Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Saint Joseph Hospital, INC

Saint Joseph Hospital, INC was paid $268K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 27% of everything it billed.

33Billing provider infoSAINT JOSEPH HOSPITAL, INC
BROOMFIELD, CO 80021
33aNPI1487694196assigned 06/08/2006
28Total paid$268K
24GClaims4,061
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Colorado

Rank by total paid#3 of 18
Median peer was paid$22K
This provider vs. median12×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,909$118K
20191,539$110K
2020613$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 27% 478 432 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 1,307 1,140 $69K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 24% 1,280 1,078 $64K
76819 Fetal biophysical profile; without non-stress testing 11% 458 357 $29K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 7.8% 246 212 $21K
76821 1.5% 52 40 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.5% 84 76 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 81 67 $2K
76820 <1% 50 39 $2K
99201 <1% 25 25 $875.27

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 officialSMITH, JAMESON (PRESIDENT & CEO)
Parent organizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC
Same official

Other billing entities under SMITH, JAMESON

Full network →
ProviderLocationPaid
Saint Joseph Hospital, INCDenver, CO$1.54M
Saint Joseph Hospital INCDenver, CO$337K
Saint Joseph Hospital INCDenver, CO$54K
Saint Joseph Hospital INCDenver, CO$16K
Saint Joseph Hospital INCDenver, CO$3K
Saint Joseph Hospital INCDenver, CO$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.