Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

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.

33Billing provider infoCHILDREN'S HOSPITAL COLORADO
COLORADO SPRINGS, CO 80920
33aNPI1336637438assigned 04/25/2018
33bProvider typeChildren's Hospital
28Total paid$17.82M
24GClaims99,403
24DCodes billed66
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in Colorado

Rank by total paid#1 of 13
Median peer was paid$304K
This provider vs. median59×

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.

Entity ProliferationAuthorized official MICHAEL, LINDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20195,068$620K
202011,867$905K
202114,590$1.67M
202224,281$4.72M
202324,478$5.51M
2024incomplete19,119$4.39M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
Same official

Other billing entities under MICHAEL, LINDA

Full network →
ProviderLocationPaid
Children's Hospital ColoradoAurora, CO$114.90M
Children's Hospital ColoradoAurora, CO$12.85M
Children's Hospital ColoradoBroomfield, CO$11.38M
Children's Hospital ColoradoAurora, CO$7.38M
Children's Hospital ColoradoAurora, CO$1.76M
Children's Hospital ColoradoHighlands Ranch, CO$1.75M
Children's Hospital ColoradoBroomfield, CO$1.54M
Children's Hospital ColoradoColorado Springs, CO$1.44M
Children's Hospital ColoradoColorado Springs, CO$1.43M
Children's Hospital ColoradoColorado Springs, CO$1.09M
Children's North Surgery Center, LLCBroomfield, CO$1.04M
Children's Hospital ColoradoHighlands Ranch, CO$924K
Children's Hospital ColoradoBroomfield, CO$552K
Children's Hospital ColoradoAurora, CO$312K
Children's Hospital ColoradoWheat Ridge, CO$304K
Children's Hospital ColoradoPueblo, CO$253K
Children's Hospital ColoradoAurora, CO$212K
Children's Hospital ColoradoColorado Springs, CO$112K
Children's Hospital ColoradoColorado Springs, CO$111K
Children's Hospital ColoradoColorado Springs, CO$79K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.