Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUEBLO COMMUNITY HEALTH CENTER INC.

NPI: 1164468336 · PUEBLO, CO 81001 · Federally Qualified Health Center (FQHC) · NPI assigned 06/22/2006

$5.99M
Total Medicaid Paid
66,306
Total Claims
60,611
Beneficiaries
45
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialMOORE, DONALD (CHIEF EXECUTIVE OFFICER)
Parent OrganizationPUEBLO COMMUNITY HEALTH CENTER INC.
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: MOORE, DONALD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,042 $1.67M
2019 18,346 $1.61M
2020 14,162 $1.37M
2021 13,618 $1.33M
2022 138 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,299 14,917 $2.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,844 12,632 $2.51M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,014 1,882 $371K
90834 Psychotherapy, 45 minutes with patient 1,496 1,047 $164K
G0467 Federally 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 2,582 2,350 $29K
99215 Prolong outpt/office vis 141 129 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,951 5,743 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 69 63 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 41 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 36 36 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 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 278 215 $4K
90832 Psychotherapy, 30 minutes with patient 26 22 $3K
0012A 80 78 $3K
0011A 87 84 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11,913 10,936 $2K
99407 2,464 1,972 $2K
0003A 56 30 $988.32
90750 51 49 $511.93
90688 1,297 1,275 $447.06
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 452 428 $445.06
83036 Hemoglobin; glycosylated (A1C) 410 393 $24.59
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 834 759 $0.00
99406 756 687 $0.00
82962 365 341 $0.00
3008F 791 737 $0.00
G0008 Administration of influenza virus vaccine 168 163 $0.00
90686 260 252 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 86 82 $0.00
90651 14 14 $0.00
90472 Immunization administration, each additional vaccine (list separately) 960 917 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 122 109 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 52 51 $0.00
90682 1,301 1,243 $0.00
G0444 Annual depression screening, 5 to 15 minutes 351 301 $0.00
81003 452 433 $0.00
99173 60 59 $0.00
90670 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 13 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 14 $0.00
90715 14 14 $0.00
81025 13 12 $0.00