Clinic
Southwest Health System, INC.
Southwest Health System, INC. was paid $361K by Medicaid between May 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoSOUTHWEST HEALTH SYSTEM, INC.
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1235655838assigned 08/16/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$361K
24GClaims6,810
24DCodes billed9
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Colorado
Rank by total paid#28 of 106
Median peer was paid$75K
This provider vs. median4.8×
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 | 641 | $27K | |
| 2019 | 830 | $44K | |
| 2020 | 821 | $47K | |
| 2021 | 1,270 | $63K | |
| 2022 | 1,095 | $64K | |
| 2023 | 1,369 | $76K | |
| 2024incomplete | 784 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 2,896 | 2,493 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 1,081 | 1,020 | $87K |
| 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 | 20% | 1,137 | 1,056 | $74K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.4% | 280 | 273 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 767 | 659 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 130 | 123 | $7K |
| 73630 | 1.1% | 292 | 242 | $4K | |
| 20610 | <1% | 87 | 70 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 140 | 117 | $308.81 |
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 officialTHEINE, JOSEPH (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southwest Health System, INC. | Cortez, CO | $9.45M |
| Southwest Health System INC | Cortez, CO | $9.17M |
| Southwest Health System, INC. | Cortez, CO | $5.50M |
| Southwest Health System, INC. | Cortez, CO | $1.11M |
| Southwest Health System, INC. | Mancos, CO | $975K |
| Southwest Health System, INC. | Cortez, CO | $915K |
| Southwest Health System, INC. | Cortez, CO | $789K |
| Southwest Health System, INC. | Cortez, CO | $723K |
| Southwest Health System, INC. | Cortez, CO | $33K |
| Southwest Health System, INC. | Cortez, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.