Clinic
Pueblo Community Health Center INC
Pueblo Community Health Center INC was paid $886K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoPUEBLO COMMUNITY HEALTH CENTER INC
AVONDALE, CO 81022
AVONDALE, CO 81022
33aNPI1821010448assigned 07/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$886K
24GClaims7,547
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#112 of 197
Median peer was paid$1.11M
This provider vs. median0.8×
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 | 1,696 | $174K | |
| 2019 | 1,558 | $170K | |
| 2020 | 1,049 | $113K | |
| 2021 | 797 | $106K | |
| 2022 | 1,528 | $156K | |
| 2023 | 458 | $86K | |
| 2024incomplete | 461 | $80K |
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 | 51% | 2,212 | 2,037 | $452K |
| 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 | 48% | 2,372 | 2,165 | $426K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 28 | $6K |
| 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% | 179 | 161 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 695 | 675 | $890.12 |
| 99407 | <1% | 159 | 104 | $447.06 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,321 | 1,229 | $26.33 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 12 | 12 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 31 | 31 | $0.00 |
| 90682 | 0% | 58 | 57 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 56 | 54 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 40 | 40 | $0.00 |
8 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 38 | $0.00 |
| 90688 | 0% | 143 | $0.00 | |
| 85018 | 0% | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 40 | $0.00 |
| 90673 | 0% | 21 | $0.00 | |
| 3008F | 0% | 97 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 15 | $0.00 |
| 82962 | 0% | 15 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pueblo Community Health Center INC. | Pueblo, CO | $55.28M |
| 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 | 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.