Medicaid Provider Spending

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

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1285255364 · PAGOSA SPRINGS, CO 81147 · Federally Qualified Health Center (FQHC) · NPI assigned 04/30/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more

$1.35M
Total Medicaid Paid
7,476
Total Claims
4,985
Beneficiaries
17
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
NPI Enumeration Date04/30/2020

Related Entities

Other providers sharing the same authorized official: BURKE, SHELLY

ProviderCityStateTotal Paid
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $18.17M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $13.50M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.46M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.27M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $3.34M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DOVE CREEK CO $1.45M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $596K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $244K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $189K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $136K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $9K
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC MONTROSE CO $8K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CRESTED BUTTE CO $2K
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC GUNNISON CO $921.78
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM MONTROSE CO $642.24
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DELTA CO $406.45
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM MONTROSE CO $283.27
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $86.67

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 157 $0.00
2021 1,415 $181K
2022 975 $214K
2023 2,486 $515K
2024 2,443 $442K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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