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
COLORADO SPRINGS, CO 80906
33aNPI1326342940assigned 12/23/2010
33bProvider typeCommunity Health Clinic/Center
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,021 | $175K | |
| 2019 | 2,650 | $174K | |
| 2020 | 2,039 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)
| Provider | Location | Paid |
|---|---|---|
| Set of Colorado Springs | Colorado Springs, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.