Medicaid Provider Spending

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

DENVER HEALTH AND HOSPITAL AUTHORITY

NPI: 1922049014 · 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

$68.44M
Total Medicaid Paid
743,331
Total Claims
611,790
Beneficiaries
117
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 $40.33M
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 71,699 $8.42M
2019 146,848 $10.08M
2020 124,128 $7.18M
2021 114,528 $7.11M
2022 100,746 $10.70M
2023 113,690 $15.50M
2024 71,692 $9.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 255,004 210,507 $35.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 88,349 72,016 $10.97M
96110 Developmental screening, with scoring and documentation, per standardized instrument 22,952 20,643 $4.33M
D0999 Unspecified diagnostic procedure, by report 14,438 11,573 $3.29M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,365 18,827 $2.56M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20,640 16,088 $2.37M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,312 8,796 $1.63M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,604 4,639 $763K
90832 Psychotherapy, 30 minutes with patient 8,431 5,995 $726K
99215 Prolong outpt/office vis 5,380 4,656 $712K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 5,003 2,746 $682K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,630 3,053 $609K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18,345 16,074 $544K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 3,105 1,868 $528K
D7140 Extraction, erupted tooth or exposed root 3,040 1,272 $291K
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 25,238 18,922 $285K
59025 Fetal non-stress test 1,931 1,218 $280K
90834 Psychotherapy, 45 minutes with patient 3,160 1,092 $274K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,364 1,251 $185K
11102 1,462 1,236 $171K
D0140 Limited oral evaluation - problem focused 3,606 3,076 $150K
D0330 Panoramic radiographic image 2,029 1,649 $129K
0001A 2,619 2,530 $108K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 660 581 $108K
0002A 2,146 2,107 $97K
90480 2,366 1,763 $80K
D1206 Topical application of fluoride varnish 3,230 2,904 $67K
0071A 1,425 1,049 $63K
0072A 987 972 $60K
D2391 Resin-based composite - one surface, posterior, primary or permanent 409 199 $49K
D0220 Intraoral - periapical first radiographic image 2,749 2,250 $46K
D0145 Oral evaluation for a patient under three years of age 4,337 3,973 $45K
D0150 Comprehensive oral evaluation - new or established patient 861 719 $45K
D0190 2,652 2,474 $44K
D1351 Sealant - per tooth 1,618 587 $42K
D1110 Prophylaxis - adult 753 664 $41K
0011A 1,362 1,324 $41K
0004A 1,658 952 $37K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 282 186 $36K
D1120 Prophylaxis - child 768 606 $35K
0012A 958 918 $33K
0124A 626 545 $33K
D0274 Bitewings - four radiographic images 858 727 $31K
64566 239 157 $28K
91322 910 817 $28K
11100 148 144 $28K
D0120 Periodic oral evaluation - established patient 888 720 $27K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,545 1,524 $26K
99381 118 110 $24K
17000 282 248 $23K
0031A 359 346 $18K
17110 196 160 $17K
0054A 666 352 $16K
D0230 Intraoral - periapical each additional radiographic image 1,193 985 $16K
11900 132 119 $16K
20610 55 51 $11K
99383 72 69 $11K
D4910 135 122 $11K
D7240 Removal of impacted tooth - completely bony 100 39 $11K
36415 Collection of venous blood by venipuncture 62,416 52,012 $10K
0003A 212 206 $8K
90847 Family psychotherapy with the patient present, 50 minutes 54 47 $7K
0064A 270 162 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56,746 48,781 $6K
90846 Family psychotherapy without the patient present, 50 minutes 35 32 $6K
D0272 Bitewings - two radiographic images 220 167 $6K
10005 29 29 $6K
D4342 146 61 $6K
0052A 127 77 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 20 12 $5K
D0270 259 221 $4K
D0170 99 98 $4K
0111A 59 53 $3K
90472 Immunization administration, each additional vaccine (list separately) 28,007 24,467 $3K
H0001 Alcohol and/or drug assessment 12 12 $3K
0073A 45 45 $3K
0112A 45 42 $3K
0013A 61 61 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 16 12 $2K
0051A 57 33 $2K
D1208 Topical application of fluoride, excluding varnish 48 24 $2K
0154A 25 23 $2K
36416 2,921 2,226 $1K
99205 Prolong outpt/office vis 29 17 $1K
91321 462 461 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 30 26 $1K
0034A 29 28 $1K
99401 69 65 $961.48
D9222 14 14 $811.20
99442 2,160 1,846 $766.94
95004 Percutaneous tests with allergenic extracts, immediate type reaction 737 677 $480.20
90686 1,627 1,477 $447.56
17003 109 94 $238.85
99441 955 789 $230.82
90677 30 26 $216.24
90474 6,105 5,259 $171.18
D9310 60 60 $120.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,464 1,231 $27.70
81025 1,230 1,188 $15.50
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,708 3,555 $0.04
90688 4,342 3,059 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 430 319 $0.00
90656 136 132 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 328 242 $0.00
90694 43 39 $0.00
G0008 Administration of influenza virus vaccine 465 286 $0.00
90674 41 40 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 14 $0.00
90378 38 37 $0.00
D0240 13 13 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 137 80 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 505 373 $0.00
90715 90 64 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 20 12 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 79 77 $0.00
90750 127 78 $0.00
90662 26 19 $0.00