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 1689624686)

Key Findings

Field	Value
Entity Type	Organization
Organization	Denver Health And Hospital Authority
Address	777 Bannock St
City	Denver
State	CO
ZIP	80204
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$77.1M
Medicare	$0

This provider is effectively single‑payer in the dataset: Total Medicare revenue is listed as none (no Medicare billing on file), while Total Medicaid revenue is $77.1M, indicating Medicaid is the sole reported federal payer and the dominant source of recorded revenue. Analysts should treat any Medicaid observations as representing almost the entirety of the facility’s reported public‑payer activity.

Revenue is highly concentrated in a narrow set of emergency‑related and infusion codes: the precomputed top 3 Medicaid codes by revenue account for 46.9% of the provider’s total Medicaid revenue, led by 99284 ($10.8M, 18.9%), 99283 ($9.1M, 15.9%), and 96361 ($6.9M, 12.0%). This concentration signals that a large share of Medicaid dollars flow through emergency department evaluations and IV fluid administration.

The code mix and volumes point to a high‑throughput emergency department with a broad acuity range: very large counts and revenues for 99284 and 99283 are complemented by 99285 ($6.1M, 10.7%), indicating both moderate and high complexity ED encounters. At the same time, an exceptionally large outpatient visit volume is evident in 99213 (405.9K claims, $4.1M, 7.1%), which ranks #1 of 2515 providers in‑state and suggests the provider also processes very high volumes of lower‑acuity established outpatient visits.

The provider is a statewide leader on many measures: 99284 and 99283 both rank #3 in‑state at the 99th percentile (labeled extreme outlier), 96361 ranks #3 at the 97th percentile, and multiple lab and outpatient codes (for example 99213, 87591, 87491, 80048, 85027, U0004) rank #1 in the state at the 100th percentile and are characterized as extreme outliers. These rankings indicate dominant market share or unusually large throughput across a spectrum of ED, lab, and outpatient services relative to peers in Colorado.

Laboratory and diagnostic throughput is a prominent revenue stream: high volumes and top statewide ranks appear for infectious disease and routine labs (87591 $2.4M; 87491 $2.1M; 80048 $1.5M; 83036 $1M; 80053 $986.4K), the COVID test U0004 (50.1K claims, $1.3M), and basic anatomic/chemistry panels. The pattern of many lab codes at 100th or 99th percentile suggests centralized lab capacity and heavy testing activity that materially contributes to the $77.1M Medicaid total.

The provider’s service mix extends beyond ED and labs into imaging, cardiology, surgical, and oncology procedures—examples include 93306 (echo, $1.4M), 70450 (CT head, $1.1M), 66984 (cataract, $930K), 45385 (colon polypectomy, $697.1K, ranking #1 in‑state), and J9035 (bevacizumab injection, $508.4K). This breadth of higher‑acuity diagnostic and procedural codes supports characterization as a full‑service general acute care hospital with both emergency/urgent care and specialty procedural capacity.

Tenure on file is long and consistent with an established institution: the NPI was enumerated on 2006-05-11 (~20 years ago), indicating the entity has operated in the registry for two decades. For analysts, that stability combined with the high volumes across multiple code families suggests enduring role as a major Medicaid provider in the state.

For payer and network analysts evaluating contracting or utilization management, key takeaways are Medicaid concentration and ED/lab volume risk: with no Medicare billing on file and nearly half of Medicaid revenue tied to three codes centered on emergency evaluation and IV therapy, payers should prioritize review of ED utilization patterns, lab routing/centralization, and outpatient follow‑up pathways when assessing cost and access strategies for this provider.

Medicaid: Complete Services Breakdown

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

481 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	104,900	$100	$10.8M
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.	85,040	$110	$9.1M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	27,870	$250	$6.9M
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.	40,130	$150	$6.1M
99213	The 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…	405,920	$10	$4.1M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	116,560	$20	$2.4M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	116,540	$20	$2.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,000	$1,530	$1.5M
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	168,620	$10	$1.5M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6,510	$220	$1.4M

Showing 1–10 of 481

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 — 17 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

481 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8	20	940	$1,150	$1.5M
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.	13	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.	3	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.	3	270	1,290	$100	$937.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3	70	410	$250	$881.6K
J0178	Injection, aflibercept, 1 mg	11	20	180	$870	$465.7K
J0585	Injection, onabotulinumtoxina, 1 unit	4	50	340	$520	$452.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	24	30	230	$40	$428.1K
99213	The 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…	1	2,520	330	$100	$352K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	29	40	110	$160	$326K

Showing 1–10 of 481

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Health And Hospital Authority	CO	General Practice Physician	$0	$95M
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