Clinic
Clinica Campesina Family Health Services
Clinica Campesina Family Health Services was paid $25.44M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCLINICA CAMPESINA FAMILY HEALTH SERVICES
THORNTON, CO 80229
THORNTON, CO 80229
33aNPI1093702177assigned 10/04/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$25.44M
24GClaims298,162
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#13 of 197
Median peer was paid$1.11M
This provider vs. median23×
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 | 31,608 | $2.88M | |
| 2019 | 50,464 | $4.63M | |
| 2020 | 47,722 | $4.99M | |
| 2021 | 55,570 | $5.02M | |
| 2022 | 45,968 | $3.65M | |
| 2023 | 46,421 | $2.75M | |
| 2024incomplete | 20,409 | $1.53M |
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 | 33% | 53,477 | 47,117 | $8.42M |
| 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 | 30% | 48,830 | 42,569 | $7.61M |
| D0999 | Unspecified diagnostic procedure, by report | 27% | 26,189 | 23,525 | $6.99M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 1.9% | 9,263 | 4,715 | $494K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 2,469 | 2,251 | $438K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.6% | 7,592 | 3,946 | $401K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 912 | 857 | $177K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 636 | 603 | $125K |
| D1206 | Topical application of fluoride varnish | <1% | 14,737 | 13,631 | $102K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 394 | 385 | $74K |
| D1354 | <1% | 4,524 | 1,141 | $62K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 6,144 | 5,780 | $53K |
90 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 285 | $52K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 17,291 | $45K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 188 | $38K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 157 | $31K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 149 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16,760 | $29K |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,282 | $25K |
| D1120 | Dental cleaning, child | <1% | 1,743 | $23K |
| D0272 | Bitewings - two radiographic images | <1% | 2,000 | $22K |
| D0274 | Bitewings - four radiographic images | <1% | 1,452 | $17K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 317 | $17K |
| D0330 | Panoramic radiographic image | <1% | 618 | $15K |
| D1351 | Sealant - per tooth | <1% | 1,256 | $14K |
| D0190 | <1% | 3,127 | $13K | |
| 99000 | <1% | 22,634 | $13K | |
| D1110 | Prophylaxis - adult | <1% | 474 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 421 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,679 | $9K |
| 0012A | <1% | 242 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 863 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 184 | $7K |
| 0011A | <1% | 248 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 87 | $7K |
| D1353 | <1% | 171 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 667 | $5K |
| 36416 | <1% | 4,442 | $4K | |
| 0002A | <1% | 96 | $4K | |
| 81002 | <1% | 6,321 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 551 | $3K |
| 99349 | <1% | 13 | $2K | |
| 0001A | <1% | 80 | $2K | |
| 90651 | <1% | 63 | $2K | |
| 90686 | <1% | 5,705 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 48 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 173 | $2K |
| 0072A | <1% | 31 | $1K | |
| 0071A | <1% | 28 | $1K | |
| D2940 | <1% | 34 | $1K | |
| 81025 | <1% | 269 | $886.88 | |
| 0004A | <1% | 19 | $782.42 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $632.39 |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 19 | $542.00 |
| 90670 | <1% | 393 | $540.02 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $532.00 |
| 0054A | <1% | 12 | $494.16 | |
| 90734 | <1% | 26 | $323.14 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,889 | $296.86 |
| G0467 | Community health center visit, returning patient | <1% | 27 | $263.44 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 843 | $229.96 |
| 90677 | <1% | 40 | $197.90 | |
| 85018 | <1% | 129 | $14.94 | |
| 80053 | Comprehensive metabolic panel | <1% | 743 | $14.78 |
| 90680 | <1% | 159 | $0.02 | |
| 90723 | <1% | 211 | $0.02 | |
| 83655 | 0% | 190 | $0.00 | |
| 90713 | 0% | 53 | $0.00 | |
| 80061 | Lipid panel | 0% | 579 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 150 | $0.00 |
| 86682 | 0% | 28 | $0.00 | |
| 90700 | 0% | 31 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 239 | $0.00 |
| D0270 | 0% | 15 | $0.00 | |
| 90473 | 0% | 54 | $0.00 | |
| 90715 | 0% | 113 | $0.00 | |
| 99173 | 0% | 21 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90633 | 0% | 100 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 285 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,244 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 857 | $0.00 |
| 90647 | 0% | 184 | $0.00 | |
| 86592 | 0% | 146 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 264 | $0.00 |
| 90688 | 0% | 1,694 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 219 | $0.00 |
| 91301 | 0% | 471 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 107 | $0.00 |
| 86803 | 0% | 363 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 419 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 26 | $0.00 |
| 90716 | 0% | 13 | $0.00 | |
| 87340 | 0% | 95 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 27 | $0.00 |
| 90656 | 0% | 64 | $0.00 | |
| 86317 | 0% | 119 | $0.00 | |
| 76801 | 0% | 12 | $0.00 | |
| 90474 | 0% | 54 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 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 officialSMITH, SIMON (CEO)
| Provider | Location | Paid |
|---|---|---|
| Clinica Campesina Family Health Services | Denver, CO | $22.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.