Medicaid Provider Spending

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

DENVER HEALTH AND HOSPITAL AUTHORITY

NPI: 1619918794 · DENVER, CO 80219 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2006

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

Authorized official AUDAIN, APRIL controls 20+ related entities in our dataset. Read more

$8.14M
Total Medicaid Paid
95,632
Total Claims
82,120
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAUDAIN, APRIL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: AUDAIN, APRIL

ProviderCityStateTotal Paid
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $94.83M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $77.00M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $68.44M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $40.33M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $29.44M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $28.23M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $25.45M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $17.32M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $15.23M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $11.96M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $11.05M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $9.50M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $9.08M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $8.29M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $7.84M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $6.85M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $3.27M
DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO $1.17M
DENVER HEALTH & HOSPTIAL AUTHORITY DENVER CO $1.05M
DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,478 $678K
2019 14,823 $851K
2020 15,488 $996K
2021 18,154 $909K
2022 16,411 $1.51M
2023 16,817 $2.17M
2024 7,461 $1.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,446 24,522 $4.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,993 13,215 $2.06M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,768 3,288 $632K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 2,824 1,327 $395K
90832 Psychotherapy, 30 minutes with patient 3,501 2,294 $367K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,129 1,002 $151K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,065 941 $120K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 696 652 $79K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 298 250 $38K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,098 961 $24K
G0467 Federally 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 1,516 1,185 $19K
0012A 406 402 $16K
0011A 422 417 $15K
0124A 230 206 $13K
99215 Prolong outpt/office vis 120 96 $11K
0071A 246 157 $9K
0064A 250 180 $7K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 30 24 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 54 49 $5K
0072A 82 81 $5K
90480 91 74 $4K
36415 Collection of venous blood by venipuncture 14,746 13,298 $3K
D0145 Oral evaluation for a patient under three years of age 406 363 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 24 $3K
0001A 52 50 $3K
0002A 36 36 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 120 91 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,196 10,921 $850.82
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $690.46
90688 1,820 1,465 $644.97
0004A 20 12 $494.16
90472 Immunization administration, each additional vaccine (list separately) 2,709 2,419 $344.50
90686 233 215 $47.12
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,873 1,786 $0.02
90474 104 92 $0.00
90694 15 13 $0.00