Clinic
Dolores County Health Association
Dolores County Health Association was paid $1.09M by Medicaid between Jan 2018 and Apr 2020, across 13 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 67% of everything it billed.
33Billing provider infoDOLORES COUNTY HEALTH ASSOCIATION
DOVE CREEK, CO 81324
DOVE CREEK, CO 81324
33aNPI1710954433assigned 03/01/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.09M
24GClaims6,848
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#100 of 197
Median peer was paid$1.11M
This provider vs. median1.0×
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 | 3,007 | $502K | |
| 2019 | 3,306 | $488K | |
| 2020 | 535 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 67% | 2,713 | 1,861 | $738K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,511 | 1,189 | $192K |
| 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 | 6.0% | 651 | 454 | $66K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 186 | 88 | $27K |
| D1110 | Prophylaxis - adult | 1.8% | 413 | 341 | $20K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 151 | 125 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.0% | 434 | 355 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 179 | 171 | $9K |
| 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% | 195 | 158 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 110 | 107 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 239 | 224 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 24 | 12 | $2K |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 42 | $549.00 |
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 officialSMITH, DIANNE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Procare Health Services, INC. | North Hills, CA | $1.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.