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NPI 1386917862 · Cortez, CO · Pharmacy
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Southwest Health System, Inc. is a pharmacy provider located in Cortez, Colorado. This profile covers 11 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Southwest Health System, Inc. |
| Address | 1311 N Mildred Rd |
| City | Cortez |
| State | CO |
| ZIP | 81321 |
| Taxonomy | Pharmacy |
| NPI Enumerated | February 15, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $135.4K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 260 | $130 | $33.5K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 230 | $140 | $33.5K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 290 | $70 | $19K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 500 | $30 | $16.9K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 50 | $280 | $12.6K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 160 | $70 | $11.4K |
| 0134A | N/A | 60 | $40 | $2.3K |
| 0124A | N/A | 60 | $30 | $2K |
| G0008 | Administration of influenza virus vaccine | 220 | $10 | $1.9K |
| G0009 | Administration of pneumococcal vaccine | 50 | $30 | $1.4K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 91322 | 32 | 480 | 80 | $130 | $51.7K |
| 91320 | 25 | 630 | 40 | $120 | $42.1K |
| 90480 | 6 | 880 | 80 | $40 | $16.1K |
| 90677 | 76 | 920 | 20 | $270 | $15.4K |
| 90662 | 180 | 1,230 | 40 | $70 | $15.2K |
| 90694 | 15 | 700 | 30 | $70 | $14.8K |
| G0008 | 171 | 1,830 | 40 | $30 | $7.4K |
| 0134A | 26 | 220 | 30 | $40 | $7.2K |
| 0124A | 40 | 330 | 20 | $40 | $6.1K |
| M0201 | 4 | 10 | 30 | $40 | $2K |
Showing 1–10 of 11
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0124A | N/A | 20 | $0 | $0 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 720 | $0 | $0 |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 120 | $0 | $0 |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 60 | $0 | $0 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 50 | $0 | $0 |
| 90679 | This code represents a prefusion F (preF) vaccine product administered into the muscle to protect against respiratory syncytial virus. It includes an adjuvant, an ingredient that helps create a… | 20 | $0 | $0 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 140 | $0 | $0 |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 40 | $0 | $0 |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 50 | $0 | $0 |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 212 | 1,210 | 110 | $10 | $13.2K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 24 | 120 | 20 | $70 | $6.6K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 34 | 110 | 20 | $60 | $4.6K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 35 | 300 | 30 | $30 | $3.7K |
| 0124A | N/A | 150 | 190 | 30 | $40 | $3.4K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 330 | 860 | 80 | $10 | $3.2K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 75 | 200 | 40 | $20 | $1.8K |
| 90679 | This code represents a prefusion F (preF) vaccine product administered into the muscle to protect against respiratory syncytial virus. It includes an adjuvant, an ingredient that helps create a… | 1 | 10 | 20 | $50 | $1K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 109 | 300 | 40 | $10 | $860 |
Other providers in the same ZIP code as Southwest Health System, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pasco/sw Inc | CO | Home Health Agency | $0 | $6.1M |
| Angelic Hands Inc. | CO | Home Health Agency | $0 | $5.5M |
| Angelic Hands LLC | CO | Personal Care Attendant | $0 | $5.2M |
| Park Point Healthcare LLC | CO | In Home Supportive Care Agency | $0 | $4.9M |
| Angelic Hands, Inc | CO | In Home Supportive Care Agency | $0 | $4.3M |
| Megan Flesch | CO | Physical Therapist | $260.3K | $0 |
| Michael Grajeda | CO | Physical Therapist | $103.1K | $0 |
| David Buckwalter | CO | Emergency Medicine Physician | $81.3K | $0 |
| Najib Johnson | CO | Physical Therapist | $77.6K | $0 |
| Kari Cockrill | CO | Occupational Therapist | $45.8K | $0 |
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