Medicaid Provider Spending

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

CAREPOINT HOSPITAL MEDICINE, PLLC

NPI: 1790373546 · DENVER, CO 80218 · Physical Medicine & Rehabilitation Physician · NPI assigned 01/07/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, DEBORAH controls 20+ related entities in our dataset. Read more

$831K
Total Medicaid Paid
13,349
Total Claims
6,020
Beneficiaries
7
Codes Billed
2021-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, DEBORAH (VP/GENERAL COUNSEL)
NPI Enumeration Date01/07/2021

Related Entities

Other providers sharing the same authorized official: SMITH, DEBORAH

ProviderCityStateTotal Paid
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $22.49M
CAREPOINT EMERGENCY MEDICINE KANSAS LLC WICHITA KS $11.81M
CAREPOINT EMERGENCY MEDICINE, PLLC THORNTON CO $7.61M
CAREPOINT EMERGENCY MEDICINE, PLLC AURORA CO $6.70M
CAREPOINT HEALTH EMERGENCY MEDICINE IDAHO, PLLC CALDWELL ID $4.29M
CAREPOINT EMERGENCY MEDICINE, PLLC ENGLEWOOD CO $4.10M
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $3.53M
CAREPOINT EMERGENCY MEDICINE, PLLC DENVER CO $2.51M
CAREPOINT PEDIATRICS PLLC DENVER CO $1.87M
CAREPOINT PEDIATRICS PLLC DENVER CO $1.83M
CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $971K
CAREPOINT HOSPITAL MEDICINE, PLLC DENVER CO $939K
CAREPOINT EMERGENCY MEDICINE, PLLC LAKEWOOD CO $892K
CAREPOINT EMERGENCY MEDICINE, PLLC LONE TREE CO $729K
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $585K
CAREPOINT EMERGENCY MEDICINE, PLLC ENGLEWOOD CO $495K
CAREPOINT HOSPITAL MEDICINE KANSAS LLC WICHITA KS $372K
CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD CO $309K
CAREPOINT EMERGENCY MEDICINE, PLLC THORNTON CO $275K
NORTHERN EYE CENTER PA BRAINERD MN $250K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,470 $195K
2022 3,575 $213K
2023 4,424 $275K
2024 1,880 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 11,572 4,368 $666K
99223 Prolong inpt eval add15 m 1,126 1,036 $127K
99238 Hospital discharge day management, 30 minutes or less 285 270 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 135 127 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 159 155 $9K
99239 Hospital discharge day management, more than 30 minutes 57 52 $3K
99232 Subsequent hospital care, per day, moderate complexity 15 12 $585.65