Clinic
County of Chaffee
County of Chaffee was paid $25K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D0190, — 48% of everything it billed.
33Billing provider infoCOUNTY OF CHAFFEE
SALIDA, CO 81201
SALIDA, CO 81201
33aNPI1609834449assigned 05/02/2006
33bProvider typeState or Local Public Health Clinic/Center
28Total paid$25K
24GClaims1,326
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 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 | |
|---|---|---|---|
| 2018 | 360 | $6K | |
| 2019 | 336 | $5K | |
| 2020 | 166 | $3K | |
| 2021 | 179 | $3K | |
| 2022 | 12 | $217.69 | |
| 2023 | 160 | $3K | |
| 2024incomplete | 113 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0190 | 48% | 723 | 635 | $12K | |
| D1206 | Topical application of fluoride varnish | 23% | 289 | 255 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 90 | 82 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10.0% | 144 | 139 | $2K |
| 90686 | 2.7% | 68 | 66 | $668.85 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 12 | 12 | $285.74 |
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 officialCARLSTROM, ANDREA (DIRECTOR)