Catholic Health Initiatives Colorado
Catholic Health Initiatives Colorado was paid $3.48M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
COLORADO SPRINGS, CO 80909
Next to other Internal Medicine Physician 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 | |
|---|---|---|---|
| 2018 | 35,130 | $1.13M | |
| 2019 | 24,731 | $1.11M | |
| 2020 | 17,677 | $897K | |
| 2021 | 1,587 | $105K | |
| 2022 | 1,706 | $100K | |
| 2023 | 1,747 | $96K | |
| 2024incomplete | 1,147 | $44K |
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 | 55% | 31,190 | 24,557 | $1.90M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 24,759 | 18,236 | $997K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 4,529 | 3,518 | $151K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,547 | 1,343 | $124K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 976 | 915 | $85K |
| 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 | 1.3% | 371 | 331 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 3,414 | 2,309 | $42K |
| 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% | 485 | 319 | $29K |
| 90686 | <1% | 3,732 | 2,902 | $26K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 124 | 107 | $10K |
| 99381 | <1% | 74 | 69 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 482 | 458 | $7K |
44 more codes
| 93793 | <1% | 486 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 202 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 451 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 68 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,991 | $4K |
| 90670 | <1% | 895 | $4K | |
| 90688 | <1% | 274 | $3K | |
| 90732 | <1% | 103 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 321 | $2K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 36 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 261 | $1K |
| 90461 | <1% | 1,965 | $1K | |
| 90723 | <1% | 654 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 122 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 21 | $1K |
| 90715 | <1% | 78 | $1K | |
| 98926 | <1% | 145 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 257 | $972.25 |
| 85610 | <1% | 461 | $964.29 | |
| 90680 | <1% | 353 | $909.64 | |
| 90648 | <1% | 828 | $423.50 | |
| 36416 | <1% | 87 | $404.14 | |
| 73630 | <1% | 76 | $245.87 | |
| 90633 | <1% | 140 | $237.29 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $215.04 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $190.23 |
| 83655 | <1% | 15 | $156.51 | |
| 98925 | <1% | 40 | $152.46 | |
| 90681 | <1% | 94 | $144.99 | |
| 90685 | <1% | 76 | $133.86 | |
| 85018 | <1% | 54 | $132.68 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 152 | $65.29 |
| 90700 | <1% | 14 | $37.58 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 23 | $35.10 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $32.58 |
| 82962 | <1% | 18 | $7.11 | |
| 96160 | <1% | 27 | $4.18 | |
| 0502F | 0% | 413 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 3008F | 0% | 685 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 19 | $0.00 |
| 4050F | 0% | 62 | $0.00 | |
| 90716 | 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.