Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Set of Colorado Springs

Set of Colorado Springs was paid $453K by Medicaid between Jan 2018 and Dec 2020, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoSET OF COLORADO SPRINGS
COLORADO SPRINGS, CO 80906
33aNPI1326342940assigned 12/23/2010
28Total paid$453K
24GClaims7,710
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Community Health Clinic/Center providers in Colorado

Rank by total paid#11 of 17
Median peer was paid$936K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20183,021$175K
20192,650$174K
20202,039$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42% 2,346 1,964 $189K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 2,446 2,096 $140K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9.9% 460 325 $45K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 5.3% 229 221 $24K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.7% 246 208 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 139 129 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.1% 648 580 $9K
90686 1.1% 341 327 $5K
90750 <1% 41 41 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 45 44 $4K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 21 16 $2K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 19 13 $2K
11 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 25 $2K
99406 <1% 145 $1K
96127 <1% 338 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 37 $871.15
90715 <1% 18 $796.32
90714 <1% 45 $742.98
90472 Immunization administration, each additional vaccine (list separately) <1% 58 $392.97
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 $316.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 $217.14
36415 Collection of venous blood by venipuncture <1% 14 $44.66
81003 <1% 18 $2.23

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPATTEN, CARL (DIRECTOR, COMMUNITY BENEFIT)
Same official

Other billing entities under PATTEN, CARL

Full network →
ProviderLocationPaid
Set of Colorado SpringsColorado Springs, CO$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.