Clinic
Denver Health and Hospital Authority
Denver Health and Hospital Authority was paid $9.08M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoDENVER HEALTH AND HOSPITAL AUTHORITY
DENVER, CO 80211
DENVER, CO 80211
33aNPI1467877126assigned 03/04/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.08M
24GClaims107,144
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#38 of 197
Median peer was paid$1.11M
This provider vs. median8.2×
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 AUDAIN, APRIL 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 | 8,724 | $822K | |
| 2019 | 16,756 | $852K | |
| 2020 | 19,910 | $1.07M | |
| 2021 | 18,581 | $1.09M | |
| 2022 | 15,808 | $1.57M | |
| 2023 | 16,172 | $2.17M | |
| 2024incomplete | 11,193 | $1.49M |
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 | 64% | 40,960 | 33,213 | $5.77M |
| 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 | 20% | 14,833 | 12,217 | $1.85M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.8% | 5,105 | 4,222 | $712K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 2,612 | 1,870 | $237K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.6% | 1,443 | 876 | $234K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 305 | 301 | $78K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,304 | 2,403 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 172 | 170 | $27K |
| 0012A | <1% | 522 | 513 | $20K | |
| 0011A | <1% | 480 | 465 | $17K | |
| 0064A | <1% | 359 | 306 | $13K | |
| 99407 | <1% | 80 | 53 | $12K |
30 more codes
| 91322 | <1% | 159 | $9K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 74 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | $8K |
| 0124A | <1% | 110 | $7K | |
| 90480 | <1% | 222 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 50 | $5K |
| 0002A | <1% | 94 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $5K |
| 0001A | <1% | 90 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 355 | $3K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 26 | $3K |
| 0071A | <1% | 95 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 52 | $3K |
| 0031A | <1% | 73 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $3K |
| 0072A | <1% | 38 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,402 | $955.38 |
| 0013A | <1% | 17 | $658.88 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,546 | $494.00 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 24 | $436.06 |
| 90688 | <1% | 2,316 | $216.00 | |
| 90686 | <1% | 260 | $141.36 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,104 | $91.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,649 | $0.04 |
| 90715 | 0% | 16 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 90656 | 0% | 18 | $0.00 | |
| 90674 | 0% | 25 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $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 officialAUDAIN, APRIL (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.