Physician
Southwest Health System INC
Southwest Health System INC was paid $9.17M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.
33Billing provider infoSOUTHWEST HEALTH SYSTEM INC
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1649241571assigned 01/30/2006
33bProvider typeAnesthesiology Physician
28Total paid$9.17M
24GClaims184,929
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Colorado
Rank by total paid#2 of 36
Median peer was paid$48K
This provider vs. median190×
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 | 32,746 | $1.61M | |
| 2019 | 25,470 | $1.31M | |
| 2020 | 24,074 | $1.12M | |
| 2021 | 28,211 | $1.19M | |
| 2022 | 27,033 | $1.46M | |
| 2023 | 26,591 | $1.36M | |
| 2024incomplete | 20,804 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 28,819 | 21,042 | $2.99M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 18,552 | 13,852 | $2.06M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 19% | 11,764 | 7,646 | $1.70M |
| 96361 | Intravenous infusion, hydration; each additional hour | 6.4% | 2,490 | 2,044 | $588K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.0% | 7,571 | 6,011 | $456K |
| 80053 | Comprehensive metabolic panel | 3.1% | 22,331 | 18,020 | $285K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.7% | 2,079 | 1,944 | $153K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 1.3% | 3,163 | 2,771 | $119K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 1,959 | 1,660 | $99K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,283 | 1,115 | $78K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | <1% | 887 | 707 | $61K |
| S5185 | Medication reminder service, non-face-to-face; per month | <1% | 1,023 | 857 | $57K |
79 more codes
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 2,079 | $51K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 409 | $49K |
| 81003 | <1% | 1,599 | $45K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,930 | $42K |
| 87400 | <1% | 2,946 | $41K | |
| 80320 | <1% | 334 | $34K | |
| A0425 | Ground mileage, per statute mile | <1% | 2,170 | $28K |
| 83605 | <1% | 1,634 | $21K | |
| A0429 | Emergency ambulance ride, basic life support | <1% | 217 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 761 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 22,809 | $17K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 72 | $15K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 438 | $14K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 89 | $13K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 232 | $12K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 29 | $11K |
| 84484 | <1% | 793 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 234 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 17 | $7K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 4,967 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 499 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,400 | $5K |
| 87088 | <1% | 198 | $5K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 108 | $5K |
| 80061 | Lipid panel | <1% | 329 | $4K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 162 | $4K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 164 | $4K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | <1% | 20 | $3K |
| 81025 | <1% | 210 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 27 | $3K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,554 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 108 | $2K |
| 84439 | <1% | 169 | $2K | |
| 81001 | <1% | 5,461 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 497 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 60 | $907.72 |
| S5160 | Emergency response system; installation and testing | <1% | 31 | $845.00 |
| 83690 | <1% | 3,153 | $734.14 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 18 | $720.48 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 242 | $709.97 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 300 | $709.65 |
| 86593 | <1% | 24 | $653.82 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,413 | $639.27 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 55 | $598.96 |
| A9270 | Non-covered item or service | <1% | 14,460 | $570.70 |
| 87641 | <1% | 16 | $536.22 | |
| 85027 | <1% | 244 | $468.43 | |
| 86592 | <1% | 37 | $468.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 57 | $467.62 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $407.05 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 12 | $369.36 |
| 85018 | <1% | 24 | $358.14 | |
| 86803 | <1% | 12 | $330.97 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 677 | $329.41 |
| 87081 | <1% | 60 | $327.71 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,055 | $294.81 |
| 87640 | <1% | 16 | $269.64 | |
| J2704 | Injection, propofol, 10 mg | <1% | 921 | $253.13 |
| 97161 | <1% | 12 | $152.80 | |
| 86850 | <1% | 17 | $144.48 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 357 | $127.46 |
| 83735 | <1% | 690 | $53.91 | |
| 86901 | <1% | 17 | $52.02 | |
| 86900 | <1% | 17 | $26.01 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,106 | $19.82 |
| 85610 | <1% | 162 | $15.99 | |
| 86140 | <1% | 158 | $9.26 | |
| 71045 | Radiologic examination, chest; single view | <1% | 155 | $6.57 |
| 85730 | <1% | 77 | $5.37 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 47 | $0.00 |
| 84703 | 0% | 13 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 287 | $0.00 |
| 81015 | 0% | 32 | $0.00 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 19 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 20 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 20 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 21 | $0.00 |
| 80305 | 0% | 201 | $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 | $9.45M |
| 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.