NP / PA
Rocky Mountain Medical & Health Care, INC.
Rocky Mountain Medical & Health Care, INC. was paid $4.90M by Medicaid between Jan 2018 and Dec 2024, across 115 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoROCKY MOUNTAIN MEDICAL & HEALTH CARE, INC.
DENVER, CO 80224
DENVER, CO 80224
33aNPI1083829659assigned 05/14/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$4.90M
24GClaims238,275
24DCodes billed115
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Colorado
Rank by total paid#1 of 123
Median peer was paid$9K
This provider vs. median553×
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 | 15,532 | $411K | |
| 2019 | 23,612 | $406K | |
| 2020 | 40,767 | $536K | |
| 2021 | 43,492 | $887K | |
| 2022 | 33,367 | $818K | |
| 2023 | 38,957 | $929K | |
| 2024incomplete | 42,548 | $912K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 19,161 | 13,431 | $1.20M |
| 99337 | 17% | 16,243 | 9,706 | $842K | |
| 99350 | Prolong home eval add 15m | 13% | 8,596 | 5,870 | $648K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 14,096 | 10,423 | $619K |
| 99336 | 6.5% | 8,166 | 5,511 | $317K | |
| 99349 | 5.6% | 5,513 | 4,160 | $274K | |
| 99334 | 5.3% | 14,300 | 6,619 | $261K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 2,021 | 1,646 | $176K |
| 99347 | 3.2% | 6,220 | 3,861 | $156K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 691 | 633 | $73K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 7,174 | 3,969 | $54K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 515 | 460 | $41K |
103 more codes
| 94760 | <1% | 33,061 | $39K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,132 | $33K |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,039 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,890 | $15K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,477 | $13K |
| 99406 | <1% | 4,493 | $11K | |
| 99328 | <1% | 157 | $10K | |
| 99385 | <1% | 75 | $7K | |
| 90688 | <1% | 2,341 | $7K | |
| 99386 | <1% | 70 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 81 | $6K |
| 0003A | <1% | 262 | $5K | |
| H0049 | Alcohol and/or drug screening | <1% | 733 | $5K |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | <1% | 696 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 293 | $5K |
| 99348 | <1% | 117 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 219 | $4K |
| 99001 | <1% | 3,109 | $3K | |
| 0013A | <1% | 184 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | $3K |
| 0124A | <1% | 220 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 3,837 | $3K |
| 99497 | <1% | 125 | $3K | |
| 99000 | <1% | 2,487 | $2K | |
| 99384 | <1% | 18 | $2K | |
| 99409 | <1% | 50 | $2K | |
| 86580 | <1% | 281 | $2K | |
| 99383 | <1% | 14 | $2K | |
| 99490 | Ccm add 20min | <1% | 293 | $1K |
| 99335 | <1% | 56 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 45 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 641 | $1K |
| 99401 | <1% | 44 | $1K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 350 | $973.98 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | $920.44 |
| 0071A | <1% | 15 | $786.24 | |
| 0002A | <1% | 26 | $614.16 | |
| 90686 | <1% | 68 | $603.36 | |
| 90756 | <1% | 182 | $559.76 | |
| 95117 | <1% | 52 | $549.90 | |
| 95115 | <1% | 100 | $500.64 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 141 | $439.53 |
| 99407 | <1% | 133 | $378.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 135 | $364.00 |
| 96127 | <1% | 242 | $347.75 | |
| 99324 | <1% | 26 | $290.74 | |
| 11765 | <1% | 18 | $278.05 | |
| 99491 | Ccm add 20min | <1% | 53 | $234.24 |
| 0134A | <1% | 27 | $225.00 | |
| 11719 | <1% | 47 | $206.36 | |
| 0001A | <1% | 37 | $181.77 | |
| 97802 | <1% | 40 | $153.80 | |
| 94761 | <1% | 79 | $127.17 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 73 | $55.98 |
| G0008 | Administration of influenza virus vaccine | <1% | 760 | $30.00 |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | <1% | 105 | $28.79 |
| 69210 | <1% | 24 | $21.38 | |
| 81000 | <1% | 711 | $11.11 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 308 | $10.82 |
| 82948 | 0% | 316 | $0.00 | |
| 1160F | 0% | 1,761 | $0.00 | |
| 1159F | 0% | 11,260 | $0.00 | |
| 91300 | 0% | 348 | $0.00 | |
| 3078F | 0% | 1,304 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 169 | $0.00 |
| 91312 | 0% | 154 | $0.00 | |
| 3077F | 0% | 61 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 29 | $0.00 |
| 91313 | 0% | 23 | $0.00 | |
| 3288F | 0% | 45 | $0.00 | |
| 4013F | 0% | 34 | $0.00 | |
| 3725F | 0% | 46 | $0.00 | |
| 1100F | 0% | 15 | $0.00 | |
| 81002 | 0% | 98 | $0.00 | |
| 4035F | 0% | 17 | $0.00 | |
| J0287 | Injection, amphotericin b lipid complex, 10 mg | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 21 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 12 | $0.00 |
| 3008F | 0% | 5,085 | $0.00 | |
| 4000F | 0% | 91 | $0.00 | |
| 1034F | 0% | 1,016 | $0.00 | |
| 2000F | 0% | 11,840 | $0.00 | |
| 1036F | 0% | 4,038 | $0.00 | |
| 1170F | 0% | 1,979 | $0.00 | |
| 91301 | 0% | 183 | $0.00 | |
| 1125F | 0% | 10,448 | $0.00 | |
| 3079F | 0% | 469 | $0.00 | |
| G9642 | Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) | 0% | 432 | $0.00 |
| 1000F | 0% | 812 | $0.00 | |
| 1220F | 0% | 681 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 80 | $0.00 |
| 3074F | 0% | 2,153 | $0.00 | |
| 1126F | 0% | 563 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 27 | $0.00 |
| 1111F | 0% | 303 | $0.00 | |
| 3075F | 0% | 111 | $0.00 | |
| 96156 | 0% | 35 | $0.00 | |
| 91307 | 0% | 33 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 23 | $0.00 |
| 3080F | 0% | 23 | $0.00 | |
| 90480 | 0% | 32 | $0.00 | |
| 2010F | 0% | 15 | $0.00 | |
| 4008F | 0% | 34 | $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 officialKALANI YAZD, NASER (OWNER)