Medicaid Provider Spending

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

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1316374283 · DURANGO, CO 81301 · Federally Qualified Health Center (FQHC) · NPI assigned 10/08/2013

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

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

$4.27M
Total Medicaid Paid
28,056
Total Claims
24,098
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
NPI Enumeration Date10/08/2013

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 CORTEZ CO $3.34M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DOVE CREEK CO $1.45M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC PAGOSA SPRINGS CO $1.35M
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
2018 2,655 $363K
2019 5,171 $699K
2020 4,505 $692K
2021 5,301 $838K
2022 4,424 $814K
2023 5,406 $766K
2024 594 $95K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,633 7,371 $1.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,431 6,477 $1.56M
D0999 Unspecified diagnostic procedure, by report 1,038 974 $374K
90832 Psychotherapy, 30 minutes with patient 1,688 1,029 $213K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 547 477 $111K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 352 330 $84K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 246 222 $52K
90792 Psychiatric diagnostic evaluation with medical services 104 88 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 407 378 $21K
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 1,742 1,138 $20K
99406 533 453 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 58 54 $12K
90686 382 359 $3K
90834 Psychotherapy, 45 minutes with patient 14 14 $3K
H0049 Alcohol and/or drug screening 1,830 1,772 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,145 1,114 $2K
D1110 Prophylaxis - adult 616 609 $1K
36415 Collection of venous blood by venipuncture 708 677 $904.77
D0274 Bitewings - four radiographic images 112 112 $108.00
96127 222 210 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 234 226 $0.00
83037 14 14 $0.00