Medicaid Provider Spending

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

CHILDREN'S HOSPITAL COLORADO

NPI: 1730540238 · HIGHLANDS RANCH, CO 80129 · 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

$1.75M
Total Medicaid Paid
24,333
Total Claims
22,075
Beneficiaries
48
Codes Billed
2020-02
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 BROOMFIELD CO $11.38M
CHILDREN'S HOSPITAL COLORADO AURORA CO $7.38M
CHILDREN'S HOSPITAL COLORADO AURORA CO $1.76M
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
2020 139 $4K
2021 2,858 $149K
2022 6,500 $548K
2023 7,505 $511K
2024 7,331 $537K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,841 1,742 $650K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,870 1,734 $305K
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) 949 938 $232K
42820 Tonsillectomy and adenoidectomy; younger than age 12 38 38 $100K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,437 480 $73K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 428 419 $63K
99282 Emergency department visit for the evaluation and management, low to moderate severity 201 192 $63K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 325 298 $47K
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) 151 141 $29K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 35 33 $23K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 594 571 $23K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $17K
86003 318 280 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,452 10,852 $13K
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) 106 106 $13K
J0585 Injection, onabotulinumtoxina, 1 unit 29 26 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 285 274 $11K
84439 405 375 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 312 306 $7K
84443 Thyroid stimulating hormone (TSH) 659 626 $7K
82728 155 148 $6K
82785 250 237 $6K
93325 35 33 $6K
64642 52 49 $5K
99284 Emergency department visit for the evaluation and management, high severity 13 13 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 13 $3K
92567 411 388 $2K
84436 71 67 $1K
93320 35 33 $1K
36415 Collection of venous blood by venipuncture 269 251 $1K
77072 15 13 $1K
J3490 Unclassified drugs 301 209 $821.08
J2704 Injection, propofol, 10 mg 211 189 $561.18
J3010 Injection, fentanyl citrate, 0.1 mg 334 321 $374.82
83036 Hemoglobin; glycosylated (A1C) 53 52 $355.36
81025 13 12 $172.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 158 147 $159.35
J2405 Injection, ondansetron hydrochloride, per 1 mg 170 159 $134.98
36416 25 25 $104.90
82784 12 12 $94.49
J1885 Injection, ketorolac tromethamine, per 15 mg 38 38 $61.14
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 28 28 $50.54
92587 88 78 $38.98
J0690 Injection, cefazolin sodium, 500 mg 31 27 $34.81
J8540 Dexamethasone, oral, 0.25 mg 27 18 $15.16
C1889 Implantable/insertable device, not otherwise classified 12 12 $0.00
92579 52 47 $0.00
92582 13 13 $0.00