Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rocky Mountain Youth Medical and Nursing Consultants, INC

Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $19K by Medicaid between Apr 2021 and Aug 2024, across 7 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 83% of everything it billed.

33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
CORTEZ, CO 81321
33aNPI1245830124assigned 10/29/2020
33bProvider typePediatrics Physician
28Total paid$19K
24GClaims320
24DCodes billed7
24AFirst – last monthApr 2021 – Aug 2024
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#122 of 186
Median peer was paid$68K
This provider vs. median0.3×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202137$2K
2022101$7K
2023100$5K
2024incomplete82$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 83% 195 127 $16K
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 6.1% 13 12 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.5% 13 12 $868.14
96127 4.1% 44 39 $799.34
D0190 <1% 12 12 $192.83
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 15 13 $169.28
99173 <1% 28 28 $71.20

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 ADMINISTRATOR)
Parent organizationROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
Same official

Other billing entities under TAFOYA, BARBARA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.