NPI: 1396098828 · PUEBLO, CO 81006 · Federally Qualified Health Center (FQHC) · NPI assigned 10/22/2012
| Authorized Official | MOORE, DONALD (CEO) |
| NPI Enumeration Date | 10/22/2012 |
Other providers sharing the same authorized official: MOORE, DONALD
| Provider | City | State | Total Paid |
|---|---|---|---|
| PUEBLO COMMUNITY HEALTH CENTER INC. | PUEBLO | CO | $55.28M |
| PUEBLO COMMUNITY HEALTH CENTER INC. | PUEBLO | CO | $5.99M |
| PUEBLO COMMUNITY HEALTH CENTER INC. | PUEBLO | CO | $3.92M |
| PUEBLO COMMUNITY HEALTH CENTER, INC | PUEBLO | CO | $911K |
| PUEBLO COMMUNITY HEALTH CENTER INC | AVONDALE | CO | $886K |
| PUEBLO COMMUNITY HEALTH CENTER INC | PUEBLO | CO | $467K |
| PUEBLO COMMUNITY HEALTH CENTER | PUEBLO | CO | $384K |
| PUEBLO COMMUNITY HEALTH CENTER | PUEBLO | CO | $63K |
| PUEBLO COMMUNITY HEALTH CENTER, INC | PUEBLO | CO | $59K |
| PUEBLO COMMUNITY HEALTH CENTER INC | WALSENBURG | CO | $19K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 153 | $11K |
| 2019 | 317 | $23K |
| 2020 | 149 | $15K |
| 2021 | 19 | $232.56 |
| 2022 | 103 | $18K |
| 2023 | 104 | $19K |
| 2024 | 161 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 300 | 244 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 132 | 128 | $31K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 65 | 55 | $15K |
| 99173 | 139 | 135 | $670.59 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 358 | 335 | $456.09 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $0.00 |