Behavioral
ST. Vincent General Hospital District
ST. Vincent General Hospital District was paid $410K by Medicaid between Jan 2018 and Jan 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoST. VINCENT GENERAL HOSPITAL DISTRICT
LEADVILLE, CO 80461
LEADVILLE, CO 80461
33aNPI1497710958assigned 04/19/2006
33bProvider typeMental Health Counselor
28Total paid$410K
24GClaims8,953
24DCodes billed26
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Mental Health Counselor providers in Colorado
Rank by total paid#52 of 335
Median peer was paid$61K
This provider vs. median6.7×
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.
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 | |
|---|---|---|---|
| 2018 | 1,081 | $45K | |
| 2019 | 827 | $46K | |
| 2020 | 614 | $27K | |
| 2021 | 2,752 | $119K | |
| 2022 | 2,765 | $115K | |
| 2023 | 901 | $58K | |
| 2024incomplete | 13 | $631.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 4,666 | 3,836 | $255K |
| 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 | 23% | 1,228 | 1,026 | $92K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.6% | 456 | 388 | $19K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.9% | 355 | 316 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 81 | 74 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 148 | 140 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 69 | 60 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 15 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 95 | 89 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 113 | 104 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 384 | 344 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $2K |
14 more codes
| 96127 | <1% | 88 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 82 | $1K |
| 90688 | <1% | 79 | $922.54 | |
| 0011A | <1% | 33 | $877.18 | |
| 90837 | Psychotherapy session, about an hour | <1% | 825 | $609.82 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $564.41 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $485.83 |
| 90672 | <1% | 16 | $96.51 | |
| 81002 | <1% | 21 | $40.44 | |
| 91301 | 0% | 45 | $0.00 | |
| 99429 | 0% | 17 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 36 | $0.00 |
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 officialDREESEN, ANDREW (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| ST. Vincent General Hospital District | Leadville, CO | $50K |
| ST. Vincent General Hospital District | Leadville, CO | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.