Clinic
Portercare Adventist Health System
Portercare Adventist Health System was paid $386K by Medicaid between Jan 2020 and Dec 2024, across 20 billing codes. Its largest line is 99283, emergency room visit (moderate) — 78% of everything it billed.
33Billing provider infoPORTERCARE ADVENTIST HEALTH SYSTEM
AURORA, CO 80016
AURORA, CO 80016
33aNPI1740820356assigned 01/11/2020
33bProvider typeEmergency Care Clinic/Center
28Total paid$386K
24GClaims4,678
24DCodes billed20
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Colorado
Rank by total paid#16 of 23
Median peer was paid$1.29M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 59 | $3K | |
| 2021 | 505 | $30K | |
| 2022 | 1,649 | $128K | |
| 2023 | 1,498 | $124K | |
| 2024incomplete | 967 | $101K |
Box 24 · Service lines
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 | 78% | 2,422 | 2,291 | $299K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 10% | 260 | 246 | $40K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 4.3% | 140 | 138 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.1% | 240 | 224 | $16K |
| 96361 | Intravenous infusion, hydration; each additional hour | 3.3% | 46 | 40 | $13K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 16 | 13 | $495.78 |
| 80053 | Comprehensive metabolic panel | <1% | 201 | 193 | $469.56 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 621 | 576 | $276.86 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 134 | 125 | $247.89 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 53 | 47 | $47.89 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | 12 | $29.07 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 38 | 37 | $0.00 |
8 more codes
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 17 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 190 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 121 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 18 | $0.00 |
| 81003 | 0% | 90 | $0.00 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 29 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 12 | $0.00 |
| 87634 | 0% | 17 | $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 officialGAL, MATTHEW (CFO)
Parent organizationPORTERCARE ADVENTIST HEALTH SYSTEM
| Provider | Location | Paid |
|---|---|---|
| Portercare Adventist Health System | Parker, CO | $1.24M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.