Clinic
Upper San Juan Health Service District
Upper San Juan Health Service District was paid $590K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99283, emergency room visit (moderate) — 48% of everything it billed.
33Billing provider infoUPPER SAN JUAN HEALTH SERVICE DISTRICT
PAGOSA SPRINGS, CO 81147
PAGOSA SPRINGS, CO 81147
33aNPI1659523058assigned 10/16/2008
33bProvider typeCritical Access Hospital Clinic/Center
28Total paid$590K
24GClaims10,410
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital Clinic/Center providers in Colorado
Rank by total paid#3 of 8
Median peer was paid$298K
This provider vs. median2.0×
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 | 1,061 | $45K | |
| 2019 | 2,058 | $98K | |
| 2020 | 1,488 | $60K | |
| 2021 | 1,309 | $78K | |
| 2022 | 1,645 | $103K | |
| 2023 | 1,702 | $117K | |
| 2024incomplete | 1,147 | $89K |
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 | 48% | 5,665 | 5,219 | $284K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 34% | 2,218 | 2,096 | $202K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.5% | 1,574 | 510 | $56K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.8% | 699 | 258 | $40K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 192 | 180 | $5K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 24 | 14 | $2K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | 15 | $736.97 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 23 | 21 | $607.05 |
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 officialWEBB, RHONDA (CEO, CMO)
| Provider | Location | Paid |
|---|---|---|
| Upper San Juan Health Service District | Pagosa Springs, CO | $3.65M |
| Upper San Juan Health Service District | Pagosa Springs, CO | $1.73M |
| Upper San Juan Health Service District | Pagosa Springs, CO | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.