Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

DENVER HEALTH AND HOSPITAL AUTHORITY

Clinic/Center, Federally Qualified Health Center (FQHC)·DENVER, CO·NPI: 1285675371Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.2M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.2M

$28,229,248

Total Claims

335K

Beneficiaries

292K

1.1 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+5%
2019
$4.1M
-31%
2020
$2.8M
+3%
2021
$2.9M
+59%
2022
$4.6M
+33%
2023
$6.1M
-38%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 42% of total spending.

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$11.9M

85K claims · 42.1%

Your Cost: $139.59/claim|Median: $37.81
3.7× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$4.9M

35K claims · 17.2%

Your Cost: $140.46/claim|Median: $53.41
2.6× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$2.1M

9,242 claims · 7.5%

Your Cost: $228.44/claim|Median: $101.33
2.3× median
96110Top 1%

Developmental screening, per standardized instrument

$1.8M

9,289 claims · 6.3%

Your Cost: $190.79/claim|Median: $9.10
21.0× median
99212Top 5%

Office/outpatient visit, low complexity

$1.6M

11K claims · 5.8%

Your Cost: $145.94/claim|Median: $25.06
5.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.2M

8,693 claims · 4.1%

Your Cost: $134.62/claim|Median: $74.82
1.8× median
H0025Top 25%

Behavioral health prevention education, per session

$1.0M

6,972 claims · 3.6%

Your Cost: $145.26/claim|Median: $36.25
4.0× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$755K

6,478 claims · 2.7%

Your Cost: $116.57/claim|Median: $69.35
1.7× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$592K

4,344 claims · 2.1%

Your Cost: $136.23/claim|Median: $80.15
1.7× median
90832Top 10%

Psychotherapy, 30 minutes

$489K

5,317 claims · 1.7%

Your Cost: $91.99/claim|Median: $41.28
2.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$431K

9,528 claims · 1.5%

Your Cost: $45.20/claim|Median: $75.18
0.6× median
G0467Normal range

Federally qualified health center visit, mental health

$219K

16K claims · 0.8%

Your Cost: $13.91/claim|Median: $21.91
0.6× median
H0002Top 5%

Behavioral health screening

$109K

599 claims · 0.4%

Your Cost: $181.18/claim|Median: $38.77
4.7× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$82K

2,012 claims · 0.3%

Your Cost: $40.90/claim|Median: $33.85
1.2× median
D1206Normal range

Topical application of fluoride varnish

$68K

2,913 claims · 0.2%

Your Cost: $23.33/claim|Median: $18.12
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$68K

770 claims · 0.2%

Your Cost: $88.05/claim|Median: $57.39
1.5× median
D1120Normal range

Prophylaxis, adult

$64K

1,725 claims · 0.2%

Your Cost: $37.39/claim|Median: $33.86
1.1× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$62K

1,733 claims · 0.2%

Your Cost: $35.92/claim|Median: $25.93
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$59K

2,096 claims · 0.2%

Your Cost: $27.93/claim|Median: $24.34
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$55K

1,297 claims · 0.2%

Your Cost: $42.55/claim|Median: $32.07
1.3× median
90480Normal range

$50K

1,510 claims · 0.2%

Your Cost: $32.84/claim|Median: $25.29
1.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$45K

993 claims · 0.2%

Your Cost: $45.10/claim|Median: $36.70
1.2× median
D0330Normal range

Panoramic radiographic image

$42K

928 claims · 0.2%

Your Cost: $45.71/claim|Median: $37.36
1.2× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$42K

962 claims · 0.1%

Your Cost: $43.88/claim|Median: $33.72
1.3× median
0064ANormal range

$41K

1,303 claims · 0.1%

Your Cost: $31.64/claim|Median: $34.17
0.9× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$40K

2,625 claims · 0.1%

Your Cost: $15.22/claim|Median: $10.51
1.4× median
0124ATop 25%

$37K

689 claims · 0.1%

Your Cost: $53.08/claim|Median: $34.32
1.5× median
D0140Top 25%

Limited oral evaluation, problem focused

$33K

889 claims · 0.1%

Your Cost: $37.02/claim|Median: $27.07
1.4× median
0071ANormal range

$29K

716 claims · 0.1%

Your Cost: $40.04/claim|Median: $38.71
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$29K

615 claims · 0.1%

Your Cost: $46.39/claim|Median: $43.38
1.1× median
91322Normal range

$23K

744 claims · 0.1%

Your Cost: $31.08/claim|Median: $76.28
0.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$23K

1,837 claims · 0.1%

Your Cost: $12.57/claim|Median: $7.33
1.7× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$22K

257 claims · 0.1%

Your Cost: $83.90/claim|Median: $66.00
1.3× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$21K

200 claims · 0.1%

Your Cost: $105.59/claim|Median: $57.85
1.8× median
0072ATop 10%

$20K

334 claims · 0.1%

Your Cost: $59.12/claim|Median: $39.57
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$19K

622 claims · 0.1%

Your Cost: $31.15/claim|Median: $57.30
0.5× median
D0274Top 25%

Bitewings, four radiographic images

$19K

596 claims · 0.1%

Your Cost: $32.47/claim|Median: $22.54
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$18K

867 claims · 0.1%

Your Cost: $21.19/claim|Median: $15.81
1.3× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$18K

242 claims · 0.1%

Your Cost: $74.55/claim|Median: $52.77
1.4× median
90847Top 25%

Family psychotherapy with patient, 50 min

$11K

88 claims · 0.0%

Your Cost: $126.37/claim|Median: $77.33
1.6× median
D9310Top 5%

$11K

95 claims · 0.0%

Your Cost: $115.79/claim|Median: $46.20
2.5× median
36415Normal range

Collection of venous blood by venipuncture

$10K

33K claims · 0.0%

Your Cost: $0.31/claim|Median: $1.57
0.2× median
99173Top 1%

$10K

158 claims · 0.0%

Your Cost: $62.93/claim|Median: $2.16
29.1× median
99215Top 10%

Office/outpatient visit, high complexity

$10K

62 claims · 0.0%

Your Cost: $160.19/claim|Median: $74.09
2.2× median
D0190Top 25%

$10K

546 claims · 0.0%

Your Cost: $17.62/claim|Median: $12.78
1.4× median
D0210Top 1%

Intraoral, complete series of radiographic images

$10K

81 claims · 0.0%

Your Cost: $117.87/claim|Median: $46.33
2.5× median
0004ANormal range

$8K

307 claims · 0.0%

Your Cost: $26.56/claim|Median: $35.62
0.7× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$7K

98 claims · 0.0%

Your Cost: $75.09/claim|Median: $29.03
2.6× median
0054ANormal range

$7K

228 claims · 0.0%

Your Cost: $30.43/claim|Median: $35.83
0.8× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$7K

38 claims · 0.0%

Your Cost: $178.30/claim|Median: $84.03
2.1× median

Other Top Providers in Colorado

View all →

Modivcare Solutions, LLC

Transportation Broker

$3.09B

Personal Assistance Services of Colorado LLC

In Home Supportive Care

$262.4M

A Physicians Home Care

In Home Supportive Care

$247.9M

Teamselect Home Care of Colorado LLC

Home Health

$195.3M

University Physicians Incorporated

Anesthesiology

$190.7M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in Colorado →How we detect fraud →