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DENVER HEALTH AND HOSPITAL AUTHORITY

Clinic/Center, Federally Qualified Health Center (FQHC)·DENVER, CO·NPI: 1922049014Share

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 $68.4M 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

$68.4M

$68,441,969

Total Claims

743K

Beneficiaries

612K

1.2 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+20%
2019
$10.1M
-29%
2020
$7.2M
-1%
2021
$7.1M
+51%
2022
$10.7M
+45%
2023
$15.5M
-39%
2024
$9.5M

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 52% of total spending.

99213Top 5%

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

$35.4M

255K claims · 51.7%

Your Cost: $138.77/claim|Median: $37.81
3.7× median
99214Top 5%

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

$11.0M

88K claims · 16.0%

Your Cost: $124.20/claim|Median: $53.41
2.3× median
96110Top 1%

Developmental screening, per standardized instrument

$4.3M

23K claims · 6.3%

Your Cost: $188.75/claim|Median: $9.10
20.7× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$3.3M

14K claims · 4.8%

Your Cost: $228.08/claim|Median: $101.33
2.3× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$2.6M

21K claims · 3.7%

Your Cost: $119.79/claim|Median: $69.35
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$2.4M

21K claims · 3.5%

Your Cost: $114.87/claim|Median: $25.06
4.6× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$1.6M

10K claims · 2.4%

Your Cost: $157.85/claim|Median: $74.82
2.1× median
99203Top 5%

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

$763K

5,604 claims · 1.1%

Your Cost: $136.21/claim|Median: $57.85
2.4× median
90832Top 10%

Psychotherapy, 30 minutes

$726K

8,431 claims · 1.1%

Your Cost: $86.15/claim|Median: $41.28
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$712K

5,380 claims · 1.0%

Your Cost: $132.38/claim|Median: $74.09
1.8× median
H0025Top 25%

Behavioral health prevention education, per session

$682K

5,003 claims · 1.0%

Your Cost: $136.38/claim|Median: $36.25
3.8× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$609K

3,630 claims · 0.9%

Your Cost: $167.90/claim|Median: $80.15
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$544K

18K claims · 0.8%

Your Cost: $29.67/claim|Median: $75.18
0.4× median
H0002Top 10%

Behavioral health screening

$528K

3,105 claims · 0.8%

Your Cost: $169.98/claim|Median: $38.77
4.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$291K

3,040 claims · 0.4%

Your Cost: $95.66/claim|Median: $57.39
1.7× median
G0467Normal range

Federally qualified health center visit, mental health

$285K

25K claims · 0.4%

Your Cost: $11.31/claim|Median: $21.91
0.5× median
59025Top 10%

Fetal non-stress test

$280K

1,931 claims · 0.4%

Your Cost: $145.25/claim|Median: $26.45
5.5× median
90834Top 25%

Psychotherapy, 45 minutes

$274K

3,160 claims · 0.4%

Your Cost: $86.71/claim|Median: $63.65
1.4× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$185K

1,364 claims · 0.3%

Your Cost: $135.54/claim|Median: $40.11
3.4× median
11102Top 10%

$171K

1,462 claims · 0.2%

Your Cost: $116.83/claim|Median: $48.69
2.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$150K

3,606 claims · 0.2%

Your Cost: $41.52/claim|Median: $27.07
1.5× median
D0330Top 10%

Panoramic radiographic image

$129K

2,029 claims · 0.2%

Your Cost: $63.64/claim|Median: $37.36
1.7× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$108K

2,619 claims · 0.2%

Your Cost: $41.31/claim|Median: $33.72
1.2× median
99204Top 5%

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

$108K

660 claims · 0.2%

Your Cost: $163.55/claim|Median: $84.03
1.9× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$97K

2,146 claims · 0.1%

Your Cost: $45.32/claim|Median: $36.70
1.2× median
90480Normal range

$80K

2,366 claims · 0.1%

Your Cost: $33.99/claim|Median: $25.29
1.3× median
D1206Normal range

Topical application of fluoride varnish

$67K

3,230 claims · 0.1%

Your Cost: $20.66/claim|Median: $18.12
1.1× median
0071ATop 25%

$63K

1,425 claims · 0.1%

Your Cost: $43.94/claim|Median: $38.71
1.1× median
0072ATop 10%

$60K

987 claims · 0.1%

Your Cost: $60.38/claim|Median: $39.57
1.5× median
D2391Top 5%

Resin-based composite, one surface, posterior

$49K

409 claims · 0.1%

Your Cost: $120.29/claim|Median: $54.60
2.2× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$46K

2,749 claims · 0.1%

Your Cost: $16.67/claim|Median: $10.51
1.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$45K

4,337 claims · 0.1%

Your Cost: $10.46/claim|Median: $57.30
0.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$45K

861 claims · 0.1%

Your Cost: $51.86/claim|Median: $32.07
1.6× median
D0190Normal range

$44K

2,652 claims · 0.1%

Your Cost: $16.42/claim|Median: $12.78
1.3× median
D1351Normal range

Sealant, per tooth

$42K

1,618 claims · 0.1%

Your Cost: $26.07/claim|Median: $26.10
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$41K

753 claims · 0.1%

Your Cost: $54.97/claim|Median: $43.38
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$41K

1,362 claims · 0.1%

Your Cost: $30.10/claim|Median: $25.93
1.2× median
0004ANormal range

$37K

1,658 claims · 0.1%

Your Cost: $22.28/claim|Median: $35.62
0.6× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$36K

282 claims · 0.1%

Your Cost: $126.97/claim|Median: $71.00
1.8× median
D1120Top 25%

Prophylaxis, adult

$35K

768 claims · 0.1%

Your Cost: $45.07/claim|Median: $33.86
1.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$33K

958 claims · 0.0%

Your Cost: $34.56/claim|Median: $33.85
1.0× median
0124ATop 25%

$33K

626 claims · 0.0%

Your Cost: $51.96/claim|Median: $34.32
1.5× median
D0274Top 10%

Bitewings, four radiographic images

$31K

858 claims · 0.0%

Your Cost: $36.06/claim|Median: $22.54
1.6× median
64566Top 25%

$28K

239 claims · 0.0%

Your Cost: $118.72/claim|Median: $60.22
2.0× median
91322Normal range

$28K

910 claims · 0.0%

Your Cost: $30.82/claim|Median: $76.28
0.4× median
11100Top 5%

$28K

148 claims · 0.0%

Your Cost: $187.40/claim|Median: $44.58
4.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$27K

888 claims · 0.0%

Your Cost: $30.20/claim|Median: $24.34
1.2× median
G2025Normal range

$26K

2,545 claims · 0.0%

Your Cost: $10.41/claim|Median: $15.63
0.7× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$24K

118 claims · 0.0%

Your Cost: $206.87/claim|Median: $73.46
2.8× median
17000Top 5%

$23K

282 claims · 0.0%

Your Cost: $83.13/claim|Median: $21.35
3.9× median

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