Clinic
Rocky Mountain Family Physicians
Rocky Mountain Family Physicians was paid $749K by Medicaid between Jan 2018 and Aug 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoROCKY MOUNTAIN FAMILY PHYSICIANS
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
33aNPI1215054259assigned 03/23/2007
33bProvider typeMedical Specialty Clinic/Center
28Total paid$749K
24GClaims13,845
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Colorado
Rank by total paid#7 of 37
Median peer was paid$211K
This provider vs. median3.5×
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.
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 | 2,874 | $161K | |
| 2019 | 2,344 | $140K | |
| 2020 | 2,023 | $121K | |
| 2021 | 2,050 | $143K | |
| 2022 | 2,262 | $117K | |
| 2023 | 2,292 | $67K |
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 | 49% | 6,544 | 5,941 | $365K |
| 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 | 41% | 3,829 | 3,425 | $306K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.6% | 413 | 376 | $50K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 606 | 568 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 178 | 164 | $8K |
| 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% | 73 | 69 | $6K |
| 90686 | <1% | 365 | 347 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | 74 | $1K |
| 81003 | <1% | 96 | 86 | $183.67 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 18 | 12 | $135.05 |
| 85018 | <1% | 12 | 12 | $33.32 | |
| 1159F | 0% | 648 | 593 | $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 officialMCMULLEN, RICHARD (ADMINISTRATOR)