NPI: 1013261023 · PUEBLO, CO 81001 · Federally Qualified Health Center (FQHC) · NPI assigned 10/30/2012
| Authorized Official | MOORE, DONALD (CEO) |
| NPI Enumeration Date | 10/30/2012 |
Other providers sharing the same authorized official: MOORE, DONALD
| Provider | City | State | Total Paid |
|---|---|---|---|
| PUEBLO COMMUNITY HEALTH CENTER INC. | PUEBLO | CO | $55.28M |
| PUEBLO COMMUNITY HEALTH CENTER INC. | PUEBLO | CO | $5.99M |
| PUEBLO COMMUNITY HEALTH CENTER INC. | PUEBLO | CO | $3.92M |
| PUEBLO COMMUNITY HEALTH CENTER, INC | PUEBLO | CO | $911K |
| PUEBLO COMMUNITY HEALTH CENTER INC | AVONDALE | CO | $886K |
| PUEBLO COMMUNITY HEALTH CENTER INC | PUEBLO | CO | $467K |
| PUEBLO COMMUNITY HEALTH CENTER | PUEBLO | CO | $384K |
| PUEBLO COMMUNITY HEALTH CENTER | PUEBLO | CO | $116K |
| PUEBLO COMMUNITY HEALTH CENTER, INC | PUEBLO | CO | $59K |
| PUEBLO COMMUNITY HEALTH CENTER INC | WALSENBURG | CO | $19K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 583 | $41K |
| 2019 | 156 | $14K |
| 2020 | 42 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 461 | 225 | $56K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 43 | 27 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 202 | 112 | $0.00 |
| 90688 | 15 | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15 | 12 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 33 | 15 | $0.00 |