Medicaid Provider Spending

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

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1376907493 · DURANGO, CO 81301 · Federally Qualified Health Center (FQHC) · NPI assigned 04/06/2016

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

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

$4.46M
Total Medicaid Paid
21,125
Total Claims
16,154
Beneficiaries
14
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
NPI Enumeration Date04/06/2016

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 $4.27M
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 3,850 $673K
2019 4,962 $996K
2020 3,531 $895K
2021 3,443 $669K
2022 3,083 $713K
2023 2,256 $517K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 11,761 8,844 $4.19M
D1110 Prophylaxis - adult 1,840 1,560 $52K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 834 529 $50K
D2391 Resin-based composite - one surface, posterior, primary or permanent 798 375 $45K
D0150 Comprehensive oral evaluation - new or established patient 1,349 1,149 $30K
D0140 Limited oral evaluation - problem focused 637 505 $21K
D0330 Panoramic radiographic image 485 398 $19K
D0274 Bitewings - four radiographic images 688 554 $18K
D0220 Intraoral - periapical first radiographic image 1,095 862 $12K
D7140 Extraction, erupted tooth or exposed root 193 92 $11K
D0120 Periodic oral evaluation - established patient 970 889 $9K
D0210 Intraoral - complete series of radiographic images 183 156 $5K
D1206 Topical application of fluoride varnish 250 201 $3K
D0230 Intraoral - periapical each additional radiographic image 42 40 $186.00