Clinic
Portercare Adventist Health System
Portercare Adventist Health System was paid $402K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.
33Billing provider infoPORTERCARE ADVENTIST HEALTH SYSTEM
LITTLETON, CO 80122
LITTLETON, CO 80122
33aNPI1689688988assigned 07/29/2006
33bProvider typeEmergency Care Clinic/Center
28Total paid$402K
24GClaims19,023
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Colorado
Rank by total paid#15 of 23
Median peer was paid$1.29M
This provider vs. median0.3×
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
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 | 5,109 | $78K | |
| 2019 | 2,641 | $45K | |
| 2020 | 3,208 | $82K | |
| 2021 | 2,422 | $59K | |
| 2022 | 2,041 | $65K | |
| 2023 | 2,917 | $60K | |
| 2024incomplete | 685 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 1,257 | 1,123 | $134K |
| 96361 | Intravenous infusion, hydration; each additional hour | 18% | 365 | 322 | $74K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 1,046 | 866 | $66K |
| 80053 | Comprehensive metabolic panel | 12% | 2,960 | 2,608 | $48K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 8.9% | 552 | 523 | $36K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.0% | 419 | 374 | $32K |
| 0002A | 1.1% | 68 | 63 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 178 | 124 | $3K |
| 0001A | <1% | 46 | 41 | $2K | |
| 84484 | <1% | 20 | 14 | $518.01 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,665 | 6,642 | $488.59 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 979 | 863 | $359.32 |
14 more codes
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 244 | $325.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 695 | $224.71 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 1,572 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 292 | $0.00 |
| 0753T | 0% | 61 | $0.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 42 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 13 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 281 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 61 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 112 | $0.00 |
| 84703 | 0% | 38 | $0.00 | |
| 81001 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| 83690 | 0% | 32 | $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 officialPERRY, JONATHAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Portercare Adventist Health System | Littleton, CO | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.