Lab
Kaiser Foundation Health Plan of Colorado
Kaiser Foundation Health Plan of Colorado was paid $50K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 81025, — 46% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN OF COLORADO
WESTMINSTER, CO 80234
WESTMINSTER, CO 80234
33aNPI1598039737assigned 03/06/2012
33bProvider typeClinical Medical Laboratory
28Total paid$50K
24GClaims10,790
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Colorado
Rank by total paid#47 of 91
Median peer was paid$53K
This provider vs. median0.9×
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 RAMSEIER, MICHAEL 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 | 4,265 | $17K | |
| 2019 | 1,671 | $11K | |
| 2020 | 807 | $3K | |
| 2021 | 942 | $3K | |
| 2022 | 1,033 | $5K | |
| 2023 | 1,020 | $4K | |
| 2024incomplete | 1,052 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 81025 | 46% | 3,033 | 2,823 | $23K | |
| 81003 | 15% | 3,177 | 2,978 | $7K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 9.9% | 457 | 440 | $5K |
| 81001 | 9.6% | 1,787 | 1,693 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.8% | 111 | 111 | $3K |
| 36415 | Collection of venous blood by venipuncture | 6.1% | 1,989 | 1,812 | $3K |
| 87400 | 2.1% | 35 | 35 | $1K | |
| 80076 | 1.8% | 86 | 85 | $895.08 | |
| 80047 | 1.7% | 41 | 38 | $846.26 | |
| 84702 | <1% | 14 | 12 | $278.18 | |
| 83690 | <1% | 31 | 31 | $263.32 | |
| 36416 | 0% | 29 | 26 | $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 officialRAMSEIER, MICHAEL (REGIONAL PRESIDENT)
Parent organizationKAISER FOUNDATION HEALTH PLAN
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.