PUEBLO COMMUNITY HEALTH CENTER, INC
NPI: 1720432610
· PUEBLO, CO 81008
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/18/2016
Provider Details
| Authorized Official | MOORE, DONALD (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 04/18/2016 |
Related Entities
Other providers sharing the same authorized official: MOORE, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
242 |
$30K |
| 2019 |
63 |
$10K |
| 2022 |
57 |
$9K |
| 2023 |
45 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
224 |
$55K |
| 99384 |
|
19 |
19 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
118 |
110 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |