Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Durango › NPI 1376907493
Clinic

Southwest Colorado Mental Health Center, INC

Southwest Colorado Mental Health Center, INC was paid $4.46M by Medicaid between Jan 2018 and Oct 2023, across 14 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 94% of everything it billed.

33Billing provider infoSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
DURANGO, CO 81301
33aNPI1376907493assigned 04/06/2016
28Total paid$4.46M
24GClaims21,125
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Colorado

Rank by total paid#61 of 197
Median peer was paid$1.11M
This provider vs. median4.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20183,850$673K
20194,962$996K
20203,531$895K
20213,443$669K
20223,083$713K
20232,256$517K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0999 Unspecified diagnostic procedure, by report 94% 11,761 8,844 $4.19M
D1110 Prophylaxis - adult 1.2% 1,840 1,560 $52K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.1% 834 529 $50K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.0% 798 375 $45K
D0150 Comprehensive oral evaluation - new or established patient <1% 1,349 1,149 $30K
D0140 Limited oral evaluation - problem focused <1% 637 505 $21K
D0330 Panoramic radiographic image <1% 485 398 $19K
D0274 Bitewings - four radiographic images <1% 688 554 $18K
D0220 Intraoral - periapical first radiographic image <1% 1,095 862 $12K
D7140 Extraction, erupted tooth or exposed root <1% 193 92 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 970 889 $9K
D0210 Intraoral - complete series of radiographic images <1% 183 156 $5K
2 more codes
D1206 Topical application of fluoride varnish <1% 250 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 42 $186.00

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 officialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent organizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
Same official

Other billing entities under BURKE, SHELLY

Full network →

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