Clinic
Southwest Colorado Mental Health Center, INC
Southwest Colorado Mental Health Center, INC was paid $13.50M by Medicaid between Aug 2020 and Jul 2023, across 32 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 27% of everything it billed.
33Billing provider infoSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
DURANGO, CO 81303
DURANGO, CO 81303
33aNPI1417295783assigned 01/22/2013
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$13.50M
24GClaims74,907
24DCodes billed32
24AFirst – last monthAug 2020 – Jul 2023
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Colorado
Rank by total paid#2 of 36
Median peer was paid$69K
This provider vs. median195×
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
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 | |
|---|---|---|---|
| 2020 | 4,772 | $810K | |
| 2021 | 29,643 | $6.32M | |
| 2022 | 32,535 | $6.35M | |
| 2023 | 7,957 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 27% | 13,222 | 8,669 | $3.68M |
| H2011 | Crisis intervention service, per 15 minutes | 13% | 6,557 | 3,037 | $1.76M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.6% | 4,761 | 3,820 | $895K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.1% | 2,848 | 2,718 | $824K |
| H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | 5.2% | 610 | 155 | $702K |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 5.0% | 1,413 | 774 | $672K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 2,100 | 1,903 | $600K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 4.4% | 4,606 | 2,563 | $595K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.9% | 9,150 | 3,675 | $524K |
| 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 | 3.9% | 2,866 | 2,480 | $520K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.7% | 3,296 | 2,686 | $495K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.5% | 5,620 | 4,120 | $333K |
20 more codes
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 2.4% | 3,703 | $329K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.3% | 1,213 | $309K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 740 | $259K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.3% | 1,809 | $170K |
| H2014 | Skills training and development, per 15 minutes | 1.1% | 1,355 | $154K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 1.1% | 225 | $148K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,617 | $103K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 821 | $100K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 2,312 | $98K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 532 | $45K |
| H0006 | Alcohol and/or drug services; case management | <1% | 594 | $33K |
| H2023 | Supported employment, per 15 minutes | <1% | 924 | $30K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 815 | $27K |
| H0001 | Alcohol and/or drug assessment | <1% | 72 | $22K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 515 | $20K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 81 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 452 | $14K |
| H0031 | Mental health assessment, by non-physician | <1% | 28 | $6K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 26 | $4K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 24 | $3K |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.