Medicaid Provider Spending

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

CHILDREN'S HOSPITAL COLORADO

NPI: 1710348214 · BROOMFIELD, CO 80023 · Children's Hospital · NPI assigned 03/10/2016

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

Authorized official MICHAEL, LINDA controls 20+ related entities in our dataset. Read more

$11.38M
Total Medicaid Paid
102,094
Total Claims
92,137
Beneficiaries
102
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHAEL, LINDA (VP, CHIEF COMPLIANCE OFFICER)
Parent OrganizationCHILDREN'S HOSPITAL COLORADO
NPI Enumeration Date03/10/2016

Related Entities

Other providers sharing the same authorized official: MICHAEL, LINDA

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL COLORADO AURORA CO $114.90M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $17.82M
CHILDREN'S HOSPITAL COLORADO AURORA CO $12.85M
CHILDREN'S HOSPITAL COLORADO AURORA CO $7.38M
CHILDREN'S HOSPITAL COLORADO AURORA CO $1.76M
CHILDREN'S HOSPITAL COLORADO HIGHLANDS RANCH CO $1.75M
CHILDREN'S HOSPITAL COLORADO BROOMFIELD CO $1.54M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $1.44M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $1.43M
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $1.09M
CHILDREN'S NORTH SURGERY CENTER, LLC BROOMFIELD CO $1.04M
CHILDREN'S HOSPITAL COLORADO HIGHLANDS RANCH CO $924K
CHILDREN'S HOSPITAL COLORADO BROOMFIELD CO $552K
CHILDREN'S HOSPITAL COLORADO AURORA CO $312K
CHILDREN'S HOSPITAL COLORADO WHEAT RIDGE CO $304K
CHILDREN'S HOSPITAL COLORADO PUEBLO CO $253K
CHILDREN'S HOSPITAL COLORADO AURORA CO $212K
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $112K
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $111K
CHILDREN'S HOSPITAL COLORADO COLORADO SPRINGS CO $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 11,566 $996K
2022 30,894 $3.58M
2023 31,266 $3.57M
2024 28,368 $3.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 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) 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) 4,540 4,390 $944K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,001 4,741 $838K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,200 2,116 $662K
42820 Tonsillectomy and adenoidectomy; younger than age 12 170 162 $466K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,860 2,779 $412K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 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) 3,039 2,933 $333K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,420 1,280 $207K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 121 115 $180K
41899 Unlisted procedure, dentoalveolar structures 56 54 $148K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,578 4,447 $148K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 182 181 $132K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 236 217 $130K
99281 Emergency department visit for the evaluation and management, self-limited or minor 479 446 $121K
99284 Emergency department visit for the evaluation and management, high severity 374 355 $107K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 169 164 $89K
54161 26 25 $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 388 379 $47K
93325 316 289 $38K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 83 77 $37K
94010 410 387 $37K
42830 12 12 $32K
G0378 Hospital observation service, per hour 37 26 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 138 134 $23K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 169 156 $23K
73140 253 207 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 800 763 $19K
70360 155 147 $16K
73100 172 141 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,966 31,254 $15K
62322 13 13 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 298 286 $13K
90686 244 232 $11K
97161 27 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) 43 43 $8K
77072 93 80 $7K
J3490 Unclassified drugs 1,575 844 $7K
J0585 Injection, onabotulinumtoxina, 1 unit 13 12 $6K
76770 28 27 $6K
94060 39 37 $6K
95012 78 75 $6K
J8540 Dexamethasone, oral, 0.25 mg 177 112 $6K
73564 48 42 $5K
84436 237 227 $4K
92567 368 364 $4K
36415 Collection of venous blood by venipuncture 895 835 $4K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,253 1,192 $4K
73610 50 38 $3K
92060 224 215 $3K
93320 236 217 $3K
J2704 Injection, propofol, 10 mg 1,561 1,350 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 79 76 $3K
84443 Thyroid stimulating hormone (TSH) 278 264 $3K
92504 71 65 $3K
90656 66 66 $3K
73080 16 12 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 89 52 $2K
97760 36 33 $2K
81001 209 199 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 1,696 1,587 $2K
72082 15 14 $1K
81025 141 130 $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 388 379 $1K
92555 26 26 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,217 1,165 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 272 233 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,147 1,096 $953.65
80053 Comprehensive metabolic panel 24 24 $747.82
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 83 55 $551.22
85025 Blood count; complete (CBC), automated, and automated differential WBC count 84 78 $459.30
J1885 Injection, ketorolac tromethamine, per 15 mg 602 579 $424.42
71046 Radiologic examination, chest; 2 views 12 12 $392.00
J1170 Injection, hydromorphone, up to 4 mg 85 78 $354.99
86140 43 41 $343.60
J0690 Injection, cefazolin sodium, 500 mg 203 193 $337.32
83036 Hemoglobin; glycosylated (A1C) 54 53 $328.87
87081 95 91 $282.50
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $231.44
85652 43 41 $225.20
J8499 Prescription drug, oral, non chemotherapeutic, nos 258 247 $183.69
80069 12 12 $140.70
92587 88 86 $137.13
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 58 54 $95.43
84460 12 12 $83.71
84478 14 14 $66.28
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 12 12 $49.38
C1889 Implantable/insertable device, not otherwise classified 91 90 $47.05
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 95 92 $36.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 26 26 $13.34
S0020 Injection, bupivicaine hydrochloride, 30 ml 26 26 $0.00
L3933 Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment 13 13 $0.00
V5275 Ear impression, each 13 13 $0.00
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 39 39 $0.00
V5264 Ear mold/insert, not disposable, any type 15 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 43 38 $0.00
97803 34 29 $0.00
92579 25 22 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 12 12 $0.00
V5011 Fitting/orientation/checking of hearing aid 19 17 $0.00