Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDenver Health And Hospital Authority
    Ask Trek AI about this page

    Denver Health And Hospital Authority — Billing Profile & Reimbursement Data

    NPI 1922049014 · Denver, CO · Federally Qualified Health Center (FQHC)

    Customize your policy alerts

    Sign up for Denver Health And Hospital Authority — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Denver Health And Hospital Authority is a federally qualified health center (fqhc) provider located in Denver, Colorado. This profile covers 0 Medicare and 117 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDenver Health And Hospital Authority
    Address301 W. 6th Avenue
    CityDenver
    StateCO
    ZIP80204
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$68.5M
    Medicare$0

    Key Findings

    DENVER HEALTH AND HOSPITAL AUTHORITY operates as a Federally Qualified Health Center (FQHC) with reported Medicaid revenue of $68.5M and no Medicare billing on file, making its financial footprint effectively single-payer Medicaid in the available data. The presence of G0467 (25.2K claims, $11 avg paid/claim, $277.6K revenue) and the FQHC taxonomy confirm that many visits are billed under the FQHC encounter structure, although G0467 itself represents a small share (0.4% of Medicaid revenue).

    Revenue is highly concentrated in a very small set of outpatient E/M and screening codes: the top 3 Medicaid codes (99213, 99214, 96110) account for 75.5% of this provider's total Medicaid revenue. Those three codes individually generate $35.4M (99213), $11M (99214), and $4.3M (96110), indicating that established primary-care visits plus developmental screening drive the bulk of billing and revenue.

    The provider is an extreme statewide volume outlier on core primary care E/M codes: 99213 shows 255K claims and $35.4M revenue, ranking #2 of 2515 providers in-state (100th percentile; extreme outlier), while 99214 has 88.3K claims and $11M revenue, ranking #6 of 2632 providers in-state (100th percentile; extreme outlier). These rankings imply system-scale ambulatory throughput for established patient visits relative to peers and support a primary-care-dominant service model.

    Preventive and pediatric primary care services are also substantial: 99391 (21.4K claims, $2.6M revenue) ranks #4 of 242 providers in-state (99th percentile; extreme outlier), 99392 (18.3K claims, $550.4K revenue) ranks #5 of 260 (98th percentile; extreme outlier), 99393 (10.3K claims, $1.6M revenue) ranks #5 of 292 (99th percentile; extreme outlier), and 99394 (3.6K claims, $609.8K revenue) ranks #7 of 276 (98th percentile; notably above typical state volume). This mix signals a robust preventive and pediatric footprint within the Medicaid population.

    Behavioral health and developmental services are prominent in the mix: 96110 (23K claims, $4.3M revenue) ranks #6 of 275 providers in-state (98th percentile; extreme outlier) and is explicitly among the top three revenue drivers, while psychotherapy and behavioral codes such as 90832 (8.4K claims, $725.1K revenue), 90834 (3.2K claims, $274.9K revenue), H0025 (5K claims, $680.4K revenue), and H0002 (3.1K claims, $527.9K revenue) further show significant mental health screening, prevention, and treatment activity. Together these data point to integrated behavioral health and developmental screening services embedded in primary care.

    The provider also bills for ancillary services that widen its service line beyond ambulatory medicine: dental codes D7140 (3K claims, $291.8K revenue) and D0140 (3.6K claims, $151.5K revenue) and obstetric monitoring 59025 (1.9K claims, $280K revenue) appear in the top 25 list, indicating on-site or closely integrated dental and prenatal/fetal monitoring capabilities for the Medicaid population. These are generally in the typical-to-notable percentile range statewide, reflecting breadth rather than dominance for those lines.

    On competitive standing, DENVER HEALTH AND HOSPITAL AUTHORITY is a dominant statewide provider for many high-volume Medicaid codes: multiple top codes are in the 98th–100th percentiles (with several labeled "extreme outlier"), and G0467 ranks #1 of 107 providers in-state (100th percentile; extreme outlier). This combination of volume and percentile rankings positions the organization as a major Medicaid ambulatory care provider in Colorado for both general primary care and selected preventive/behavioral services.

    The entity has long tenure in federal enrollment, with an NPI enumerated on 2006-06-09 (~20 years ago), supporting a multi-year operational presence and continuity in Medicaid billing patterns; paired with the absence of Medicare billing on file, this tenure suggests a sustained operational emphasis on Medicaid and FQHC-model services rather than balanced dual-payer Medicare/Medicaid billing.

    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.

    117 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…255,000$140$35.4M
    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…88,350$120$11M
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…22,950$190$4.3M
    D0999N/A14,440$230$3.3M
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…21,370$120$2.6M
    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,…20,640$120$2.4M
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.10,310$160$1.6M
    99203The provider sees a new 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 provider…5,600$140$762.1K
    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…8,430$90$725.1K
    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…5,380$130$710.2K

    Showing 1–10 of 117

    • 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

    117 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0999N/A291502,140$260$2M
    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…22,520330$100$352K
    D7240N/A6380430$270$348.6K
    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…62,630430$90$268.2K
    H0025Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)12100320$80$229.2K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…4240550$110$208.5K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…5260380$100$161.6K
    D2392Post 2 surface resin‑based composite347690290$130$148K
    D9222N/A8390240$110$123.3K
    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…49590200$80$119.9K

    Showing 1–10 of 117

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOGeneral Practice Physician$0$95M
    Denver Health And Hospital AuthorityCOGeneral Acute Care Hospital$0$77.1M
    Denver Health And Hospital AuthorityCOAmbulance$3.4M$46.3M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$40.3M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$29.4M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$28.2M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$25.5M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$17.4M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$15.2M
    Denver Health And Hospital AuthorityCOUrgent 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$9.5M
    Fresenius Medical Care Dialysis Services Colorado LLCCOEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.7M
    Youth Vision Of Denver, LLCCOOptometrist$0$7.3M
    Denver Youth Dentistry, PCCOGeneral Practice Dentistry$0$5.8M
    Stadium Medical, Inc.COAmbulance$1.1M$4.2M
    Mile High Dental Prof LLCCOGeneral Practice Dentistry$0$3.5M
    Cristos IfantidesCOOphthalmology Physician$305.4K$0
    Misha MillerCOMOHS-Micrographic Surgery Physician$296.6K$0
    David OppermanCOOtolaryngology Physician$214.5K$0
    Jeff FosterCOAcute Care Nurse Practitioner$187.2K$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
    Denver Health And Hospital Authority — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado