Clinic
High Plains Community Health Center, Incorporated
High Plains Community Health Center, Incorporated was paid $13.01M by Medicaid between Jan 2018 and Oct 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoHIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED
LAMAR, CO 81052
LAMAR, CO 81052
33aNPI1700889151assigned 05/31/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$13.01M
24GClaims115,179
24DCodes billed89
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Colorado
Rank by total paid#1 of 17
Median peer was paid$936K
This provider vs. median14×
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 | 36,453 | $3.82M | |
| 2019 | 37,814 | $4.44M | |
| 2020 | 15,155 | $1.54M | |
| 2021 | 10,172 | $975K | |
| 2022 | 9,357 | $1.06M | |
| 2023 | 4,766 | $893K | |
| 2024incomplete | 1,462 | $284K |
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 | 44% | 33,653 | 27,971 | $5.70M |
| D0999 | Unspecified diagnostic procedure, by report | 25% | 11,040 | 5,897 | $3.24M |
| 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 | 9.9% | 9,075 | 7,929 | $1.29M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 2,477 | 2,168 | $439K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 1,120 | 500 | $225K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 1,013 | 927 | $196K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 894 | 838 | $165K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.3% | 6,625 | 5,369 | $164K |
| D1110 | Prophylaxis - adult | 1.0% | 1,667 | 1,118 | $131K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 684 | 608 | $118K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,171 | 662 | $116K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,980 | 1,250 | $107K |
77 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 864 | $100K |
| D0120 | Dental checkup, returning patient | <1% | 2,547 | $98K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 573 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 568 | $77K |
| D0274 | Bitewings - four radiographic images | <1% | 1,344 | $71K |
| D1120 | Dental cleaning, child | <1% | 1,295 | $68K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 518 | $61K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,980 | $50K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 266 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 847 | $44K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,691 | $44K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,426 | $41K |
| D1206 | Topical application of fluoride varnish | <1% | 1,434 | $40K |
| 90837 | Psychotherapy session, about an hour | <1% | 407 | $35K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 216 | $32K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 334 | $32K |
| D0330 | Panoramic radiographic image | <1% | 326 | $27K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 240 | $24K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 192 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 92 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,459 | $11K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 972 | $11K |
| D1351 | Sealant - per tooth | <1% | 252 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 153 | $8K |
| 99381 | <1% | 27 | $5K | |
| 95012 | <1% | 417 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 83 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,675 | $2K |
| 99460 | <1% | 27 | $2K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 794 | $2K |
| 90670 | <1% | 687 | $2K | |
| 90686 | <1% | 1,158 | $2K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 33 | $2K |
| 0012A | <1% | 39 | $2K | |
| 0011A | <1% | 40 | $1K | |
| 90651 | <1% | 74 | $1K | |
| 0002A | <1% | 20 | $941.18 | |
| 90723 | <1% | 496 | $867.82 | |
| 99173 | <1% | 928 | $807.92 | |
| 90680 | <1% | 478 | $703.12 | |
| 92551 | <1% | 869 | $605.94 | |
| 36416 | <1% | 1,433 | $473.22 | |
| 90734 | <1% | 70 | $458.79 | |
| 90633 | <1% | 180 | $409.37 | |
| 88720 | <1% | 94 | $403.98 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 539 | $347.81 |
| 90647 | <1% | 464 | $250.64 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 782 | $127.49 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,524 | $115.70 |
| 99441 | <1% | 20 | $94.62 | |
| 90687 | <1% | 349 | $91.44 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 82 | $81.26 |
| 83655 | <1% | 166 | $61.61 | |
| 90688 | <1% | 465 | $56.34 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 393 | $38.73 |
| 81002 | <1% | 1,839 | $37.64 | |
| 94010 | <1% | 591 | $30.08 | |
| 90685 | <1% | 116 | $23.41 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 235 | $10.02 |
| 85018 | <1% | 82 | $4.74 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,606 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 147 | $0.00 |
| 92587 | 0% | 122 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 148 | $0.00 |
| 0240U | 0% | 13 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 16 | $0.00 |
| 92567 | 0% | 42 | $0.00 | |
| 90696 | 0% | 28 | $0.00 | |
| 96127 | 0% | 17 | $0.00 | |
| 94760 | 0% | 15 | $0.00 | |
| 82947 | 0% | 506 | $0.00 | |
| 99177 | 0% | 667 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 90710 | 0% | 31 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 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 officialSOBCZAK, GENE (CEO)
| Provider | Location | Paid |
|---|---|---|
| High Plains Community Health Center Incorporated | Lamar, CO | $7.86M |
| High Plains Community Health Center Incorporated | Holly, CO | $496K |
| High Plains Community Health Center Incorporated | Lamar, CO | $312K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.