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

CO#17 of 49 states

Colorado Medicaid Spending

Colorado's Medicaid program paid $4.42B across 8 providers from 2018–2024. 24 providers in Colorado are flagged on our risk watchlist. The top procedure code is A0100 (Non-emergency transportation; per trip) at $1.27B.

Total Spending

$4.42B

Total Claims

119.1M

Top Providers

8

Beneficiaries

20.3M

Largest Provider

Modivcare Solutions, LLC

$3.09B

Top Procedure

A0100

$1.27B

Flagged Providers

24

on risk watchlist

Avg Per Provider

$552.0M

across 8 providers

Yearly Spending Trend

Spending by Top Procedures

A0100Non-emergency transportation; per trip$1.27B
A0130Non-emergency wheelchair van transport$659.8M
H0038Self-help/peer services, per 15 minutes$369.5M
A0120Non-emergency mini-bus transport$291.2M
A0428Ambulance service, BLS, non-emergency transport$285.9M

Top Procedures in Colorado

CodeTotal Paid
A0100

Non-emergency transportation; per trip

$1.27B
A0130

Non-emergency wheelchair van transport

$659.8M
H0038

Self-help/peer services, per 15 minutes

$369.5M
A0120

Non-emergency mini-bus transport

$291.2M
A0428

Ambulance service, BLS, non-emergency transport

$285.9M
A0090

Non-emergency transport, per mile

$204.9M
T2016

Habilitation, residential, waiver; per diem

$157.9M
S9122

Home health aide or certified nurse, per hour

$146.7M
T2003

Non-emergency transport; encounter/trip

$130.4M
L8619$96.1M
A0425

Ground mileage, per statute mile

$80.7M
T1019

Personal care services, per 15 min

$49.8M
A0110

Non-emergency taxi transport

$36.6M
B4160

Enteral formula, per 100 calories

$36.1M
B4161

Enteral formula, semisolid, 100 calories = 1 unit

$31.8M