Colorado
#16 in Medicaid spending (1.98% of national total)
Total Spending
$21.60B
Total Claims
341.7M
Providers
12,178
Avg Cost/Claim
$63
Data Coverage Note: Colorado has 90% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 10% of enrollees). Actual total Medicaid spending in Colorado is significantly higher than shown.
Enrollment (Latest)
1.2M
Managed Care
90%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$3,355
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
MODIVCARE SOLUTIONS, LLC Taxi | $3.09B |
PERSONAL ASSISTANCE SERVICES OF COLORADO, LLC Home Health | $262.4M |
A PHYSICIANS HOME CARE In Home Supportive Care | $247.9M |
TEAMSELECT HOME CARE OF COLORADO, LLC Home Health | $195.3M |
UNIVERSITY PHYSICIANS INCORPORATED Anesthesiology | $190.7M |
OPTION 1 NUTRITION SOLUTIONS LLC Durable Medical Equipment & Medical Supplies | $168.5M |
COCHLEAR AMERICAS Durable Medical Equipment & Medical Supplies | $134.9M |
INTEGRATED LIFE CHOICES Clinic/Center | $123.5M |
HEALTH SOLUTIONS Clinic/Center | $118.6M |
CHILDREN'S HOSPITAL COLORADO Day Training, Developmentally Disabled Services | $114.9M |
DEVELOPMENTAL DISABILITIES CENTER Case Management | $114.2M |
SUPPORT, INC. In Home Supportive Care | $112.0M |
NORTH METRO COMMUNITY SERVICES, INC. Case Management | $107.7M |
SAMPLE SUPPORTS Day Training, Developmentally Disabled Services | $105.7M |
A CIRCLE OF CARE COLORADO, LLC. Home Health | $101.7M |
PARKER PERSONAL CARE HOMES, INC. Day Training, Developmentally Disabled Services | $98.3M |
COLORADO FAMILY CAREGIVERS LLC Homemaker | $97.7M |
ARIEL CLINICAL SERVICES Case Management | $96.5M |
DENVER HEALTH AND HOSPITAL AUTHORITY General Acute Care Hospital | $94.8M |
SPECTRA HUMAN SERVICES, INC. Day Training, Developmentally Disabled Services | $94.0M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T2016 | Habil res waiver per diem | $2.39B |
| T1019 | Personal care ser per 15 min | $1.66B |
| A0100 | Nonemergency transport taxi | $1.32B |
| H0038 | Self-help/peer svc per 15min | $1.32B |
| 99213 | Office o/p est low 20 min | $888.3M |
| 99214 | Office o/p est mod 30 min | $710.9M |
| A0130 | Noner transport wheelch van | $664.5M |
| T2021 | Day habil waiver per 15 min | $658.5M |
| S5130 | Homaker service nos per 15m | $406.2M |
| 90837 | Psytx w pt 60 minutes | $382.9M |
| A0120 | Noner transport mini-bus | $370.4M |
| D0999 | Unspecified diagnostic proce | $295.7M |
| A0428 | Bls | $292.4M |
| 99283 | Emergency dept visit low mdm | $276.7M |
| T2031 | Assist living waiver/diem | $262.6M |
| 99284 | Emergency dept visit mod mdm | $255.3M |
| T2003 | N-et; encounter/trip | $249.5M |
| 97153 | Adaptive behavior tx by tech | $232.8M |
| S9122 | Home health aide or certifie | $229.2M |
| 99285 | Emergency dept visit hi mdm | $211.4M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $3.16B | 1,622 |
| Taxi | $3.15B | 9 |
| Home Health | $2.09B | 252 |
| In Home Supportive Care | $1.79B | 159 |
| Day Training, Developmentally Disabled Services | $1.41B | 152 |
| Durable Medical Equipment & Medical Supplies | $1.20B | 734 |
| Dentist | $909.2M | 1,248 |
| Case Management | $635.7M | 71 |
| General Acute Care Hospital | $625.9M | 92 |
| Respite Care | $430.7M | 101 |
| Homemaker | $429.6M | 53 |
| Optometrist | $429.5M | 457 |
| Community/Behavioral Health | $408.9M | 165 |
| Counselor | $400.1M | 983 |
| Ambulance | $327.2M | 174 |
| Family Medicine | $284.3M | 582 |
| Clinical Medical Laboratory | $243.4M | 91 |
| Assisted Living Facility | $238.0M | 129 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $219.7M | 33 |
| Anesthesiology | $219.4M | 69 |