Providers

DENNIS MATTHEWS, MD

NPI 1356434708, individual, Aurora, CO, Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 16 months, but with up to 1968 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 92508 ($608 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7433, $5.6M at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Jan 2018More hours than a day holds, even counting one unit per claim line42.1135.490.3116.61876192507 92508 92523 92526 92609 96152 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$406K
Feb 2018More hours than a day holds, even counting one unit per claim line42.3141.394.2126.31789192507 92508 92523 92526 92609 96152 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$374K
Mar 2018More hours than a day holds, even counting one unit per claim line42.3138.592.3124.41912192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$406K
Apr 2018More hours than a day holds, even counting one unit per claim line44.0137.291.5125.11883192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$388K
May 2018More hours than a day holds, even counting one unit per claim line44.9141.494.2121.41968192507 92508 92523 92526 92609 97110 97112 97116 97140 97161 97162 97164 97165 97166 97530 97535 97750 97760 97802 97803 99214 99215$411K
Jun 2018More hours than a day holds, even counting one unit per claim line40.7143.495.6130.81847192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$401K
Jul 2018More hours than a day holds, even counting one unit per claim line36.9123.782.5114.41703192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$368K
Aug 2018More hours than a day holds, even counting one unit per claim line74.3118.479.0105.61852192507 92508 92523 92526 92609 97110 97112 97116 97140 97161 97162 97164 97165 97166 97530 97535 97750 97760 97802 97803 99214 99215$361K
Sep 2018More hours than a day holds, even counting one unit per claim line37.2125.083.3123.01674192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 99214$362K
Oct 2018More hours than a day holds, even counting one unit per claim line44.1149.099.3132.61894192507 92508 92523 92526 92609 97110 97112 97116 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214$441K
Nov 2018More hours than a day holds, even counting one unit per claim line40.3131.587.7118.51863192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97802 97803 99214 99215$388K
Dec 2018More hours than a day holds, even counting one unit per claim line31.1101.767.899.01632192507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 99214$315K
Jan 2019More hours than a day holds, even counting one unit per claim line35.398.565.787.41526192507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97803 99214$309K
Feb 2019More hours than a day holds, even counting one unit per claim line26.279.753.173.51117192507 92508 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97166 97530 97535 97760 97802 97803$220K
Mar 2019More hours than a day holds at a conservative unit price17.454.236.153.0759192507 92508 92609 96132 96133 97110 97112 97140 97161 97162 97530 97760 97803$168K
Apr 2019More hours than a day holds at a conservative unit price16.645.630.438.5687192507 92508 92609 96132 96133 96136 96137 96138 97110 97112 97140 97161 97162 97530 97760 97803 99214$127K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDENNIS MATTHEWS, MD
TypeIndividual
StatusActive
NPI issuedSeptember 30, 2006, last updated August 13, 2013
Practice location13123 E 16TH AVE, Aurora, CO 80045-7106, 720-777-2806
Mailing addressPO BOX 110429, Aurora, CO 80042-0429
Specialties
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (2081P0010X, primary, license 26000 CO)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder$2.2M31%$608$190 (top 5% from $477)98th percentile
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$689K9%$114$76 (top 5% from $314)69th percentile
97530Therapy procedure using functional activities$671K9%$110$124 (top 5% from $387)45th percentile
92609Therapy service for use of speech-generating device with programming$508K7%$538$181 (top 5% from $466)97th percentile
92508Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting$475K7%$316$48 (top 5% from $111)100th percentile
96118Medicaid service code$407K6%$1K$310 (top 5% from $1K)95th percentile
V5257Medicaid service code$389K5%$2Ktoo few months to rank
96125Test to assess the ability to complete specific functional tasks applicable to environment$323K4%$2Ktoo few months to rank

In this area

10 providers in Adams County, CO carry an indicator in the public record, with $18.9M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3CENTER AT NORTHRIDGE, LLC
Westminster, CO, ranked 4430
$0
  • Part of provider network D1-00140, ranked 140 nationally.
4SUSAN APKON
Aurora, CO, ranked 7479
$4.4M
  • Hours beyond a day in 15 months, but with up to 1389 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4LINDA CAMPAGNA
Westminster, CO, ranked 8182
$1.1M
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4STACY LABAR
Northglenn, CO, ranked 8427
$4.6M
  • Hours beyond a day in 26 months, but with up to 903 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4ANTHONY EUSER
Brighton, CO, ranked 8446
$4.2M
  • Hours beyond a day in 5 months, but with up to 1860 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4NICOLE FESTA
Thornton, CO, ranked 8663
$2.3M
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
4STEPHEN VOLIN
Thornton, CO, ranked 9006
$944K
  • Hours beyond a day in 2 months, but with up to 1545 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4PAUL LEO
Thornton, CO, ranked 9128
$636K
  • Hours beyond a day in 5 months, but with up to 1664 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
All 10 in CO

Recent enforcement in CO

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJun 23, 2026
Colorado Man Charged In Medicaid Fraud Scheme Connected To Arapahoe County Adult Daycare
Omer offered three $500 kickback payments in exchange for referrals of Medicaid beneficiaries for adult daycare, and $10,000 in other kickback payments described as marketing expenses or office supply, to induce beneficiaries to attend Nadina Adult Daycare Center.
DOJCivil settlementNov 24, 2025
Southern Colorado Hospital and Doctors Agree to Pay $650,000 to Resolve Allegations That They Unlawfully Prescribed Opioids and Other Controlled Substances
Three physicians employed by Mt. San Rafael Hospital allegedly issued invalid prescriptions for controlled substances including opioids not for a legitimate medical purpose or outside the usual course of professional practice, and caused claims for those prescriptions to be submitted to Medicare and other federal health care programs.
DOJCivil settlementDec 3, 2024
$2 Million Resolves Kickback Allegations Relating to Denver Neuromonitoring Company
Assure paid remuneration to surgeons through joint venture companies to induce them to order intraoperative neuromonitoring services, resulting in claims submitted to federally funded healthcare programs.
DOJIndictedSep 24, 2024
Seven People Charged With Over $40 Million In Medicare And Medicaid Fraud
Defendants, through genetic testing laboratories they owned and operated, paid kickbacks and bribes to marketing companies for referrals for medically unnecessary genetic testing, resulting in more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid, and three defendants laundered the proceeds.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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