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

Carepoint Hospital Medicine, PLLC

Carepoint Hospital Medicine, PLLC was paid $831K by Medicaid between May 2021 and Nov 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 80% of everything it billed.

33Billing provider infoCAREPOINT HOSPITAL MEDICINE, PLLC
DENVER, CO 80218
33aNPI1790373546assigned 01/07/2021
28Total paid$831K
24GClaims13,349
24DCodes billed7
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Colorado

Rank by total paid#5 of 54
Median peer was paid$61K
This provider vs. median14×

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 SMITH, DEBORAH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20213,470$195K
20223,575$213K
20234,424$275K
2024incomplete1,880$148K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 80% 11,572 4,368 $666K
99223 Prolong inpt eval add15 m 15% 1,126 1,036 $127K
99238 Hospital discharge day management, 30 minutes or less 1.6% 285 270 $13K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 135 127 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 159 155 $9K
99239 Hospital discharge day management, more than 30 minutes <1% 57 52 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 15 12 $585.65

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, DEBORAH (VP/GENERAL COUNSEL)
Same official

Other billing entities under SMITH, DEBORAH

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.