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DENVER HEALTH AND HOSPITAL AUTHORITY

Clinic/Center, Federally Qualified Health Center (FQHC)·DENVER, CO·NPI: 1801837810Share

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 $40.3M 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

$40.3M

$40,327,563

Total Claims

521K

Beneficiaries

419K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+33%
2019
$5.2M
-11%
2020
$4.6M
-4%
2021
$4.4M
+54%
2022
$6.8M
+42%
2023
$9.6M
-39%
2024
$5.9M

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 45% of total spending.

99213Top 5%

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

$18.2M

131K claims · 45.1%

Your Cost: $139.09/claim|Median: $37.81
3.7× median
99214Top 10%

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

$4.3M

37K claims · 10.5%

Your Cost: $116.24/claim|Median: $53.41
2.2× median
96110Top 1%

Developmental screening, per standardized instrument

$4.1M

24K claims · 10.3%

Your Cost: $170.95/claim|Median: $9.10
18.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$2.6M

20K claims · 6.5%

Your Cost: $130.34/claim|Median: $74.82
1.7× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$2.1M

9,129 claims · 5.2%

Your Cost: $228.09/claim|Median: $101.33
2.3× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.9M

19K claims · 4.8%

Your Cost: $103.97/claim|Median: $69.35
1.5× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$1.8M

14K claims · 4.5%

Your Cost: $134.91/claim|Median: $80.15
1.7× median
H0025Top 25%

Behavioral health prevention education, per session

$1.5M

11K claims · 3.7%

Your Cost: $131.74/claim|Median: $36.25
3.6× median
99212Top 5%

Office/outpatient visit, low complexity

$1.4M

11K claims · 3.4%

Your Cost: $131.69/claim|Median: $25.06
5.3× median
90832Top 25%

Psychotherapy, 30 minutes

$330K

4,027 claims · 0.8%

Your Cost: $82.06/claim|Median: $41.28
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$303K

19K claims · 0.8%

Your Cost: $15.82/claim|Median: $75.18
0.2× median
90480Normal range

$111K

3,364 claims · 0.3%

Your Cost: $32.87/claim|Median: $25.29
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$105K

14K claims · 0.3%

Your Cost: $7.59/claim|Median: $21.91
0.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$93K

1,926 claims · 0.2%

Your Cost: $48.22/claim|Median: $36.70
1.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$87K

2,263 claims · 0.2%

Your Cost: $38.63/claim|Median: $33.85
1.1× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$80K

609 claims · 0.2%

Your Cost: $131.83/claim|Median: $71.00
1.9× median
D1120Normal range

Prophylaxis, adult

$78K

2,069 claims · 0.2%

Your Cost: $37.49/claim|Median: $33.86
1.1× median
0124ATop 10%

$77K

1,405 claims · 0.2%

Your Cost: $54.86/claim|Median: $34.32
1.6× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$76K

1,678 claims · 0.2%

Your Cost: $45.14/claim|Median: $33.72
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$75K

2,679 claims · 0.2%

Your Cost: $28.18/claim|Median: $24.34
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$73K

2,183 claims · 0.2%

Your Cost: $33.26/claim|Median: $25.93
1.3× median
H0002Top 25%

Behavioral health screening

$73K

527 claims · 0.2%

Your Cost: $137.67/claim|Median: $38.77
3.6× median
D2391Top 25%

Resin-based composite, one surface, posterior

$72K

827 claims · 0.2%

Your Cost: $87.63/claim|Median: $54.60
1.6× median
D1206Normal range

Topical application of fluoride varnish

$69K

3,059 claims · 0.2%

Your Cost: $22.63/claim|Median: $18.12
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$67K

5,080 claims · 0.2%

Your Cost: $13.24/claim|Median: $57.30
0.2× median
0071ATop 25%

$59K

1,400 claims · 0.1%

Your Cost: $42.10/claim|Median: $38.71
1.1× median
0072ATop 10%

$57K

935 claims · 0.1%

Your Cost: $60.78/claim|Median: $39.57
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$50K

1,289 claims · 0.1%

Your Cost: $38.87/claim|Median: $32.07
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$50K

3,342 claims · 0.1%

Your Cost: $14.97/claim|Median: $10.51
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$49K

396 claims · 0.1%

Your Cost: $123.52/claim|Median: $74.09
1.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$38K

657 claims · 0.1%

Your Cost: $58.25/claim|Median: $43.38
1.3× median
D0272Top 10%

Bitewings, two radiographic images

$37K

1,436 claims · 0.1%

Your Cost: $25.52/claim|Median: $15.81
1.6× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$33K

2,655 claims · 0.1%

Your Cost: $12.40/claim|Median: $7.33
1.7× median
91322Normal range

$30K

689 claims · 0.1%

Your Cost: $42.88/claim|Median: $76.28
0.6× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$27K

288 claims · 0.1%

Your Cost: $92.14/claim|Median: $57.39
1.6× median
D0274Top 5%

Bitewings, four radiographic images

$24K

497 claims · 0.1%

Your Cost: $49.07/claim|Median: $22.54
2.2× median
99203Top 1%

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

$20K

85 claims · 0.0%

Your Cost: $236.34/claim|Median: $57.85
4.1× median
0054ANormal range

$20K

567 claims · 0.0%

Your Cost: $34.68/claim|Median: $35.83
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$16K

576 claims · 0.0%

Your Cost: $27.68/claim|Median: $27.07
1.0× median
D1351Top 10%

Sealant, per tooth

$15K

302 claims · 0.0%

Your Cost: $48.59/claim|Median: $26.10
1.9× median
0064ANormal range

$15K

560 claims · 0.0%

Your Cost: $26.14/claim|Median: $34.17
0.8× median
0154ATop 10%

$12K

211 claims · 0.0%

Your Cost: $58.84/claim|Median: $39.23
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$12K

47K claims · 0.0%

Your Cost: $0.26/claim|Median: $1.57
0.2× median
D9310Top 25%

$12K

156 claims · 0.0%

Your Cost: $74.52/claim|Median: $46.20
1.6× median
0004ANormal range

$10K

397 claims · 0.0%

Your Cost: $25.83/claim|Median: $35.62
0.7× median
0052ATop 25%

$10K

168 claims · 0.0%

Your Cost: $57.36/claim|Median: $37.79
1.5× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$9K

44 claims · 0.0%

Your Cost: $203.67/claim|Median: $40.11
5.1× median
D0330Top 1%

Panoramic radiographic image

$7K

59 claims · 0.0%

Your Cost: $111.23/claim|Median: $37.36
3.0× median
0073ATop 10%

$5K

87 claims · 0.0%

Your Cost: $60.35/claim|Median: $40.00
1.5× median
H0031Normal range

Mental health assessment by non-physician

$4K

38 claims · 0.0%

Your Cost: $117.11/claim|Median: $96.18
1.2× median

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