Clinic
Southwest Health System, INC.
Southwest Health System, INC. was paid $9.45M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoSOUTHWEST HEALTH SYSTEM, INC.
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1578689527assigned 03/21/2007
33bProvider typeRural Health Clinic/Center
28Total paid$9.45M
24GClaims47,193
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Colorado
Rank by total paid#2 of 45
Median peer was paid$716K
This provider vs. median13×
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 | 6,190 | $1.04M | |
| 2019 | 6,730 | $1.29M | |
| 2020 | 6,105 | $1.30M | |
| 2021 | 6,949 | $1.39M | |
| 2022 | 8,090 | $1.60M | |
| 2023 | 7,563 | $1.43M | |
| 2024incomplete | 5,566 | $1.41M |
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 | 60% | 26,074 | 21,393 | $5.66M |
| 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 | 31% | 15,740 | 13,642 | $2.93M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 1,120 | 982 | $283K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 592 | 529 | $131K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 827 | 714 | $127K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 566 | 438 | $118K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 381 | 276 | $77K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 301 | 293 | $77K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 147 | 125 | $31K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 49 | 43 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | 14 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 907 | 863 | $1K |
7 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $680.64 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 52 | $510.66 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 229 | $314.24 |
| D0190 | <1% | 86 | $273.40 | |
| 98928 | <1% | 57 | $71.04 | |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 25 | $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 officialTHEINE, JOSEPH (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southwest Health System INC | Cortez, CO | $9.17M |
| Southwest Health System, INC. | Cortez, CO | $5.50M |
| Southwest Health System, INC. | Cortez, CO | $1.11M |
| Southwest Health System, INC. | Mancos, CO | $975K |
| Southwest Health System, INC. | Cortez, CO | $915K |
| Southwest Health System, INC. | Cortez, CO | $789K |
| Southwest Health System, INC. | Cortez, CO | $723K |
| Southwest Health System, INC. | Cortez, CO | $361K |
| Southwest Health System, INC. | Cortez, CO | $33K |
| Southwest Health System, INC. | Cortez, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.