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

Children's Hospital Colorado

Children's Hospital Colorado was paid $1.75M by Medicaid between Feb 2020 and Dec 2024, across 48 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL COLORADO
HIGHLANDS RANCH, CO 80129
33aNPI1730540238assigned 03/10/2016
33bProvider typeChildren's Hospital
28Total paid$1.75M
24GClaims24,333
24DCodes billed48
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in Colorado

Rank by total paid#3 of 13
Median peer was paid$304K
This provider vs. median5.8×

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$50K$100K2018201920202021202220232024
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
2020139$4K
20212,858$149K
20226,500$548K
20237,505$511K
2024incomplete7,331$537K
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 37% 1,841 1,742 $650K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 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) 13% 949 938 $232K
42820 Tonsillectomy and adenoidectomy; younger than age 12 5.7% 38 38 $100K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.2% 1,437 480 $73K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.6% 428 419 $63K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.6% 201 192 $63K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.7% 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) 1.7% 151 141 $29K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.3% 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 1.3% 594 571 $23K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 12 12 $17K
36 more codes
86003 <1% 318 $14K
99213 Doctor's office visit, returning patient (routine) <1% 11,452 $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) <1% 106 $13K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 29 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 285 $11K
84439 <1% 405 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 312 $7K
84443 Thyroid stimulating hormone (TSH) <1% 659 $7K
82728 <1% 155 $6K
82785 <1% 250 $6K
93325 <1% 35 $6K
64642 <1% 52 $5K
99284 Emergency room visit (serious) <1% 13 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 14 $3K
92567 <1% 411 $2K
84436 <1% 71 $1K
93320 <1% 35 $1K
36415 Collection of venous blood by venipuncture <1% 269 $1K
77072 <1% 15 $1K
J3490 Unclassified drugs <1% 301 $821.08
J2704 Injection, propofol, 10 mg <1% 211 $561.18
J3010 Injection, fentanyl citrate, 0.1 mg <1% 334 $374.82
83036 Hemoglobin; glycosylated (A1C) <1% 53 $355.36
81025 <1% 13 $172.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 158 $159.35
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 170 $134.98
36416 <1% 25 $104.90
82784 <1% 12 $94.49
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 38 $61.14
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 28 $50.54
92587 <1% 88 $38.98
J0690 Injection, cefazolin sodium, 500 mg <1% 31 $34.81
J8540 Dexamethasone, oral, 0.25 mg <1% 27 $15.16
C1889 Implantable/insertable device, not otherwise classified 0% 12 $0.00
92579 0% 52 $0.00
92582 0% 13 $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 ColoradoBroomfield, CO$11.38M
Children's Hospital ColoradoAurora, CO$7.38M
Children's Hospital ColoradoAurora, CO$1.76M
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.