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

Children's Hospital Colorado

Children's Hospital Colorado was paid $11.38M by Medicaid between Feb 2021 and Dec 2024, across 102 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL COLORADO
BROOMFIELD, CO 80023
33aNPI1710348214assigned 03/10/2016
33bProvider typeChildren's Hospital
28Total paid$11.38M
24GClaims102,094
24DCodes billed102
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in Colorado

Rank by total paid#2 of 13
Median peer was paid$304K
This provider vs. median37×

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 MICHAEL, LINDA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
202111,566$996K
202230,894$3.58M
202331,266$3.57M
2024incomplete28,368$3.24M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 34% 11,140 10,589 $3.81M
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) 15% 7,111 6,903 $1.69M
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) 8.3% 4,540 4,390 $944K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.4% 5,001 4,741 $838K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.8% 2,200 2,116 $662K
42820 Tonsillectomy and adenoidectomy; younger than age 12 4.1% 170 162 $466K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.6% 2,860 2,779 $412K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.3% 6,990 2,468 $376K
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) 2.9% 3,039 2,933 $333K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.8% 1,420 1,280 $207K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.6% 121 115 $180K
41899 Unlisted procedure, dentoalveolar structures 1.3% 56 54 $148K
90 more codes
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.3% 4,578 $148K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 182 $132K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.1% 236 $130K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.1% 479 $121K
99284 Emergency room visit (serious) <1% 374 $107K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 169 $89K
54161 <1% 26 $70K
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 <1% 388 $47K
93325 <1% 316 $38K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 83 $37K
94010 <1% 410 $37K
42830 <1% 12 $32K
G0378 Hospital observation service, per hour <1% 37 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 138 $23K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 169 $23K
73140 <1% 253 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 800 $19K
70360 <1% 155 $16K
73100 <1% 172 $16K
99213 Doctor's office visit, returning patient (routine) <1% 32,966 $15K
62322 <1% 13 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 298 $13K
90686 <1% 244 $11K
97161 <1% 27 $9K
G0383 Level 4 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) <1% 43 $8K
77072 <1% 93 $7K
J3490 Unclassified drugs <1% 1,575 $7K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 13 $6K
76770 <1% 28 $6K
94060 <1% 39 $6K
95012 <1% 78 $6K
J8540 Dexamethasone, oral, 0.25 mg <1% 177 $6K
73564 <1% 48 $5K
84436 <1% 237 $4K
92567 <1% 368 $4K
36415 Collection of venous blood by venipuncture <1% 895 $4K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,253 $4K
73610 <1% 50 $3K
92060 <1% 224 $3K
93320 <1% 236 $3K
J2704 Injection, propofol, 10 mg <1% 1,561 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 79 $3K
84443 Thyroid stimulating hormone (TSH) <1% 278 $3K
92504 <1% 71 $3K
90656 <1% 66 $3K
73080 <1% 16 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 89 $2K
97760 <1% 36 $2K
81001 <1% 209 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 12 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,696 $2K
72082 <1% 15 $1K
81025 <1% 141 $1K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 388 $1K
92555 <1% 26 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,217 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 272 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,147 $953.65
80053 Comprehensive metabolic panel <1% 24 $747.82
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 83 $551.22
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 84 $459.30
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 602 $424.42
71046 Radiologic examination, chest; 2 views <1% 12 $392.00
J1170 Injection, hydromorphone, up to 4 mg <1% 85 $354.99
86140 <1% 43 $343.60
J0690 Injection, cefazolin sodium, 500 mg <1% 203 $337.32
83036 Hemoglobin; glycosylated (A1C) <1% 54 $328.87
87081 <1% 95 $282.50
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 12 $231.44
85652 <1% 43 $225.20
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 258 $183.69
80069 <1% 12 $140.70
92587 <1% 88 $137.13
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 58 $95.43
84460 <1% 12 $83.71
84478 <1% 14 $66.28
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 12 $49.38
C1889 Implantable/insertable device, not otherwise classified <1% 91 $47.05
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 95 $36.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 26 $13.34
S0020 Injection, bupivicaine hydrochloride, 30 ml 0% 26 $0.00
L3933 Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment 0% 13 $0.00
V5275 Ear impression, each 0% 13 $0.00
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 0% 39 $0.00
V5264 Ear mold/insert, not disposable, any type 0% 15 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 43 $0.00
97803 0% 34 $0.00
92579 0% 25 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 12 $0.00
V5011 Fitting/orientation/checking of hearing aid 0% 19 $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 officialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
Parent organizationCHILDREN'S HOSPITAL COLORADO
Same official

Other billing entities under MICHAEL, LINDA

Full network →
ProviderLocationPaid
Children's Hospital ColoradoAurora, CO$114.90M
Children's Hospital ColoradoColorado Springs, CO$17.82M
Children's Hospital ColoradoAurora, CO$12.85M
Children's Hospital ColoradoAurora, CO$7.38M
Children's Hospital ColoradoAurora, CO$1.76M
Children's Hospital ColoradoHighlands Ranch, CO$1.75M
Children's Hospital ColoradoBroomfield, CO$1.54M
Children's Hospital ColoradoColorado Springs, CO$1.44M
Children's Hospital ColoradoColorado Springs, CO$1.43M
Children's Hospital ColoradoColorado Springs, CO$1.09M
Children's North Surgery Center, LLCBroomfield, CO$1.04M
Children's Hospital ColoradoHighlands Ranch, CO$924K
Children's Hospital ColoradoBroomfield, CO$552K
Children's Hospital ColoradoAurora, CO$312K
Children's Hospital ColoradoWheat Ridge, CO$304K
Children's Hospital ColoradoPueblo, CO$253K
Children's Hospital ColoradoAurora, CO$212K
Children's Hospital ColoradoColorado Springs, CO$112K
Children's Hospital ColoradoColorado Springs, CO$111K
Children's Hospital ColoradoColorado Springs, CO$79K

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