Medicaid Provider Spending

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

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1447630504 · CORTEZ, CO 81321 · Federally Qualified Health Center (FQHC) · NPI assigned 06/04/2015

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

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

$3.34M
Total Medicaid Paid
24,134
Total Claims
20,544
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
NPI Enumeration Date06/04/2015

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 $4.46M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.27M
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 3,587 $458K
2019 4,440 $605K
2020 4,610 $550K
2021 2,854 $481K
2022 3,804 $652K
2023 3,467 $438K
2024 1,372 $160K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,931 6,811 $1.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,843 5,028 $1.17M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 758 629 $149K
D0999 Unspecified diagnostic procedure, by report 391 355 $137K
90837 Psychotherapy, 53 minutes with patient 443 318 $110K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 221 207 $51K
90832 Psychotherapy, 30 minutes with patient 391 203 $40K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,917 2,166 $31K
T1015 Clinic visit/encounter, all-inclusive 180 67 $29K
90460 Immunization administration through 18 years of age via any route, first or only component 478 455 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 60 60 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 103 103 $15K
99406 749 684 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 52 51 $13K
90792 Psychiatric diagnostic evaluation with medical services 28 25 $7K
36415 Collection of venous blood by venipuncture 514 481 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 12 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $4K
90853 Group psychotherapy (other than of a multiple-family group) 48 27 $3K
90834 Psychotherapy, 45 minutes with patient 21 16 $3K
99215 Prolong outpt/office vis 12 12 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 646 625 $1K
H0049 Alcohol and/or drug screening 922 872 $1K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 15 14 $676.15
G8510 Screening for depression is documented as negative, a follow-up plan is not required 666 625 $286.46
D1110 Prophylaxis - adult 61 61 $230.00
D0150 Comprehensive oral evaluation - new or established patient 27 27 $113.00
D0274 Bitewings - four radiographic images 15 15 $82.00
83037 37 30 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 107 99 $0.00
90461 98 95 $0.00
G0444 Annual depression screening, 5 to 15 minutes 31 28 $0.00
99173 13 13 $0.00
96127 29 29 $0.00
D0120 Periodic oral evaluation - established patient 49 49 $0.00
D0140 Limited oral evaluation - problem focused 16 16 $0.00
90686 205 196 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 31 28 $0.00