Medicaid Provider Spending

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

CHILDREN'S HOSPITAL COLORADO

NPI: 1376104125 · AURORA, CO 80011 · Dental Clinic/Center · NPI assigned 06/24/2019

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

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

$7.38M
Total Medicaid Paid
298,991
Total Claims
248,338
Beneficiaries
91
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
Parent OrganizationCHILDREN'S HOSPITAL COLORADO
NPI Enumeration Date06/24/2019

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 COLORADO SPRINGS CO $17.82M
CHILDREN'S HOSPITAL COLORADO AURORA CO $12.85M
CHILDREN'S HOSPITAL COLORADO BROOMFIELD CO $11.38M
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 25,147 $553K
2020 59,996 $1.80M
2021 58,174 $1.75M
2022 62,858 $1.24M
2023 48,117 $1.02M
2024 44,699 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52,527 47,294 $2.05M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,493 5,237 $920K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,218 1,523 $877K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17,348 6,731 $861K
90472 Immunization administration, each additional vaccine (list separately) 21,530 19,607 $503K
92609 2,460 948 $350K
92551 8,384 7,211 $310K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,413 3,577 $286K
81025 6,669 5,908 $161K
92526 933 388 $131K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 771 658 $110K
92523 421 371 $102K
97535 Self-care/home management training, each 15 minutes 817 378 $57K
96125 94 43 $52K
97161 1,079 887 $47K
91300 2,506 2,131 $39K
91307 1,881 1,708 $38K
97760 751 481 $36K
36415 Collection of venous blood by venipuncture 7,522 5,652 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 129,560 116,965 $29K
0001A 1,260 1,202 $29K
99188 235 232 $28K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 197 178 $28K
0072A 796 794 $27K
0071A 945 923 $26K
0002A 971 932 $23K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 362 103 $21K
90791 Psychiatric diagnostic evaluation 30 26 $20K
90837 Psychotherapy, 53 minutes with patient 168 90 $19K
90686 797 629 $17K
92587 719 652 $17K
90474 1,301 1,240 $15K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,199 576 $12K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 319 291 $11K
97166 82 72 $9K
91305 349 340 $8K
0003A 273 262 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,000 502 $7K
0053A 177 170 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 147 136 $6K
90480 192 189 $6K
0154A 113 113 $5K
92002 29 29 $5K
36416 2,307 1,953 $4K
90656 130 130 $4K
91308 126 122 $3K
91315 113 113 $3K
0051A 83 83 $3K
90834 Psychotherapy, 45 minutes with patient 37 17 $3K
20560 85 60 $3K
0124A 58 58 $3K
77073 25 25 $2K
0173A 51 51 $2K
91312 58 58 $2K
92579 220 192 $2K
0082A 40 40 $1K
91317 51 51 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 60 49 $1K
0083A 27 27 $1K
0052A 28 28 $1K
20561 45 24 $997.19
92567 1,117 1,007 $724.93
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 971 856 $75.21
85025 Blood count; complete (CBC), automated, and automated differential WBC count 103 85 $68.31
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 971 856 $65.21
82728 48 47 $64.17
80061 Lipid panel 208 186 $52.44
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 133 91 $0.00
V5264 Ear mold/insert, not disposable, any type 65 56 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38 26 $0.00
85027 39 26 $0.00
92556 17 17 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 42 41 $0.00
83036 Hemoglobin; glycosylated (A1C) 44 44 $0.00
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 26 25 $0.00
85018 55 53 $0.00
V5275 Ear impression, each 42 42 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 90 90 $0.00
99215 Prolong outpt/office vis 4,226 3,251 $0.00
92582 152 148 $0.00
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 26 25 $0.00
92555 86 82 $0.00
83655 73 71 $0.00
V5011 Fitting/orientation/checking of hearing aid 71 66 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 299 260 $0.00
V5266 Battery for use in hearing device 47 47 $0.00
92552 14 14 $0.00
99201 356 321 $0.00
97799 20 15 $0.00
84460 18 18 $0.00
92557 12 12 $0.00