Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Denver Health And Hospital Authority (NPI 1477569838)

Field	Value
Entity Type	Organization
Organization	Denver Health And Hospital Authority
Address	777 Bannock St
City	Denver
State	CO
ZIP	80204
Taxonomy	General Practice Physician
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$95M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused billing entity: Total Medicaid revenue is $95M and there is no Medicare billing on file, making Medicaid the sole reported payer-driving revenue for the organization. The absence of Medicare activity suggests payer concentration risk and that analyses should treat this profile as single-payer (Medicaid) when modeling expected volumes or contracting exposure.

Revenue concentration is high and heavily skewed toward a small set of codes: the precomputed top 3 Medicaid codes account for 49.7% of total Medicaid revenue, with H0010 alone representing $23.9M (31.7% of the provider's Medicaid revenue). That concentration indicates the provider’s financial performance is substantially dependent on a few service lines, particularly residential/sub-acute addiction care coded to H0010.

The code mix shows a large behavioral health and addiction-treatment footprint: H0010 ($23.9M, 73.5K claims), H2036 ($3.6M), and H0020 ($3.5M, 252.7K claims) appear among top revenue lines, signaling substantial residential detox and methadone program activity. H0020’s combination of very high claim volume and relatively low paid/claim ($14) is consistent with high-throughput methadone administration services, while H0010’s outsized revenue share aligns with intensive inpatient addiction services.

Emergency, inpatient, and critical-care E/M services are also major components of the profile: high-revenue E/M codes such as 99284 ($8M), 99214 ($5.6M), 99285 ($4.3M), 99232 ($2.4M), 99233 ($2.1M), and 99291 ($2.4M) appear in the top codes list. These volumes, together with significant imaging (74177, 70450) and pathology (88305, 88307) revenue lines, indicate the provider operates a broad acute-care platform (ED, inpatient, imaging, and lab/pathology) alongside its behavioral-health services.

State-level competitive standing is dominant for many services: H0010 ranks #1 of 19 in-state and is described as an "extreme outlier, far above typical state volume for this code," while 99284 and 99214 also rank at the 100th percentile in-state (extreme outliers). Multiple other high-volume codes (e.g., 99232, 70450, 99204, 99203, 99238, 99460, 88307) similarly rank at or near the top of state lists, signaling that this provider is a leading statewide provider for both acute-care and behavioral-health Medicaid services.

Several top codes are explicitly labeled as "extreme outlier" or "notably above typical state volume," which should be interpreted as exceptional market share rather than a proxy for quality or compliance. Examples include H0010 (extreme outlier), 99284 (extreme outlier), and 99214 (extreme outlier); other codes such as 99285, H2036, and 99283 are characterized as "notably above typical" or at high percentiles, confirming consistently elevated volumes across multiple service lines.

Service breadth is broad and vertically integrated: beyond addiction and ED/inpatient care, the provider reports substantial newborn care (99460, $890.1K, rank #1 of 46), psychotherapy (90834), CT imaging (74177, 70450), chest x‑rays (71045/71046), and surgical pathology (88305/88307). This mix is consistent with a large safety-net or hospital-based system that combines acute medical, surgical, imaging/pathology, obstetric/newborn, and behavioral-health services under Medicaid.

Provider tenure is long-standing: the NPI was enumerated on 2006-07-31 (~20 years ago), indicating an established presence in the market. For payers and competitors, the combination of long tenure, concentrated Medicaid revenue ($95M), and repeated top-state rankings suggests this organization is an entrenched Medicaid provider with a service portfolio centered on addiction treatment, emergency and inpatient care, and ancillary hospital services.

Medicaid: Complete Services Breakdown

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

351 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	73,480	$330	$23.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	121,370	$70	$8M
99214	The 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…	105,120	$50	$5.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	47,060	$90	$4.3M
H2036	Alcohol and/or other drug treatment program, per diem	24,770	$150	$3.6M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	252,720	$10	$3.5M
D0999	N/A	14,030	$220	$3.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70,930	$30	$2.4M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	18,740	$130	$2.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	47,700	$40	$2.1M

Showing 1–10 of 351

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Denver Health And Hospital Authority — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

351 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	187	480	5,200	$150	$3.5M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	20	1,410	$280	$2.2M
D0999	N/A	31	150	2,140	$260	$2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	9	50	21,450	$20	$1.8M
H2036	Alcohol and/or other drug treatment program, per diem	2	40	1,910	$300	$1.7M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4	10	3,690	$300	$1.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	5	10	90	$380	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10	210	730	$120	$966.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	9	290	1,390	$110	$958.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	270	1,290	$100	$937.1K

Showing 1–10 of 351

Related Providers

Other providers that share a Tax Identification Number (TIN) with Denver Health And Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Health And Hospital Authority	CO	General Acute Care Hospital	$0	$77.1M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$68.5M
Denver Health And Hospital Authority	CO	Ambulance	$3.4M	$46.3M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$40.3M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$29.4M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$28.2M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$17.4M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$15.2M
Denver Health And Hospital Authority	CO	Urgent Care Clinic/Center	$0	$12M

Nearby Providers

Other providers in the same ZIP code as Denver Health And Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$9.5M
Fresenius Medical Care Dialysis Services Colorado LLC	CO	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.7M
Youth Vision Of Denver, LLC	CO	Optometrist	$0	$7.3M
Denver Youth Dentistry, PC	CO	General Practice Dentistry	$0	$5.8M
Stadium Medical, Inc.	CO	Ambulance	$1.1M	$4.2M
Mile High Dental Prof LLC	CO	General Practice Dentistry	$0	$3.5M
Cristos Ifantides	CO	Ophthalmology Physician	$305.4K	$0
Misha Miller	CO	MOHS-Micrographic Surgery Physician	$296.6K	$0
David Opperman	CO	Otolaryngology Physician	$214.5K	$0
Jeff Foster	CO	Acute Care Nurse Practitioner	$187.2K	$0

Denver Health And Hospital Authority — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References