Medicaid Provider Spending

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

KAISER FOUNDATION HEALTH PLAN OF COLORADO

NPI: 1356459564 · DENVER, CO 80247 · Clinic/Center · NPI assigned 08/28/2006

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

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

$1.16M
Total Medicaid Paid
18,652
Total Claims
16,849
Beneficiaries
54
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialRAMSEIER, MICHAEL (REGIONAL PRESIDENT)
NPI Enumeration Date08/28/2006

Related Entities

Other providers sharing the same authorized official: RAMSEIER, MICHAEL

ProviderCityStateTotal Paid
KAISER FOUNDATION HEALTH PLAN OF COLORADO DENVER CO $19.77M
KAISER FOUNDATION HEALTH PLAN OF COLORADO AURORA CO $101K
KAISER FOUNDATION HEALTH PLAN OF COLORADO LONE TREE CO $98K
KAISER FOUNDATION HEALTH PLAN OF COLORADO LAKEWOOD CO $83K
KAISER FOUNDATION HEALTH PLAN OF COLORADO DENVER CO $65K
KAISER FOUNDATION HEALTH PLAN OF COLORADO WESTMINSTER CO $50K
KAISER FOUNDATION HEALTH PLAN OF CO DENVER CO $37K
KAISER FOUNDATION HEALTH PLAN OF COLORADO LAFAYETTE CO $35K
KAISER FOUNDATION HEALTH PLAN OF COLORADO DENVER CO $17K
KAISER FOUNDATION HEALTH PLAN OF COLORADO DENVER CO $8K
KAISER FOUNDATION HEALTH PLAN OF COLORADO CENTENNIAL CO $5K
KAISER FOUNDATION HEALTH PLAN OF COLORADO WHEAT RIDGE CO $5K
KAISER FOUNDATION HEALTH PLAN OF COLORADO WESTMINSTER CO $4K
KAISER FOUNDATION HEALTH PLAN OF COLORADO AURORA CO $1K
KAISER FOUNDATION HEALTH PLAN OF COLORADO LITTLETON CO $425.47
KAISER FOUNDATION HEALTH PLAN OF COLORADO LONGMONT CO $239.08
KAISER FOUNDATION HEALTH PLAN OF COLORADO BOULDER CO $69.29
KAISER FOUNDATION HEALTH PLAN OF COLORADO HIGHLANDS RANCH CO $58.63
KAISER FOUNDATION HEALTH PLAN OF COLORADO PARKER CO $58.63
KAISER FOUNDATION HEALTH PLAN OF COLORADO ENGLEWOOD CO $56.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,652 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,947 7,299 $453K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,505 3,270 $299K
77067 Screening mammography, bilateral, including computer-aided detection 798 781 $85K
70551 Magnetic resonance imaging, brain; without contrast material 157 131 $37K
71046 Radiologic examination, chest; 2 views 1,254 1,010 $32K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 102 89 $29K
90460 Immunization administration through 18 years of age via any route, first or only component 562 553 $27K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 118 101 $21K
J0585 Injection, onabotulinumtoxina, 1 unit 47 39 $19K
73221 91 69 $15K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 270 237 $14K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 26 25 $11K
72141 35 32 $11K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 91 89 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 101 101 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 129 129 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 386 278 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 75 74 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 52 43 $7K
77080 105 99 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 57 54 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 120 109 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 220 219 $4K
93000 192 190 $4K
64615 45 39 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 228 218 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 36 36 $3K
76830 Ultrasound, transvaginal 36 36 $3K
97804 101 50 $3K
36415 Collection of venous blood by venipuncture 561 499 $2K
92557 61 56 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $2K
92567 120 115 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 127 119 $1K
V2020 Frames, purchases 28 28 $988.96
A9585 Injection, gadobutrol, 0.1 ml 30 28 $832.00
76642 21 13 $787.16
97162 14 14 $567.00
92227 267 154 $548.39
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 36 36 $530.65
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 22 12 $529.92
59025 Fetal non-stress test 15 14 $526.65
90472 Immunization administration, each additional vaccine (list separately) 24 24 $516.53
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29 27 $475.20
V2784 Lens, polycarbonate or equal, any index, per lens 54 28 $381.15
73560 20 12 $309.00
90686 19 17 $305.49
81002 91 75 $261.54
73630 14 14 $182.25
97161 71 32 $86.28
J2250 Injection, midazolam hydrochloride, per 1 mg 28 25 $12.98
J3010 Injection, fentanyl citrate, 0.1 mg 13 13 $10.08
90461 69 69 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 18 13 $0.00