Medicaid Provider Spending

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

CHILDREN'S HOSPITAL COLORADO

NPI: 1487015988 · WHEAT RIDGE, CO 80033 · Children's Hospital · NPI assigned 03/10/2016

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

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

$304K
Total Medicaid Paid
4,239
Total Claims
4,059
Beneficiaries
12
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
Parent OrganizationCHILDREN'S HOSPITAL COLORADO
NPI Enumeration Date03/10/2016

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 $7.38M
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 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
2021 31 $52.40
2022 749 $57K
2023 2,006 $146K
2024 1,453 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 544 533 $119K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 729 707 $77K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 257 251 $60K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 43 43 $29K
93325 43 43 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 156 153 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 81 81 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,292 2,156 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $540.17
93320 43 43 $507.60
90686 12 12 $371.32
81025 27 25 $156.33