Clinic
Pueblo Community Health Center INC
Pueblo Community Health Center INC was paid $7.72M by Medicaid between Jan 2022 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPUEBLO COMMUNITY HEALTH CENTER INC
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1952071219assigned 09/17/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.72M
24GClaims60,612
24DCodes billed59
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#44 of 197
Median peer was paid$1.11M
This provider vs. median7.0×
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 | |
|---|---|---|---|
| 2022 | 19,976 | $2.13M | |
| 2023 | 24,749 | $2.99M | |
| 2024incomplete | 15,887 | $2.60M |
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 | 45% | 15,681 | 14,548 | $3.47M |
| 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 | 38% | 15,127 | 13,882 | $2.97M |
| D0999 | Unspecified diagnostic procedure, by report | 8.2% | 2,048 | 1,773 | $636K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.2% | 3,058 | 2,373 | $479K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 308 | 238 | $40K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 141 | 129 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 116 | 108 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 61 | 60 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 77 | 71 | $15K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 70 | 67 | $13K |
| 99401 | <1% | 348 | 272 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $4K |
47 more codes
| G0467 | Community health center visit, returning patient | <1% | 170 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $3K |
| 99402 | <1% | 48 | $2K | |
| 90686 | <1% | 416 | $307.75 | |
| 90619 | <1% | 39 | $282.25 | |
| 90732 | <1% | 22 | $248.09 | |
| 91320 | <1% | 174 | $101.48 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 366 | $100.00 |
| 90750 | <1% | 14 | $89.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,361 | $84.19 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,838 | $57.92 |
| 99406 | <1% | 484 | $38.65 | |
| 3008F | <1% | 809 | $38.54 | |
| 90682 | <1% | 693 | $28.96 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 673 | $4.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,876 | $0.00 |
| 90480 | 0% | 183 | $0.00 | |
| 0501F | 0% | 49 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 143 | $0.00 |
| 90688 | 0% | 527 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 256 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 193 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 30 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 30 | $0.00 |
| 90673 | 0% | 73 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 12 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 25 | $0.00 |
| 90656 | 0% | 42 | $0.00 | |
| 87807 | 0% | 25 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 654 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 399 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 50 | $0.00 |
| 81003 | 0% | 187 | $0.00 | |
| 90715 | 0% | 143 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 843 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 82 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 25 | $0.00 |
| 90658 | 0% | 54 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 67 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 187 | $0.00 |
| D4910 | 0% | 24 | $0.00 | |
| 90662 | 0% | 27 | $0.00 | |
| 99173 | 0% | 163 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 30 | $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 officialDAVIS, PHILLIP (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| R&R Counseling Solutions | Douds, IA | $902K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.