Clinic
Rocky Mountain Youth Medical and Nursing Consultants, INC
Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $1.52M by Medicaid between Jan 2021 and Nov 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
DENVER, CO 80218
DENVER, CO 80218
33aNPI1104327378assigned 02/23/2018
33bProvider typeClinic/Center
28Total paid$1.52M
24GClaims57,706
24DCodes billed59
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#18 of 87
Median peer was paid$179K
This provider vs. median8.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TAFOYA, BARBARA controls 11+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 20,852 | $525K | |
| 2022 | 17,239 | $530K | |
| 2023 | 15,251 | $421K | |
| 2024incomplete | 4,364 | $39K |
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 | 30% | 8,560 | 7,745 | $455K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 6,484 | 5,661 | $216K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,112 | 1,851 | $166K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 1,557 | 1,421 | $122K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 1,350 | 1,191 | $104K |
| D0190 | 4.3% | 4,533 | 4,053 | $65K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 3,575 | 3,172 | $53K |
| 96127 | 3.4% | 3,722 | 3,380 | $52K | |
| 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 | 3.1% | 571 | 496 | $46K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 459 | 433 | $42K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 1,164 | 1,027 | $32K |
| 99173 | 1.5% | 3,093 | 2,765 | $23K |
47 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 2,774 | $23K |
| D1206 | Topical application of fluoride varnish | 1.3% | 1,348 | $20K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.2% | 372 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 304 | $15K |
| 99174 | <1% | 649 | $10K | |
| 0071A | <1% | 160 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 174 | $7K |
| 0072A | <1% | 132 | $6K | |
| 90480 | <1% | 96 | $6K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 119 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 230 | $4K |
| 83655 | <1% | 171 | $2K | |
| 94760 | <1% | 1,748 | $2K | |
| 90651 | <1% | 126 | $2K | |
| 90670 | <1% | 864 | $1K | |
| 90686 | <1% | 2,131 | $1K | |
| 0002A | <1% | 29 | $1K | |
| 97803 | <1% | 25 | $1K | |
| 85018 | <1% | 433 | $979.86 | |
| 0081A | <1% | 15 | $926.55 | |
| 0001A | <1% | 30 | $900.06 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $860.60 |
| 0154A | <1% | 12 | $741.24 | |
| 97802 | <1% | 14 | $645.96 | |
| 0082A | <1% | 13 | $610.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | $607.41 |
| 36415 | Collection of venous blood by venipuncture | <1% | 127 | $344.67 |
| 90461 | <1% | 2,509 | $260.00 | |
| 90633 | <1% | 173 | $250.69 | |
| 90698 | <1% | 339 | $230.00 | |
| 90656 | <1% | 100 | $94.35 | |
| 99000 | <1% | 1,894 | $94.21 | |
| 36416 | <1% | 1,385 | $62.14 | |
| 91307 | <1% | 414 | $35.00 | |
| 90744 | <1% | 54 | $29.70 | |
| 90688 | <1% | 618 | $20.17 | |
| 91300 | <1% | 174 | $0.01 | |
| 90700 | 0% | 120 | $0.00 | |
| 91308 | 0% | 112 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 19 | $0.00 |
| 90687 | 0% | 49 | $0.00 | |
| 91320 | 0% | 14 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| 90680 | 0% | 252 | $0.00 | |
| 91305 | 0% | 61 | $0.00 | |
| 90677 | 0% | 53 | $0.00 | |
| 91315 | 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 officialTAFOYA, BARBARA (FINANCE ADMINISTRATION)
| Provider | Location | Paid |
|---|---|---|
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Thornton, CO | $16.21M |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $4.33M |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Lakewood, CO | $628K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $344K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $106K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $41K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $20K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Cortez, CO | $19K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $16K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Fort Collins, CO | $10K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Dolores, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.