Hospital
Upper San Juan Health Service District
Upper San Juan Health Service District was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99283, emergency room visit (moderate) — 49% of everything it billed.
33Billing provider infoUPPER SAN JUAN HEALTH SERVICE DISTRICT
PAGOSA SPRINGS, CO 81147
PAGOSA SPRINGS, CO 81147
33aNPI1245401561assigned 03/14/2008
33bProvider typeCritical Access Hospital
28Total paid$1.73M
24GClaims23,487
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Colorado
Rank by total paid#7 of 26
Median peer was paid$111K
This provider vs. median16×
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 | 2,498 | $156K | |
| 2019 | 2,065 | $134K | |
| 2020 | 2,172 | $133K | |
| 2021 | 4,725 | $260K | |
| 2022 | 4,535 | $414K | |
| 2023 | 4,309 | $337K | |
| 2024incomplete | 3,183 | $296K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 49% | 4,893 | 4,339 | $851K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 2,812 | 2,428 | $563K |
| 80053 | Comprehensive metabolic panel | 4.5% | 4,648 | 4,020 | $78K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.0% | 467 | 446 | $51K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.4% | 350 | 327 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 4,977 | 4,260 | $29K |
| 83605 | 1.1% | 651 | 578 | $19K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 564 | 521 | $15K |
| 91300 | <1% | 376 | 313 | $10K | |
| 0002A | <1% | 191 | 185 | $9K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 44 | 39 | $9K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 25 | 24 | $8K |
22 more codes
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 66 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 172 | $7K |
| 0001A | <1% | 206 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,502 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 86 | $5K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 133 | $4K |
| 81001 | <1% | 455 | $4K | |
| 86140 | <1% | 317 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 47 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 104 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 104 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 15 | $778.25 |
| 80061 | Lipid panel | <1% | 38 | $557.05 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | $352.85 |
| 84484 | <1% | 28 | $234.78 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 14 | $196.21 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 86 | $186.34 |
| 83690 | <1% | 18 | $167.68 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 45 | $125.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 12 | $93.04 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 13 | $45.68 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $18.29 |
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 officialWEBB, RHONDA (CEO, CMO)
| Provider | Location | Paid |
|---|---|---|
| Upper San Juan Health Service District | Pagosa Springs, CO | $3.65M |
| Upper San Juan Health Service District | Pagosa Springs, CO | $590K |
| Upper San Juan Health Service District | Pagosa Springs, CO | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.