Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › PUEBLO › SOUTHERN COLORADO CLINIC PC

SOUTHERN COLORADO CLINIC PC

NPI: 1285613554 · PUEBLO, CO 81008 · Clinic/Center · NPI assigned 01/13/2006

$17.42M
Total Medicaid Paid
365,338
Total Claims
332,021
Beneficiaries
133
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARELLANO, JENNIFER (COO)
NPI Enumeration Date01/13/2006

Related Entities

Other providers sharing the same authorized official: ARELLANO, JENNIFER

ProviderCityStateTotal Paid
CATHOLIC CHARITIES OF THE DIOCESE OF JOLIET JOLIET IL $1.13M
CATHOLIC CHARITIES OF THE DIOCESE OF JOLIET KANKAKEE IL $81K
CATHOLIC CHARITIES OF THE DIOCESE OF JOLIET DOWNERS GROVE IL $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,449 $1.74M
2019 50,815 $2.44M
2020 34,965 $1.83M
2021 46,172 $2.67M
2022 50,434 $2.88M
2023 74,091 $3.43M
2024 71,412 $2.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 108,220 99,808 $6.16M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61,005 55,391 $4.51M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17,738 16,794 $1.54M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,914 4,644 $640K
87631 5,247 5,059 $639K
64635 945 808 $335K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,271 3,204 $307K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,619 2,474 $300K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,447 2,300 $281K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,153 3,037 $276K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,948 1,901 $176K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,571 5,269 $174K
90460 Immunization administration through 18 years of age via any route, first or only component 3,311 3,242 $151K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,238 7,006 $134K
95886 1,734 1,577 $130K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,478 2,309 $113K
64493 1,015 892 $110K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,213 3,942 $102K
99215 Prolong outpt/office vis 920 851 $97K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,421 2,343 $91K
90836 2,286 1,589 $91K
64636 1,133 809 $77K
71046 Radiologic examination, chest; 2 views 2,892 2,519 $73K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 701 668 $70K
90472 Immunization administration, each additional vaccine (list separately) 3,094 3,014 $61K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,092 3,901 $58K
64494 1,415 886 $57K
96127 3,313 3,094 $42K
95911 312 277 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,008 2,905 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 612 596 $38K
73564 1,961 1,436 $36K
72100 1,439 1,235 $32K
96112 274 272 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 320 315 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,932 1,640 $24K
64490 281 259 $24K
20610 876 627 $23K
73610 1,303 1,179 $21K
73630 1,516 1,308 $20K
99152 1,215 1,055 $20K
27096 184 156 $18K
81002 5,574 5,319 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 607 350 $15K
90688 3,429 3,331 $12K
94760 6,569 6,126 $12K
90670 2,468 2,429 $11K
95885 242 216 $11K
73030 666 550 $11K
64491 273 234 $11K
73130 751 587 $11K
74018 483 421 $11K
73110 635 562 $10K
64633 37 36 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 289 251 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,344 2,005 $9K
64634 37 36 $8K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 222 209 $6K
90473 237 236 $4K
92557 191 181 $4K
72040 210 192 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 111 83 $3K
99381 29 28 $3K
92511 27 27 $3K
87807 196 182 $2K
64492 56 52 $2K
90710 406 394 $2K
90723 1,507 1,485 $2K
95912 18 13 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 184 169 $2K
90461 2,197 2,160 $2K
92567 171 158 $2K
92551 154 150 $2K
99173 147 142 $1K
92550 119 116 $1K
90647 1,357 1,340 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 183 156 $1K
99401 41 34 $1K
90680 1,008 995 $1K
99232 Subsequent hospital care, per day, moderate complexity 32 13 $1K
72070 59 51 $964.14
97530 Therapeutic activities, direct patient contact, each 15 minutes 28 25 $897.30
73140 81 75 $886.40
99233 Prolong inpt eval add15 m 23 14 $874.06
90633 558 552 $872.85
84703 126 123 $868.36
99407 43 41 $843.54
90687 887 871 $816.62
99238 Hospital discharge day management, 30 minutes or less 15 14 $786.24
92588 15 14 $683.50
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 57 55 $670.72
31231 14 12 $567.19
90651 41 39 $535.31
97162 12 12 $461.23
99406 45 38 $414.61
90696 105 100 $315.80
90734 66 63 $306.70
97161 14 14 $290.50
92504 29 28 $276.98
73501 16 13 $276.28
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 67 66 $227.11
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 13 $155.48
73120 17 13 $151.04
73660 16 14 $121.83
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 89 82 $105.28
J1885 Injection, ketorolac tromethamine, per 15 mg 76 69 $91.09
J1071 Injection, testosterone cypionate, 1 mg 20 13 $68.00
99000 264 257 $60.56
J0696 Injection, ceftriaxone sodium, per 250 mg 29 29 $44.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28 26 $30.58
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 58 55 $1.81
1159F 5,453 5,037 $0.00
3078F 4,402 4,175 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 295 280 $0.00
3725F 369 335 $0.00
1160F 4,201 3,903 $0.00
3077F 150 146 $0.00
99072 30 29 $0.00
99499 12 12 $0.00
1036F 5,580 5,203 $0.00
1125F 8,128 7,704 $0.00
3074F 6,118 5,802 $0.00
3079F 2,068 1,969 $0.00
3008F 8,676 8,079 $0.00
3075F 405 383 $0.00
1034F 973 911 $0.00
1126F 1,347 1,275 $0.00
1170F 139 126 $0.00
90677 29 29 $0.00
3080F 209 207 $0.00
3044F 41 40 $0.00
3353F 13 13 $0.00
1035F 14 13 $0.00