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.
BROOMFIELD, CO 80023
Next to other Children's Hospital providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 11,566 | $996K | |
| 2022 | 30,894 | $3.58M | |
| 2023 | 31,266 | $3.57M | |
| 2024incomplete | 28,368 | $3.24M |
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 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.