Clinic
Kaiser Foundation Health Plan of Colorado
Kaiser Foundation Health Plan of Colorado was paid $1.16M by Medicaid between Jan 2018 and Jun 2018, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN OF COLORADO
DENVER, CO 80247
DENVER, CO 80247
33aNPI1356459564assigned 08/28/2006
33bProvider typeClinic/Center
28Total paid$1.16M
24GClaims18,652
24DCodes billed54
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#22 of 87
Median peer was paid$179K
This provider vs. median6.5×
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 RAMSEIER, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,652 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 7,947 | 7,299 | $453K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 3,505 | 3,270 | $299K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 7.4% | 798 | 781 | $85K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 3.2% | 157 | 131 | $37K |
| 71046 | Radiologic examination, chest; 2 views | 2.7% | 1,254 | 1,010 | $32K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 2.5% | 102 | 89 | $29K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.3% | 562 | 553 | $27K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.8% | 118 | 101 | $21K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.7% | 47 | 39 | $19K |
| 73221 | 1.3% | 91 | 69 | $15K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.2% | 270 | 237 | $14K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 26 | 25 | $11K |
42 more codes
| 72141 | <1% | 35 | $11K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 91 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 101 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 129 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 386 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 75 | $8K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 52 | $7K |
| 77080 | <1% | 105 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 57 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 120 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 220 | $4K |
| 93000 | <1% | 192 | $4K | |
| 64615 | <1% | 45 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 228 | $4K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 36 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 36 | $3K |
| 97804 | <1% | 101 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 561 | $2K |
| 92557 | <1% | 61 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 92567 | <1% | 120 | $1K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 127 | $1K |
| V2020 | Frames, purchases | <1% | 28 | $988.96 |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 30 | $832.00 |
| 76642 | <1% | 21 | $787.16 | |
| 97162 | <1% | 14 | $567.00 | |
| 92227 | <1% | 267 | $548.39 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 36 | $530.65 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 22 | $529.92 |
| 59025 | Fetal non-stress test | <1% | 15 | $526.65 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $516.53 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $475.20 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 54 | $381.15 |
| 73560 | <1% | 20 | $309.00 | |
| 90686 | <1% | 19 | $305.49 | |
| 81002 | <1% | 91 | $261.54 | |
| 73630 | <1% | 14 | $182.25 | |
| 97161 | <1% | 71 | $86.28 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 28 | $12.98 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 13 | $10.08 |
| 90461 | 0% | 69 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 18 | $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 officialRAMSEIER, MICHAEL (REGIONAL PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.