Clinic
SC Telehealth Clinic LLC
SC Telehealth Clinic LLC was paid $360K by Medicaid between Mar 2020 and Apr 2020, across 29 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 24% of everything it billed.
33Billing provider infoSC TELEHEALTH CLINIC LLC
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1962032003assigned 01/16/2020
33bProvider typeHealth Service Clinic/Center
28Total paid$360K
24GClaims10,216
24DCodes billed29
24AFirst – last monthMar 2020 – Apr 2020
Compared with peers
Next to other Health Service Clinic/Center providers in Colorado
Rank by total paid#4 of 12
Median peer was paid$14K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2020 | 10,216 | $360K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 24% | 1,093 | 608 | $85K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 15% | 894 | 558 | $55K |
| 99354 | 13% | 937 | 524 | $49K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 12% | 1,080 | 630 | $42K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 1,155 | 643 | $41K |
| 99402 | 9.3% | 1,009 | 581 | $34K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.6% | 427 | 323 | $16K |
| 99407 | 2.5% | 608 | 399 | $9K | |
| 99403 | 1.5% | 98 | 89 | $5K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.2% | 269 | 192 | $4K |
| 96127 | 1.1% | 404 | 243 | $4K | |
| 99345 | Prolong home eval add 15m | <1% | 33 | 32 | $3K |
17 more codes
| 99408 | <1% | 353 | $2K | |
| 94664 | <1% | 260 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 89 | $2K |
| 96113 | <1% | 57 | $1K | |
| 99355 | <1% | 47 | $1K | |
| H0049 | Alcohol and/or drug screening | <1% | 218 | $1K |
| 99000 | <1% | 432 | $802.15 | |
| 36416 | <1% | 411 | $794.31 | |
| 96137 | <1% | 48 | $779.28 | |
| G0459 | Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy | 0% | 17 | $0.00 |
| 99401 | 0% | 48 | $0.00 | |
| 82947 | 0% | 74 | $0.00 | |
| G2063 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes | 0% | 41 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 12 | $0.00 |
| 98970 | 0% | 40 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 14 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 48 | $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 officialFASANO, RENEE (OWNER MANAGER)