Clinic
Denver Health and Hospital Authority
Denver Health and Hospital Authority was paid $68.44M by Medicaid between Jan 2018 and Dec 2024, across 117 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoDENVER HEALTH AND HOSPITAL AUTHORITY
DENVER, CO 80204
DENVER, CO 80204
33aNPI1922049014assigned 06/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$68.44M
24GClaims743,331
24DCodes billed117
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#1 of 197
Median peer was paid$1.11M
This provider vs. median62×
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 AUDAIN, APRIL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 71,692 | $9.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 255,004 | 210,507 | $35.39M |
| 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 | 16% | 88,349 | 72,016 | $10.97M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.3% | 22,952 | 20,643 | $4.33M |
| D0999 | Unspecified diagnostic procedure, by report | 4.8% | 14,438 | 11,573 | $3.29M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 21,365 | 18,827 | $2.56M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 20,640 | 16,088 | $2.37M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 10,312 | 8,796 | $1.63M |
| 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% | 5,604 | 4,639 | $763K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 8,431 | 5,995 | $726K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 5,380 | 4,656 | $712K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 5,003 | 2,746 | $682K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,630 | 3,053 | $609K |
105 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 18,345 | $544K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 3,105 | $528K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,040 | $291K |
| G0467 | Community health center visit, returning patient | <1% | 25,238 | $285K |
| 59025 | Fetal non-stress test | <1% | 1,931 | $280K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,160 | $274K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,364 | $185K |
| 11102 | <1% | 1,462 | $171K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,606 | $150K |
| D0330 | Panoramic radiographic image | <1% | 2,029 | $129K |
| 0001A | <1% | 2,619 | $108K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 660 | $108K |
| 0002A | <1% | 2,146 | $97K | |
| 90480 | <1% | 2,366 | $80K | |
| D1206 | Topical application of fluoride varnish | <1% | 3,230 | $67K |
| 0071A | <1% | 1,425 | $63K | |
| 0072A | <1% | 987 | $60K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 409 | $49K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,749 | $46K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 4,337 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 861 | $45K |
| D0190 | <1% | 2,652 | $44K | |
| D1351 | Sealant - per tooth | <1% | 1,618 | $42K |
| D1110 | Prophylaxis - adult | <1% | 753 | $41K |
| 0011A | <1% | 1,362 | $41K | |
| 0004A | <1% | 1,658 | $37K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 282 | $36K |
| D1120 | Dental cleaning, child | <1% | 768 | $35K |
| 0012A | <1% | 958 | $33K | |
| 0124A | <1% | 626 | $33K | |
| D0274 | Bitewings - four radiographic images | <1% | 858 | $31K |
| 64566 | <1% | 239 | $28K | |
| 91322 | <1% | 910 | $28K | |
| 11100 | <1% | 148 | $28K | |
| D0120 | Dental checkup, returning patient | <1% | 888 | $27K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,545 | $26K |
| 99381 | <1% | 118 | $24K | |
| 17000 | <1% | 282 | $23K | |
| 0031A | <1% | 359 | $18K | |
| 17110 | <1% | 196 | $17K | |
| 0054A | <1% | 666 | $16K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,193 | $16K |
| 11900 | <1% | 132 | $16K | |
| 20610 | <1% | 55 | $11K | |
| 99383 | <1% | 72 | $11K | |
| D4910 | <1% | 135 | $11K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 100 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 62,416 | $10K |
| 0003A | <1% | 212 | $8K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 54 | $7K |
| 0064A | <1% | 270 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 56,746 | $6K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 35 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 220 | $6K |
| 10005 | <1% | 29 | $6K | |
| D4342 | <1% | 146 | $6K | |
| 0052A | <1% | 127 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 20 | $5K |
| D0270 | <1% | 259 | $4K | |
| D0170 | <1% | 99 | $4K | |
| 0111A | <1% | 59 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28,007 | $3K |
| H0001 | Alcohol and/or drug assessment | <1% | 12 | $3K |
| 0073A | <1% | 45 | $3K | |
| 0112A | <1% | 45 | $3K | |
| 0013A | <1% | 61 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 16 | $2K |
| 0051A | <1% | 57 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 48 | $2K |
| 0154A | <1% | 25 | $2K | |
| 36416 | <1% | 2,921 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 29 | $1K |
| 91321 | <1% | 462 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 30 | $1K |
| 0034A | <1% | 29 | $1K | |
| 99401 | <1% | 69 | $961.48 | |
| D9222 | <1% | 14 | $811.20 | |
| 99442 | <1% | 2,160 | $766.94 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 737 | $480.20 |
| 90686 | <1% | 1,627 | $447.56 | |
| 17003 | <1% | 109 | $238.85 | |
| 99441 | <1% | 955 | $230.82 | |
| 90677 | <1% | 30 | $216.24 | |
| 90474 | <1% | 6,105 | $171.18 | |
| D9310 | <1% | 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% | 1,464 | $27.70 |
| 81025 | <1% | 1,230 | $15.50 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,708 | $0.04 |
| 90688 | 0% | 4,342 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 430 | $0.00 |
| 90656 | 0% | 136 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 328 | $0.00 |
| 90694 | 0% | 43 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 465 | $0.00 |
| 90674 | 0% | 41 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 14 | $0.00 |
| 90378 | 0% | 38 | $0.00 | |
| D0240 | 0% | 13 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 137 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 505 | $0.00 |
| 90715 | 0% | 90 | $0.00 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 20 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 79 | $0.00 |
| 90750 | 0% | 127 | $0.00 | |
| 90662 | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialAUDAIN, APRIL (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.