Clinic
Pueblo Community Health Center
Pueblo Community Health Center was paid $384K by Medicaid between Jan 2018 and Feb 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoPUEBLO COMMUNITY HEALTH CENTER
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1649524653assigned 10/30/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$384K
24GClaims3,770
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#147 of 197
Median peer was paid$1.11M
This provider vs. median0.3×
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 | 1,770 | $191K | |
| 2019 | 1,502 | $147K | |
| 2020 | 364 | $43K | |
| 2021 | 31 | $0.00 | |
| 2022 | 60 | $0.00 | |
| 2023 | 43 | $4K |
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 | 61% | 1,149 | 938 | $233K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 282 | 246 | $57K |
| 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 | 13% | 250 | 217 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 210 | 202 | $41K |
| 99173 | <1% | 263 | 251 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,258 | 1,095 | $1K |
| 81025 | <1% | 83 | 68 | $223.53 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 73 | 72 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 39 | 34 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | 13 | $0.00 |
| 90688 | 0% | 24 | 23 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 82 | 77 | $0.00 |
1 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 42 | $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 officialMOORE, DONALD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pueblo Community Health Center INC. | Pueblo, CO | $55.28M |
| Pueblo Community Health Center INC. | Pueblo, CO | $5.99M |
| Pueblo Community Health Center INC. | Pueblo, CO | $3.92M |
| Pueblo Community Health Center, INC | Pueblo, CO | $911K |
| Pueblo Community Health Center INC | Avondale, CO | $886K |
| Pueblo Community Health Center INC | Pueblo, CO | $467K |
| Pueblo Community Health Center | Pueblo, CO | $116K |
| Pueblo Community Health Center | Pueblo, CO | $63K |
| Pueblo Community Health Center, INC | Pueblo, CO | $59K |
| Pueblo Community Health Center INC | Walsenburg, CO | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.