NPI: 1447630504 · CORTEZ, CO 81321 · Federally Qualified Health Center (FQHC) · NPI assigned 06/04/2015
Authorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more
| Authorized Official | BURKE, SHELLY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| NPI Enumeration Date | 06/04/2015 |
Other providers sharing the same authorized official: BURKE, SHELLY
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |