Medicaid Provider Spending

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

PUEBLO COMMUNITY HEALTH CENTER INC

NPI: 1700139813 · PUEBLO, CO 81004 · Federally Qualified Health Center (FQHC) · NPI assigned 10/26/2012

$467K
Total Medicaid Paid
3,472
Total Claims
3,019
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOORE, DONALD (CEO)
NPI Enumeration Date10/26/2012

Related Entities

Other providers sharing the same authorized official: MOORE, DONALD

ProviderCityStateTotal 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 PUEBLO CO $384K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 738 $76K
2019 831 $87K
2020 310 $30K
2021 69 $8K
2022 378 $53K
2023 773 $146K
2024 373 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,474 1,158 $331K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 495 471 $111K
99384 61 55 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 25 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 875 796 $670.59
99173 302 291 $432.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 132 124 $0.00
90688 51 50 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 24 24 $0.00