NPI: 1285255364 · PAGOSA SPRINGS, CO 81147 · Federally Qualified Health Center (FQHC) · NPI assigned 04/30/2020
Authorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more
| Authorized Official | BURKE, SHELLY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC. |
| NPI Enumeration Date | 04/30/2020 |
Other providers sharing the same authorized official: BURKE, SHELLY
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 157 | $0.00 |
| 2021 | 1,415 | $181K |
| 2022 | 975 | $214K |
| 2023 | 2,486 | $515K |
| 2024 | 2,443 | $442K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,854 | 2,226 | $543K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,989 | 1,449 | $365K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,519 | 385 | $248K |
| D0999 | Unspecified diagnostic procedure, by report | 523 | 498 | $191K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14 | 13 | $4K |
| 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 | 48 | 29 | $618.40 |
| 90686 | 34 | 29 | $551.14 | |
| 36415 | Collection of venous blood by venipuncture | 15 | 13 | $278.26 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 46 | 29 | $20.75 |
| 90832 | Psychotherapy, 30 minutes with patient | 14 | 13 | $0.00 |
| 81003 | 31 | 16 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $0.00 |
| D1110 | Prophylaxis - adult | 26 | 26 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 49 | 28 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 24 | 24 | $0.00 |
| H0049 | Alcohol and/or drug screening | 161 | 78 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 115 | 115 | $0.00 |