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.
HIGHLANDS RANCH, CO 80129
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 | |
|---|---|---|---|
| 2020 | 139 | $4K | |
| 2021 | 2,858 | $149K | |
| 2022 | 6,500 | $548K | |
| 2023 | 7,505 | $511K | |
| 2024incomplete | 7,331 | $537K |
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 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.