Clinic
High Plains Community Health Center Incorporated
High Plains Community Health Center Incorporated was paid $458K by Medicaid between Jan 2018 and Nov 2022, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoHIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED
LAMAR, CO 81052
LAMAR, CO 81052
33aNPI1770865644assigned 09/15/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$458K
24GClaims6,134
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#139 of 197
Median peer was paid$1.11M
This provider vs. median0.4×
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 | 16 | $232.00 | |
| 2019 | 166 | $2K | |
| 2020 | 1,785 | $104K | |
| 2021 | 3,114 | $266K | |
| 2022 | 1,053 | $85K |
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 | 49% | 1,774 | 1,472 | $224K |
| 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 | 22% | 803 | 707 | $100K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 458 | 422 | $85K |
| 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 | 5.8% | 891 | 746 | $27K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 566 | 269 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 49 | 37 | $8K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 13 | 12 | $582.35 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 488 | 220 | $530.40 |
| 99441 | <1% | 16 | 16 | $304.51 | |
| 36416 | <1% | 304 | 272 | $4.78 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 472 | 431 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 262 | 242 | $0.00 |
2 more codes
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 21 | $0.00 |
| 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 | 0% | 17 | $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 officialENGELHARDT, BILLI (BILLI ENGELHARDT)
Parent organizationHIGH PLAINS COMMUNITY HEALTH CENTER INCORPORATED