Agency
County of Costilla
County of Costilla was paid $6K by Medicaid between Feb 2018 and Oct 2020, across 4 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 84% of everything it billed.
33Billing provider infoCOUNTY OF COSTILLA
SAN LUIS, CO 81152
SAN LUIS, CO 81152
33aNPI1972725455assigned 05/03/2007
33bProvider typeCase Management Agency
28Total paid$6K
24GClaims450
24DCodes billed4
24AFirst – last monthFeb 2018 – Oct 2020
Compared with peers
Next to other Case Management Agency providers in Colorado
Rank by total paid#66 of 71
Median peer was paid$1.01M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 244 | $3K | |
| 2019 | 132 | $2K | |
| 2020 | 74 | $927.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 84% | 273 | 266 | $5K |
| 90658 | 12% | 148 | 148 | $697.44 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.0% | 12 | 12 | $230.79 |
| 90656 | 0% | 17 | 17 | $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 officialGALLEGOS, VIVIAN (DIRECTOR)