Medicaid Provider Spending

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

PUEBLO COMMUNITY HEALTH CENTER INC

NPI: 1316466816 · PUEBLO, CO 81004 · Federally Qualified Health Center (FQHC) · NPI assigned 09/15/2017

$590K
Total Medicaid Paid
4,952
Total Claims
4,290
Beneficiaries
16
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTRUJILLO, PAULINE (PATIENT ACCOUNTS MANAGER)
NPI Enumeration Date09/15/2017

Related Entities

Other providers sharing the same authorized official: TRUJILLO, PAULINE

ProviderCityStateTotal Paid
PUEBLO COMMUNITY HEALTH CENTER, INC PUEBLO CO $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 441 $31K
2019 337 $30K
2020 1,054 $112K
2021 408 $48K
2022 623 $74K
2023 1,305 $157K
2024 784 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,454 1,243 $336K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 985 852 $220K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 92 80 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $7K
99384 18 17 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $3K
90682 45 42 $0.00
G0444 Annual depression screening, 5 to 15 minutes 22 21 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 65 55 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 15 12 $0.00
99173 59 57 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,720 1,477 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 274 255 $0.00
86580 73 58 $0.00
90688 65 59 $0.00
90686 28 25 $0.00