Physician
Saint Joseph Hospital, INC
Saint Joseph Hospital, INC was paid $1.54M by Medicaid between Jan 2018 and Dec 2023, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoSAINT JOSEPH HOSPITAL, INC
DENVER, CO 80218
DENVER, CO 80218
33aNPI1740220458assigned 06/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.54M
24GClaims30,055
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#33 of 532
Median peer was paid$35K
This provider vs. median44×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,901 | $344K | |
| 2019 | 5,859 | $322K | |
| 2020 | 4,412 | $243K | |
| 2021 | 5,714 | $336K | |
| 2022 | 4,918 | $291K | |
| 2023 | 251 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 56% | 11,747 | 10,372 | $858K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 9,747 | 8,765 | $512K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 1,034 | 878 | $30K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 247 | 230 | $28K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 581 | 191 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,039 | 957 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 471 | 386 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 167 | 152 | $13K |
| 90686 | <1% | 1,445 | 1,350 | $12K | |
| 97803 | <1% | 310 | 307 | $11K | |
| 96127 | <1% | 2,349 | 2,138 | $7K | |
| 97802 | <1% | 123 | 120 | $4K |
18 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 63 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 81 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 34 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 90 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 36 | $810.68 |
| 98926 | <1% | 34 | $562.89 | |
| 90688 | <1% | 45 | $370.04 | |
| 11721 | <1% | 14 | $133.48 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 19 | $68.94 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 19 | $43.72 |
| 90461 | <1% | 100 | $39.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $4.24 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 52 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 80 | $0.00 |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 0% | 68 | $0.00 |
| 98960 | 0% | 15 | $0.00 | |
| 90670 | 0% | 14 | $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 officialSMITH, JAMESON (PRESIDENT & CEO)
Parent organizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC
| Provider | Location | Paid |
|---|---|---|
| Saint Joseph Hospital INC | Denver, CO | $337K |
| Saint Joseph Hospital, INC | Broomfield, CO | $268K |
| Saint Joseph Hospital INC | Denver, CO | $54K |
| Saint Joseph Hospital INC | Denver, CO | $16K |
| Saint Joseph Hospital INC | Denver, CO | $3K |
| Saint Joseph Hospital INC | Denver, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.