Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1699301671 · DOVE CREEK, CO 81324 · Federally Qualified Health Center (FQHC) · NPI assigned 03/21/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more

$1.45M
Total Medicaid Paid
7,760
Total Claims
6,907
Beneficiaries
17
Codes Billed
2020-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST MENTAL HEALTH CENTER
NPI Enumeration Date03/21/2020

Related Entities

Other providers sharing the same authorized official: BURKE, SHELLY

ProviderCityStateTotal Paid
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $18.17M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $13.50M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.46M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.27M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $3.34M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC PAGOSA SPRINGS CO $1.35M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $596K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $244K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $189K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $136K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $9K
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC MONTROSE CO $8K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CRESTED BUTTE CO $2K
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC GUNNISON CO $921.78
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM MONTROSE CO $642.24
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DELTA CO $406.45
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM MONTROSE CO $283.27
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $86.67

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,578 $302K
2021 2,176 $383K
2022 1,965 $386K
2023 1,726 $318K
2024 315 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 2,828 2,325 $1.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,547 1,376 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 596 549 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 16 $3K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 202 180 $3K
D0140 Limited oral evaluation - problem focused 322 298 $2K
D0274 Bitewings - four radiographic images 349 338 $1K
D0220 Intraoral - periapical first radiographic image 249 217 $1K
D0120 Periodic oral evaluation - established patient 555 547 $1K
D1110 Prophylaxis - adult 562 557 $916.00
D0150 Comprehensive oral evaluation - new or established patient 80 77 $492.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 36 29 $452.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 65 50 $392.00
H0049 Alcohol and/or drug screening 133 132 $299.56
D0330 Panoramic radiographic image 110 109 $130.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 66 66 $0.00
96127 42 41 $0.00