | $6K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 3,957 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 81 | $5K |
| 95715 | <1% | 12 | $5K | |
| 81001 | <1% | 915 | $4K | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 4,551 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 53 | $4K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 107 | $4K |
| 95700 | <1% | 12 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 188 | $3K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 44 | $3K |
| J2704 | Injection, propofol, 10 mg | <1% | 3,139 | $2K |
| 91307 | <1% | 130 | $2K | |
| 74240 | <1% | 12 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 669 | $2K |
| 0071A | <1% | 84 | $2K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 1,127 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 30 | $1K |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 1,238 | $1K |
| 0072A | <1% | 46 | $1K | |
| 90656 | <1% | 30 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 209 | $1K |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 384 | $781.46 |
| 86140 | <1% | 134 | $743.23 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $576.24 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 88 | $544.19 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 437 | $323.67 |
| 85046 | <1% | 39 | $270.61 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $223.36 |
| 82728 | <1% | 17 | $159.52 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 38 | $139.46 |
| 83690 | <1% | 28 | $98.48 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,909 | $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 | <1% | 136 | $66.02 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 37 | $50.68 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 214 | $26.72 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 145 | $11.75 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 24 | $8.58 |
| C1889 | Implantable/insertable device, not otherwise classified | 0% | 92 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.