Kaiser Foundation Health Plan of Colorado

Kaiser Foundation Health Plan of Colorado was paid $12K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 91% of everything it billed.

33Billing provider infoKAISER FOUNDATION HEALTH PLAN OF COLORADO
WESTMINSTER, CO 80003

33aNPI1982779245assigned 11/22/2006

33bProvider typePharmacy

28Total paid$12K

24GClaims648

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pharmacy providers in Colorado

Rank by total paid#44 of 86

Median peer was paid$12K

This provider vs. median1.0×

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 CLARK, DENESE controls 12+ 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	232	$6K
2019	87	$1K
2020	26	$316.50
2021	13	$129.12
2022	55	$764.18
2023	42	$302.35
2024incomplete	193	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	91%	548	521	$11K
S8490	Insulin syringes (100 syringes, any size)	3.9%	29	28	$464.29
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	3.1%	13	13	$369.45
A4259	Lancets, per box of 100	2.4%	45	45	$283.12
A4215	Needle, sterile, any size, each	<1%	13	12	$7.26

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 officialCLARK, DENESE (REGIONAL ADMINISTRATOR)

Parent organizationKAISER FOUNDATION HEALTH PLAN OF COLORADO

Same official

Other billing entities under CLARK, DENESE

Full network →

Provider	Location	Paid
Kaiser Foundation Health Plan of Colorado	Aurora, CO	$46K
Kaiser Permanente Foundation Healthplan of Colorado	Lakewood, CO	$45K
Kaiser Foundation Health Plan of Colorado	Westminster, CO	$42K
Kaiser Foundation Health Plan of Colorado	Denver, CO	$18K
Kaiser Foundation Health Plan of Colorado	Denver, CO	$7K
Kaiser Foundation Health Plan of Colorado	Aurora, CO	$4K
Kaiser Foundation Health Plan of Colorado	Englewood, CO	$2K
Kaiser Foundation Health Plan of Colorado	Wheat Ridge, CO	$964.35
Kaiser Foundation Health Plan of Colorado	Brighton, CO	$530.83
Kaiser Permanente Health Plan of Colorado	Pueblo, CO	$318.72
Kaiser Foundation Health Plan of Colorado	Lafayette, CO	$245.82
Kaiser Foundation Health Plan of Colorado	Longmont, CO	$221.96

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