Physician
Southwest Health System, INC.
Southwest Health System, INC. was paid $915K by Medicaid between Feb 2021 and Dec 2024, across 6 billing codes. Its largest line is 99283, emergency room visit (moderate) — 48% of everything it billed.
33Billing provider infoSOUTHWEST HEALTH SYSTEM, INC.
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1972078814assigned 10/08/2018
33bProvider typeHospitalist Physician
28Total paid$915K
24GClaims16,358
24DCodes billed6
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Colorado
Rank by total paid#8 of 33
Median peer was paid$87K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 3,850 | $199K | |
| 2022 | 4,516 | $269K | |
| 2023 | 4,209 | $255K | |
| 2024incomplete | 3,783 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 48% | 9,056 | 8,452 | $436K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 41% | 4,460 | 4,184 | $371K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.1% | 1,946 | 1,802 | $56K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.2% | 541 | 519 | $48K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 97 | 51 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 258 | 234 | $1K |
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 officialTHEINE, JOSEPH (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southwest Health System, INC. | Cortez, CO | $9.45M |
| Southwest Health System INC | Cortez, CO | $9.17M |
| Southwest Health System, INC. | Cortez, CO | $5.50M |
| Southwest Health System, INC. | Cortez, CO | $1.11M |
| Southwest Health System, INC. | Mancos, CO | $975K |
| Southwest Health System, INC. | Cortez, CO | $789K |
| Southwest Health System, INC. | Cortez, CO | $723K |
| Southwest Health System, INC. | Cortez, CO | $361K |
| Southwest Health System, INC. | Cortez, CO | $33K |
| Southwest Health System, INC. | Cortez, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.