Clinic
Southwest Colorado Mental Health Center, INC
Southwest Colorado Mental Health Center, INC was paid $18.17M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 20% of everything it billed.
33Billing provider infoSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1932192598assigned 08/29/2005
28Total paid$18.17M
24GClaims158,827
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Colorado
Rank by total paid#3 of 151
Median peer was paid$285K
This provider vs. median64×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more
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 | 29,010 | $5.60M | |
| 2019 | 41,620 | $7.18M | |
| 2020 | 22,266 | $4.22M | |
| 2023 | 23,356 | $809K | |
| 2024incomplete | 42,575 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 20% | 23,065 | 12,629 | $3.72M |
| H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | 16% | 3,454 | 294 | $3.00M |
| H2011 | Crisis intervention service, per 15 minutes | 7.8% | 14,408 | 6,550 | $1.42M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 6.3% | 3,933 | 793 | $1.14M |
| 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 | 5.8% | 9,695 | 6,295 | $1.06M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 5.6% | 12,236 | 2,926 | $1.02M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.3% | 4,764 | 3,702 | $967K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 5.1% | 10,270 | 4,592 | $928K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 3.7% | 13,378 | 5,715 | $666K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.5% | 5,685 | 3,919 | $638K |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 3.1% | 7,107 | 813 | $558K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.7% | 4,065 | 2,889 | $483K |
24 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.6% | 10,984 | $473K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.6% | 8,579 | $298K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.6% | 1,552 | $289K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.4% | 1,472 | $247K |
| H0001 | Alcohol and/or drug assessment | 1.3% | 831 | $232K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.2% | 2,136 | $226K |
| H2014 | Skills training and development, per 15 minutes | <1% | 3,919 | $175K |
| H0006 | Alcohol and/or drug services; case management | <1% | 2,348 | $152K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,231 | $123K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 767 | $120K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 900 | $83K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 4,749 | $47K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,142 | $33K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 315 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,141 | $21K |
| H0031 | Mental health assessment, by non-physician | <1% | 57 | $11K |
| H2023 | Supported employment, per 15 minutes | <1% | 353 | $10K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,343 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $6K |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 90 | $4K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | <1% | 1,675 | $1K |
| 90785 | <1% | 56 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 16 | $51.52 |
| H2027 | Psychoeducational service, per 15 minutes | 0% | 23 | $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 officialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent organizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.