Clinic
Pueblo Community Health Center INC.
Pueblo Community Health Center INC. was paid $55.28M by Medicaid between Jan 2018 and Dec 2024, across 128 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPUEBLO COMMUNITY HEALTH CENTER INC.
PUEBLO, CO 81004
PUEBLO, CO 81004
33aNPI1770529950assigned 06/22/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$55.28M
24GClaims521,938
24DCodes billed128
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#2 of 197
Median peer was paid$1.11M
This provider vs. median50×
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 | 93,695 | $8.47M | |
| 2019 | 83,653 | $7.80M | |
| 2020 | 72,307 | $7.67M | |
| 2021 | 67,850 | $7.26M | |
| 2022 | 75,021 | $7.36M | |
| 2023 | 79,207 | $9.11M | |
| 2024incomplete | 50,205 | $7.60M |
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 | 55% | 149,645 | 130,546 | $30.39M |
| 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 | 28% | 83,600 | 75,766 | $15.46M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 11,190 | 9,900 | $2.11M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.4% | 14,467 | 10,626 | $1.89M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 5,870 | 5,590 | $1.38M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 3,364 | 3,265 | $793K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 4,363 | 3,385 | $611K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 2,251 | 1,721 | $488K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,275 | 2,033 | $417K |
| 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% | 11,966 | 9,899 | $229K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 803 | 768 | $199K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,369 | 1,213 | $189K |
116 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,495 | $187K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,241 | $128K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 657 | $121K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 463 | $84K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 215 | $53K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 881 | $52K |
| 99381 | <1% | 222 | $48K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34,741 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 162 | $38K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 99 | $23K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,367 | $22K |
| D1110 | Prophylaxis - adult | <1% | 238 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 8,519 | $21K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 493 | $20K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 80 | $18K |
| 0002A | <1% | 423 | $17K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 56,521 | $15K |
| 0124A | <1% | 407 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 431 | $13K |
| 99383 | <1% | 44 | $13K | |
| 90837 | Psychotherapy session, about an hour | <1% | 64 | $10K |
| 99307 | <1% | 146 | $9K | |
| 99382 | <1% | 37 | $9K | |
| D0120 | Dental checkup, returning patient | <1% | 160 | $8K |
| 0001A | <1% | 202 | $7K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 83 | $7K |
| D4910 | <1% | 52 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 57 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 36 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 138 | $6K |
| 0071A | <1% | 229 | $5K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 56 | $5K |
| 0072A | <1% | 199 | $5K | |
| 59430 | <1% | 15 | $5K | |
| 0003A | <1% | 242 | $4K | |
| D1120 | Dental cleaning, child | <1% | 64 | $4K |
| 99310 | Prolong nursin fac eval 15m | <1% | 69 | $4K |
| 99407 | <1% | 7,482 | $4K | |
| 99402 | <1% | 63 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 43 | $3K |
| 0013A | <1% | 178 | $3K | |
| 90686 | <1% | 1,936 | $3K | |
| 90651 | <1% | 246 | $3K | |
| 90677 | <1% | 532 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 64 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 114 | $3K |
| 11981 | <1% | 14 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 37 | $2K |
| 90670 | <1% | 2,181 | $2K | |
| 11750 | <1% | 15 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 10,697 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 52 | $2K |
| 0011A | <1% | 61 | $2K | |
| 90619 | <1% | 146 | $2K | |
| 0012A | <1% | 54 | $2K | |
| 90710 | <1% | 391 | $2K | |
| 20553 | <1% | 19 | $2K | |
| 59025 | Fetal non-stress test | <1% | 186 | $1K |
| 90688 | <1% | 6,035 | $1K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 167 | $1K |
| 99401 | <1% | 76 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 20 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,490 | $705.77 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,995 | $674.58 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | <1% | 3,107 | $670.59 |
| 90633 | <1% | 516 | $633.15 | |
| 0053A | <1% | 30 | $555.93 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,449 | $513.55 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 56 | $506.07 |
| 81003 | <1% | 36,786 | $447.72 | |
| 99406 | <1% | 1,269 | $447.40 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 30 | $447.06 |
| 90682 | <1% | 4,773 | $432.52 | |
| 81025 | <1% | 2,612 | $284.33 | |
| 90474 | <1% | 771 | $218.05 | |
| 90680 | <1% | 823 | $204.00 | |
| 90715 | <1% | 266 | $164.52 | |
| 90656 | <1% | 40 | $141.18 | |
| 90734 | <1% | 16 | $122.31 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,283 | $28.76 |
| 91320 | <1% | 166 | $28.09 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,523 | $21.95 |
| 90648 | <1% | 447 | $21.74 | |
| 90658 | <1% | 549 | $15.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,195 | $10.49 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 327 | $1.73 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,627 | $0.26 |
| 82962 | 0% | 1,725 | $0.00 | |
| 0501F | 0% | 9,480 | $0.00 | |
| 90723 | 0% | 255 | $0.00 | |
| 3008F | 0% | 4,192 | $0.00 | |
| 90697 | 0% | 313 | $0.00 | |
| 90698 | 0% | 27 | $0.00 | |
| 20610 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 822 | $0.00 |
| 85018 | 0% | 52 | $0.00 | |
| 87807 | 0% | 78 | $0.00 | |
| 0503F | 0% | 104 | $0.00 | |
| 90657 | 0% | 56 | $0.00 | |
| 90673 | 0% | 110 | $0.00 | |
| 91307 | 0% | 24 | $0.00 | |
| 0500F | 0% | 54 | $0.00 | |
| 90480 | 0% | 159 | $0.00 | |
| 86580 | 0% | 172 | $0.00 | |
| 90696 | 0% | 46 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 18 | $0.00 |
| 80305 | 0% | 166 | $0.00 | |
| 0502F | 0% | 1,540 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 293 | $0.00 |
| 99080 | 0% | 30 | $0.00 | |
| 90681 | 0% | 28 | $0.00 | |
| 90662 | 0% | 257 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 46 | $0.00 |
| 99173 | 0% | 167 | $0.00 | |
| 90473 | 0% | 32 | $0.00 | |
| 90687 | 0% | 13 | $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 officialMOORE, DONALD (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| 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 INC | Pueblo, CO | $467K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.