Physician
Rocky Mountain Health Centers Pediatrics, PC
Rocky Mountain Health Centers Pediatrics, PC was paid $4.61M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoROCKY MOUNTAIN HEALTH CENTERS PEDIATRICS, PC
AURORA, CO 80014
AURORA, CO 80014
33aNPI1063614535assigned 06/05/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.61M
24GClaims148,136
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Colorado
Rank by total paid#1 of 5
Median peer was paid$8K
This provider vs. median606×
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 | 16,943 | $508K | |
| 2019 | 19,739 | $594K | |
| 2020 | 19,321 | $547K | |
| 2021 | 20,793 | $641K | |
| 2022 | 21,972 | $723K | |
| 2023 | 27,762 | $886K | |
| 2024incomplete | 21,606 | $716K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 15,518 | 14,529 | $1.00M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 16,129 | 15,513 | $670K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 6,187 | 5,713 | $596K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,006 | 5,603 | $520K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 5,279 | 5,031 | $484K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 4,146 | 3,975 | $380K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 11,335 | 10,912 | $181K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,752 | 1,657 | $173K |
| 99173 | 1.8% | 10,379 | 9,941 | $84K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.3% | 5,727 | 5,346 | $61K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 1,959 | 1,926 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,312 | 1,227 | $52K |
60 more codes
| D0190 | 1.1% | 3,213 | $49K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,922 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,142 | $39K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 504 | $22K |
| 90651 | <1% | 820 | $20K | |
| 90670 | <1% | 2,645 | $18K | |
| 94760 | <1% | 5,673 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 906 | $14K |
| 99174 | <1% | 1,004 | $12K | |
| 85018 | <1% | 4,134 | $10K | |
| 0072A | <1% | 172 | $10K | |
| D1206 | Topical application of fluoride varnish | <1% | 579 | $9K |
| 90461 | <1% | 8,615 | $9K | |
| 0071A | <1% | 161 | $9K | |
| 36416 | <1% | 7,140 | $9K | |
| 99000 | <1% | 4,363 | $7K | |
| 83655 | <1% | 522 | $7K | |
| 90671 | <1% | 1,232 | $4K | |
| 90680 | <1% | 1,991 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,151 | $3K |
| 99070 | <1% | 398 | $3K | |
| 90480 | <1% | 91 | $3K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 87 | $3K |
| 90688 | <1% | 1,596 | $3K | |
| 90686 | <1% | 4,166 | $2K | |
| 80061 | Lipid panel | <1% | 167 | $2K |
| 90698 | <1% | 1,027 | $2K | |
| 96127 | <1% | 148 | $2K | |
| 0124A | <1% | 30 | $2K | |
| 90697 | <1% | 928 | $2K | |
| 90734 | <1% | 37 | $1K | |
| 90656 | <1% | 537 | $1K | |
| 99381 | <1% | 15 | $1K | |
| 90619 | <1% | 117 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 25 | $896.00 |
| 0001A | <1% | 16 | $880.00 | |
| 0052A | <1% | 13 | $796.24 | |
| 90715 | <1% | 97 | $658.36 | |
| 90633 | <1% | 545 | $608.61 | |
| 90710 | <1% | 25 | $594.64 | |
| 0054A | <1% | 12 | $494.16 | |
| 90473 | <1% | 25 | $447.61 | |
| 90723 | <1% | 144 | $391.87 | |
| 90672 | <1% | 176 | $363.05 | |
| 90687 | <1% | 606 | $322.00 | |
| 81002 | <1% | 137 | $305.39 | |
| 90648 | <1% | 267 | $204.49 | |
| H0049 | Alcohol and/or drug screening | <1% | 33 | $178.05 |
| 90716 | <1% | 28 | $174.32 | |
| 90744 | <1% | 303 | $115.47 | |
| 90696 | <1% | 14 | $61.80 | |
| 90660 | <1% | 29 | $57.60 | |
| 90707 | <1% | 14 | $24.60 | |
| 91307 | 0% | 401 | $0.00 | |
| 90674 | 0% | 14 | $0.00 | |
| 91305 | 0% | 42 | $0.00 | |
| 91300 | 0% | 46 | $0.00 | |
| 91308 | 0% | 107 | $0.00 | |
| 91312 | 0% | 43 | $0.00 | |
| 91320 | 0% | 12 | $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 officialTHALER, ALISON (OFFICE MANAGER)