Medicaid Provider Spending

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

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1417295783 · DURANGO, CO 81303 · Adult Mental Health Clinic/Center · NPI assigned 01/22/2013

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

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

$13.50M
Total Medicaid Paid
74,907
Total Claims
47,142
Beneficiaries
32
Codes Billed
2020-08
First Month
2023-07
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
NPI Enumeration Date01/22/2013

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 $4.46M
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
2020 4,772 $810K
2021 29,643 $6.32M
2022 32,535 $6.35M
2023 7,957 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 13,222 8,669 $3.68M
H2011 Crisis intervention service, per 15 minutes 6,557 3,037 $1.76M
90834 Psychotherapy, 45 minutes with patient 4,761 3,820 $895K
90791 Psychiatric diagnostic evaluation 2,848 2,718 $824K
H0017 Behavioral health; residential (hospital residential treatment program), without room and board, per diem 610 155 $702K
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 1,413 774 $672K
99215 Prolong outpt/office vis 2,100 1,903 $600K
T1017 Targeted case management, each 15 minutes 4,606 2,563 $595K
90853 Group psychotherapy (other than of a multiple-family group) 9,150 3,675 $524K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,866 2,480 $520K
90832 Psychotherapy, 30 minutes with patient 3,296 2,686 $495K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 5,620 4,120 $333K
H0039 Assertive community treatment, face-to-face, per 15 minutes 3,703 717 $329K
90847 Family psychotherapy with the patient present, 50 minutes 1,213 886 $309K
90792 Psychiatric diagnostic evaluation with medical services 740 689 $259K
H2000 Comprehensive multidisciplinary evaluation 1,809 1,231 $170K
H2014 Skills training and development, per 15 minutes 1,355 856 $154K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 225 107 $148K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,617 1,511 $103K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 821 647 $100K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 2,312 1,220 $98K
H0004 Behavioral health counseling and therapy, per 15 minutes 532 413 $45K
H0006 Alcohol and/or drug services; case management 594 489 $33K
H2023 Supported employment, per 15 minutes 924 545 $30K
H0005 Alcohol and/or drug services; group counseling by a clinician 815 411 $27K
H0001 Alcohol and/or drug assessment 72 69 $22K
H0038 Self-help/peer services, per 15 minutes 515 248 $20K
90846 Family psychotherapy without the patient present, 50 minutes 81 63 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 452 371 $14K
H0031 Mental health assessment, by non-physician 28 28 $6K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 26 25 $4K
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 24 16 $3K