Managed care
High Plains Community Health Center Incorporated
High Plains Community Health Center Incorporated was paid $7.86M by Medicaid between Jan 2020 and Jun 2024, across 72 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 48% of everything it billed.
33Billing provider infoHIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
LAMAR, CO 81052
LAMAR, CO 81052
33aNPI1609240894assigned 11/25/2015
33bProvider typeHealth Maintenance Organization
28Total paid$7.86M
24GClaims70,903
24DCodes billed72
24AFirst – last monthJan 2020 – Jun 2024
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 | |
|---|---|---|---|
| 2020 | 10,571 | $987K | |
| 2021 | 23,690 | $2.25M | |
| 2022 | 17,661 | $1.94M | |
| 2023 | 14,694 | $2.02M | |
| 2024incomplete | 4,287 | $653K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 48% | 14,267 | 10,029 | $3.75M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 8,863 | 7,165 | $1.89M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 1,866 | 1,654 | $429K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 1,635 | 1,436 | $369K |
| 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 | 4.3% | 1,981 | 1,720 | $342K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 1,495 | 1,289 | $338K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 1,694 | 1,295 | $311K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 1,029 | 863 | $232K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,417 | 900 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,379 | 2,917 | $16K |
| D1206 | Topical application of fluoride varnish | <1% | 3,446 | 2,968 | $15K |
| D1110 | Prophylaxis - adult | <1% | 2,396 | 2,089 | $14K |
60 more codes
| D1120 | Dental cleaning, child | <1% | 1,388 | $14K |
| 90651 | <1% | 316 | $13K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,703 | $12K |
| 90670 | <1% | 1,015 | $10K | |
| G0467 | Community health center visit, returning patient | <1% | 218 | $7K |
| D0330 | Panoramic radiographic image | <1% | 622 | $7K |
| 99381 | <1% | 22 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 768 | $5K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 727 | $5K |
| D1351 | Sealant - per tooth | <1% | 655 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 168 | $4K |
| 90680 | <1% | 747 | $4K | |
| 90710 | <1% | 140 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,423 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 22 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 711 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 977 | $3K |
| 90697 | <1% | 436 | $2K | |
| 90633 | <1% | 662 | $2K | |
| 94010 | <1% | 77 | $2K | |
| 90686 | <1% | 1,369 | $2K | |
| 90620 | <1% | 33 | $2K | |
| 90734 | <1% | 113 | $1K | |
| 90723 | <1% | 347 | $1K | |
| 99177 | <1% | 1,748 | $1K | |
| 90619 | <1% | 93 | $1K | |
| 90671 | <1% | 252 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 224 | $903.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,985 | $870.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 54 | $840.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 669 | $647.92 |
| 90647 | <1% | 372 | $641.24 | |
| 90688 | <1% | 308 | $639.85 | |
| 99173 | <1% | 1,824 | $569.66 | |
| 90696 | <1% | 77 | $548.29 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 495 | $509.96 |
| 90461 | <1% | 17 | $482.82 | |
| 90687 | <1% | 592 | $373.54 | |
| 90715 | <1% | 89 | $316.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 365 | $244.41 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 825 | $241.41 |
| 95012 | <1% | 89 | $231.81 | |
| 92551 | <1% | 234 | $215.02 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 53 | $204.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 123 | $122.80 |
| 81002 | <1% | 228 | $37.53 | |
| 90672 | <1% | 22 | $28.29 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 98 | $16.42 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 138 | $13.60 |
| 85018 | <1% | 83 | $9.96 | |
| 90707 | 0% | 15 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 83655 | 0% | 16 | $0.00 | |
| 36416 | 0% | 313 | $0.00 | |
| 88720 | 0% | 134 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 47 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 116 | $0.00 |
| 92567 | 0% | 36 | $0.00 | |
| 90716 | 0% | 16 | $0.00 | |
| 93000 | 0% | 13 | $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 officialSOBCZAK, GENE (CEO)
Parent organizationHIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
| Provider | Location | Paid |
|---|---|---|
| High Plains Community Health Center, Incorporated | Lamar, CO | $13.01M |
| High Plains Community Health Center Incorporated | Holly, CO | $496K |
| High Plains Community Health Center Incorporated | Lamar, CO | $312K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.