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    OpenPayerNPI Medicare & MedicaidPueblo Community Health Center Inc.
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    Pueblo Community Health Center Inc. — Billing Profile & Reimbursement Data

    NPI 1245275932 · Pueblo, CO · Federally Qualified Health Center (FQHC)

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    Pueblo Community Health Center Inc. is a federally qualified health center (fqhc) provider located in Pueblo, Colorado. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPueblo Community Health Center Inc.
    Address2030 Lake Avenue
    CityPueblo
    StateCO
    ZIP81004
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0999N/A17,180$220$3.8M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,390$20$26.4K
    D0220Intraoral - periapical first radiographic image3,850$10$19.2K
    D0140Limited oral evaluation – problem focused470$30$11.7K
    D0120Periodic oral evaluation - established patient1,170$10$9.3K
    D0230Intraoral - periapical each additional radiographic image1,420$10$7.1K
    D1120Prophylaxis–child180$20$4.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients200$20$3K
    D0274N/A320$10$2.3K
    D0150Comprehensive oral evaluation – new or established patient200$10$1.2K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0999N/A231502,140$260$2M
    D2392Post 2 surface resin‑based composite593690290$130$148K
    D2391Resin‑based composite – one surface, posterior526530200$100$83.5K
    D1120Prophylaxis–child391690300$30$82.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2771,130300$50$59.4K
    D0120Periodic oral evaluation - established patient3971,200430$20$56.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients542890330$20$55K
    D0150Comprehensive oral evaluation – new or established patient5591,050240$40$30K
    D0274N/A400880240$30$29.4K
    D0230Intraoral - periapical each additional radiographic image155740260$20$28.7K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pueblo Community Health Center Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pueblo Community Health Center IncCOFederally Qualified Health Center (FQHC)$0$55.3M
    Pueblo Community Health Center IncCOFederally Qualified Health Center (FQHC)$0$7.7M
    Pueblo Community Health Center Inc.COFederally Qualified Health Center (FQHC)$0$6M
    Sergio Murillo HerreraCOFamily Medicine Physician$168.3K$0
    Melissa DunnCOObstetrics & Gynecology Physician$112.1K$0
    Joseph BulowCOPhysician Assistant$108K$0
    Julie TenbrookMNPsychiatric/Mental Health Nurse Practitioner$5.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Pueblo Community Health Center Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$23.6M
    Family Support Center Of Colorado, LLCCOAdolescent and Children Mental Health Clinic/Center$0$6.9M
    Usacs Of Colorado IncCOEmergency Medicine Physician$0$5.6M
    Southern Colorado Health & RehabCOPhysical Therapist$0$5.5M
    Rothall, Inc.COParenteral & Enteral Nutrition Supplies (DME)$0$4.6M
    Jandyco, LLCCOAddiction Medicine (Family Medicine) Physician$0$4.1M
    Rehab For All LLCCOCommunity/Behavioral Health Agency$0$3.5M
    Colorado Treatment Services LLCCOMethadone Clinic$260.8K$0
    Melchor SipalayCOInternal Medicine Physician$236.1K$0
    Scott HarbertsCONephrology Physician$179.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Colorado Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Pueblo Community Health Center Inc. — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado