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    OpenPayerNPI Medicare & MedicaidColorado Coalition For The Homeless
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    Colorado Coalition For The Homeless — Billing Profile & Reimbursement Data

    NPI 1396793030 · Denver, CO · Federally Qualified Health Center (FQHC)

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    Colorado Coalition For The Homeless is a federally qualified health center (fqhc) provider located in Denver, Colorado. This profile covers 0 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationColorado Coalition For The Homeless
    Address2130 Stout St
    CityDenver
    StateCO
    ZIP80205
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$41.6M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in practice: there is no Medicare billing on file while total Medicaid revenue is $41.6M, indicating Medicaid is the dominant — and in recorded data the only — source of fee-for-service revenue. Analysts should treat any Medicare comparisons as inapplicable for this entity because no Medicare revenue is reported.

    Revenue is highly concentrated in a very small set of codes: the top three Medicaid codes (99213, 99214, D0999) together account for 84.5% of total Medicaid revenue. Individually those codes generate $15.1M (36.4%), $10.9M (26.2%), and $9.1M (21.8%) respectively, so program-level risk or utilization changes affecting these codes would disproportionately affect overall revenue.

    The composition of the top revenue drivers points to a primary-care–centered FQHC operating model: 99213 and 99214 are ambulatory established-patient E/M visits (low-to-moderate decision making) and together constitute more than 60% of Medicaid revenue, signaling high-volume primary care and chronic-disease follow-up activity. D0999 has no description available in the file but contributes a material share ($9.1M, 21.8%), implying substantial billing for unspecified or site-specific procedures that merit further coding review before drawing operational conclusions.

    Competitive standing on core E/M volumes is anomalously high statewide: 99213 ranks #19 of 2515 providers in Colorado (99th percentile) and is labeled an "extreme outlier," while 99214 ranks #14 of 2632 (100th percentile) and is also an "extreme outlier." These rankings indicate the provider is a dominant statewide supplier of established outpatient E/M visits in Medicaid and operates at volumes far above typical peers.

    Behavioral health services represent a significant secondary service line. Psychotherapy code 90832 generates $1.7M (4.2% of Medicaid revenue) and ranks #23 of 402 providers in-state (95th percentile), and additional psychotherapy codes 90834/90837 and screening/outreach codes H0002, H0023 appear throughout the top-25 list. This pattern is consistent with integrated behavioral-health delivery typical of comprehensive FQHC models.

    Dental care is an established component of the operation: D7140 (extraction) yields $175.3K and D0140 (limited oral evaluation) yields $148K, with D0140 ranking #21 of 775 providers in-state (97th percentile, noted as "notably above typical" state volume). Several other dental radiology and evaluation codes appear in the top-25, indicating a meaningful oral-health program serving Medicaid patients.

    Ophthalmology and specialty outpatient care are present but modest relative to core E/M: 92014 (comprehensive eye exam) generated $298.1K (0.7% of Medicaid revenue) and ranks #100 of 414 providers (76th percentile), suggesting the provider offers some vision services but is not a leading statewide supplier in that specialty.

    The provider has long tenure in federal enrollment, with an NPI enumerated on 2006-05-05 (~20 years ago), consistent with an established Federally Qualified Health Center. The combination of long-standing enrollment, heavy Medicaid concentration, and an integrated mix of primary care, behavioral health, dental, and some specialty services aligns with FQHC operating patterns and suggests stability in its Medicaid-facing service lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    74 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…79,070$190$15.1M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…56,000$190$10.9M
    D0999N/A24,090$380$9.1M
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…5,100$340$1.7M
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…7,310$190$1.4M
    H0002Behavioral health screening to determine eligibility for admission to treatment program2,220$370$824.4K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1,410$340$481.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…1,420$220$314.5K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,760$170$298.1K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…610$340$210.5K

    Showing 1–10 of 74

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    74 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0999N/A141502,140$260$2M
    H2011Crisis intervention service, per 15 minutes5660200$170$359.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…192,520330$100$352K
    H0004Behavioral health counseling and therapy, per 15 minutes206290480$70$280.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…142,630430$90$268.2K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…4991,670550$100$229.3K
    H0025Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)49100320$80$229.2K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…100410370$90$187.5K
    H0023Alcohol and/or drug outreach96190360$60$163.1K
    D2392Post 2 surface resin‑based composite597690290$130$148K

    Showing 1–10 of 74

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    Nearby Providers

    Other providers in the same ZIP code as Colorado Coalition For The Homeless, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$28.2M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$11.1M
    Comprehensive Behavioral Health Center LLCCOSubstance Use Disorder Rehabilitation Clinic/Center$134.5K$8.1M
    Inner City Health CenterCOFederally Qualified Health Center (FQHC)$0$6.7M
    Ronald Mcdonald House Charities Of Denver, IncCONon-emergency Medical Transport (VAN)$0$5.8M
    Curtis HagedornCOOphthalmology Physician$1.5M$0
    Charles WilsonCOOphthalmology Physician$697.3K$0
    Professional Portable Radiologic Services, Inc.COPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$169.7K$0
    Julia LosekampCOFamily Medicine Physician$165.8K$0
    Jean Michel GrillonCODiagnostic Radiology Physician$163.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Colorado Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Colorado Coalition For The Homeless — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado