Medicaid Provider Spending

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

DENVER HEALTH AND HOSPITAL AUTHORITY

NPI: 1801837810 · DENVER, CO 80204 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2006

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

Authorized official AUDAIN, APRIL controls 20+ related entities in our dataset. Read more

$40.33M
Total Medicaid Paid
520,538
Total Claims
418,971
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAUDAIN, APRIL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: AUDAIN, APRIL

ProviderCityStateTotal Paid
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $94.83M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $77.00M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $68.44M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $29.44M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $28.23M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $25.45M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $17.32M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $15.23M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $11.96M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $11.05M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $9.50M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $9.08M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $8.29M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $8.14M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $7.84M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $6.85M
DENVER HEALTH AND HOSPITAL AUTHORITY DENVER CO $3.27M
DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO $1.17M
DENVER HEALTH & HOSPTIAL AUTHORITY DENVER CO $1.05M
DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,446 $3.90M
2019 102,082 $5.17M
2020 93,644 $4.60M
2021 82,871 $4.41M
2022 72,518 $6.77M
2023 79,646 $9.61M
2024 50,331 $5.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 130,727 103,392 $18.18M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36,584 29,678 $4.25M
96110 Developmental screening, with scoring and documentation, per standardized instrument 24,228 21,174 $4.14M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 20,158 16,715 $2.63M
D0999 Unspecified diagnostic procedure, by report 9,129 6,813 $2.08M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,543 15,406 $1.93M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13,512 11,171 $1.82M
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 11,186 5,534 $1.47M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,521 7,845 $1.39M
90832 Psychotherapy, 30 minutes with patient 4,027 2,701 $330K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19,149 16,340 $303K
90480 3,364 2,270 $111K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 13,795 9,833 $105K
0002A 1,926 1,910 $93K
0012A 2,263 2,222 $87K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 609 365 $80K
D1120 Prophylaxis - child 2,069 1,731 $78K
0124A 1,405 1,275 $77K
0001A 1,678 1,659 $76K
D0120 Periodic oral evaluation - established patient 2,679 2,273 $75K
0011A 2,183 2,148 $73K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 527 283 $73K
D2391 Resin-based composite - one surface, posterior, primary or permanent 827 451 $72K
D1206 Topical application of fluoride varnish 3,059 2,579 $69K
D0145 Oral evaluation for a patient under three years of age 5,080 4,343 $67K
0071A 1,400 975 $59K
0072A 935 928 $57K
D0150 Comprehensive oral evaluation - new or established patient 1,289 1,122 $50K
D0220 Intraoral - periapical first radiographic image 3,342 2,834 $50K
99215 Prolong outpt/office vis 396 328 $49K
D1110 Prophylaxis - adult 657 570 $38K
D0272 Bitewings - two radiographic images 1,436 1,184 $37K
D0230 Intraoral - periapical each additional radiographic image 2,655 2,264 $33K
91322 689 626 $30K
D7140 Extraction, erupted tooth or exposed root 288 187 $27K
D0274 Bitewings - four radiographic images 497 402 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 85 80 $20K
0054A 567 363 $20K
D0140 Limited oral evaluation - problem focused 576 516 $16K
D1351 Sealant - per tooth 302 70 $15K
0064A 560 401 $15K
0154A 211 202 $12K
36415 Collection of venous blood by venipuncture 46,609 37,699 $12K
D9310 156 111 $12K
0004A 397 262 $10K
0052A 168 157 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 44 40 $9K
D0330 Panoramic radiographic image 59 43 $7K
0073A 87 85 $5K
H0031 Mental health assessment, by non-physician 38 27 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,571 513 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 66,968 56,335 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 55 26 $3K
57456 17 12 $3K
0111A 48 48 $3K
99383 23 22 $3K
0051A 49 40 $2K
90472 Immunization administration, each additional vaccine (list separately) 29,577 25,081 $2K
99384 12 12 $2K
D9219 27 27 $2K
11982 15 14 $2K
0112A 25 25 $2K
90677 163 140 $1K
91321 619 616 $1K
0082A 25 20 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43 40 $920.16
0081A 22 12 $741.24
90834 Psychotherapy, 45 minutes with patient 20 13 $483.00
36416 704 502 $464.74
99441 610 499 $71.26
90662 169 129 $36.80
90688 5,444 3,914 $36.00
90474 3,543 2,868 $32.50
81002 1,792 1,128 $31.30
81025 881 639 $23.25
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,413 2,296 $0.08
90686 1,012 935 $0.00
G0008 Administration of influenza virus vaccine 675 405 $0.00
90674 96 90 $0.00
90656 122 115 $0.00
90694 18 14 $0.00
99442 874 669 $0.00
90750 179 132 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 41 38 $0.00