Southwest Colorado Mental Health Center, INC
Southwest Colorado Mental Health Center, INC was paid $1.35M by Medicaid between Oct 2020 and Oct 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
PAGOSA SPRINGS, CO 81147
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 157 | $0.00 | |
| 2021 | 1,415 | $181K | |
| 2022 | 975 | $214K | |
| 2023 | 2,486 | $515K | |
| 2024incomplete | 2,443 | $442K |
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 | 40% | 2,854 | 2,226 | $543K |
| 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 | 27% | 1,989 | 1,449 | $365K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 18% | 1,519 | 385 | $248K |
| D0999 | Unspecified diagnostic procedure, by report | 14% | 523 | 498 | $191K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 13 | $4K |
| 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% | 48 | 29 | $618.40 |
| 90686 | <1% | 34 | 29 | $551.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 13 | $278.26 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 46 | 29 | $20.75 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 14 | 13 | $0.00 |
| 81003 | 0% | 31 | 16 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 14 | 14 | $0.00 |
5 more codes
| D1110 | Prophylaxis - adult | 0% | 26 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 49 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 24 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 161 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 115 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.