Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC

NPI: 1932192598 · DURANGO, CO 81301 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/29/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more

$18.17M
Total Medicaid Paid
158,827
Total Claims
72,660
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURKE, SHELLY (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
NPI Enumeration Date08/29/2005

Related Entities

Other providers sharing the same authorized official: BURKE, SHELLY

ProviderCityStateTotal Paid
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $13.50M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.46M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $4.27M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $3.34M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DOVE CREEK CO $1.45M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC PAGOSA SPRINGS CO $1.35M
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $596K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $244K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $189K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $136K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CORTEZ CO $9K
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC MONTROSE CO $8K
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC CRESTED BUTTE CO $2K
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC GUNNISON CO $921.78
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM MONTROSE CO $642.24
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DELTA CO $406.45
SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM MONTROSE CO $283.27
SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC DURANGO CO $86.67

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,010 $5.60M
2019 41,620 $7.18M
2020 22,266 $4.22M
2023 23,356 $809K
2024 42,575 $366K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 23,065 12,629 $3.72M
H0017 Behavioral health; residential (hospital residential treatment program), without room and board, per diem 3,454 294 $3.00M
H2011 Crisis intervention service, per 15 minutes 14,408 6,550 $1.42M
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 3,933 793 $1.14M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,695 6,295 $1.06M
H0005 Alcohol and/or drug services; group counseling by a clinician 12,236 2,926 $1.02M
90791 Psychiatric diagnostic evaluation 4,764 3,702 $967K
T1017 Targeted case management, each 15 minutes 10,270 4,592 $928K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 13,378 5,715 $666K
90834 Psychotherapy, 45 minutes with patient 5,685 3,919 $638K
H0039 Assertive community treatment, face-to-face, per 15 minutes 7,107 813 $558K
90832 Psychotherapy, 30 minutes with patient 4,065 2,889 $483K
90853 Group psychotherapy (other than of a multiple-family group) 10,984 3,462 $473K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,579 5,475 $298K
90847 Family psychotherapy with the patient present, 50 minutes 1,552 1,132 $289K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 1,472 617 $247K
H0001 Alcohol and/or drug assessment 831 487 $232K
H2000 Comprehensive multidisciplinary evaluation 2,136 1,511 $226K
H2014 Skills training and development, per 15 minutes 3,919 1,013 $175K
H0006 Alcohol and/or drug services; case management 2,348 1,439 $152K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,231 804 $123K
90792 Psychiatric diagnostic evaluation with medical services 767 578 $120K
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 900 233 $83K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 4,749 1,588 $47K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,142 888 $33K
99215 Prolong outpt/office vis 315 272 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,141 769 $21K
H0031 Mental health assessment, by non-physician 57 27 $11K
H2023 Supported employment, per 15 minutes 353 64 $10K
H0038 Self-help/peer services, per 15 minutes 2,343 708 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 88 85 $6K
S3005 Performance measurement, evaluation of patient self assessment, depression 90 75 $4K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 1,675 257 $1K
90785 56 30 $1K
Q3014 Telehealth originating site facility fee 16 15 $51.52
H2027 Psychoeducational service, per 15 minutes 23 14 $0.00