Clinic
Pueblo Community Health Center INC.
Pueblo Community Health Center INC. was paid $5.99M by Medicaid between Jan 2018 and Jan 2022, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoPUEBLO COMMUNITY HEALTH CENTER INC.
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1164468336assigned 06/22/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.99M
24GClaims66,306
24DCodes billed45
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#53 of 197
Median peer was paid$1.11M
This provider vs. median5.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,042 | $1.67M | |
| 2019 | 18,346 | $1.61M | |
| 2020 | 14,162 | $1.37M | |
| 2021 | 13,618 | $1.33M | |
| 2022 | 138 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 47% | 16,299 | 14,917 | $2.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 13,844 | 12,632 | $2.51M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 2,014 | 1,882 | $371K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 1,496 | 1,047 | $164K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,582 | 2,350 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 141 | 129 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,951 | 5,743 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 69 | 63 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 42 | 41 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | 36 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | 37 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 278 | 215 | $4K |
33 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 26 | $3K |
| 0012A | <1% | 80 | $3K | |
| 0011A | <1% | 87 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 11,913 | $2K |
| 99407 | <1% | 2,464 | $2K | |
| 0003A | <1% | 56 | $988.32 | |
| 90750 | <1% | 51 | $511.93 | |
| 90688 | <1% | 1,297 | $447.06 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | <1% | 452 | $445.06 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 410 | $24.59 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 834 | $0.00 |
| 99406 | 0% | 756 | $0.00 | |
| 82962 | 0% | 365 | $0.00 | |
| 3008F | 0% | 791 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 168 | $0.00 |
| 90686 | 0% | 260 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 86 | $0.00 |
| 90651 | 0% | 14 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 960 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 122 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 52 | $0.00 |
| 90682 | 0% | 1,301 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 351 | $0.00 |
| 81003 | 0% | 452 | $0.00 | |
| 99173 | 0% | 60 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 14 | $0.00 |
| 90715 | 0% | 14 | $0.00 | |
| 81025 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMOORE, DONALD (CHIEF EXECUTIVE OFFICER)
Parent organizationPUEBLO COMMUNITY HEALTH CENTER INC.
| Provider | Location | Paid |
|---|---|---|
| Pueblo Community Health Center INC. | Pueblo, CO | $55.28M |
| 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 | Pueblo, CO | $63K |
| Pueblo Community Health Center, INC | Pueblo, CO | $59K |
| Pueblo Community Health Center INC | Walsenburg, CO | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.