Clinic
Rocky Mountain Youth Medical and Nursing Consultants, INC
Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $4.33M by Medicaid between Nov 2020 and Oct 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
AURORA, CO 80012
AURORA, CO 80012
33aNPI1295236594assigned 02/22/2018
33bProvider typeClinic/Center
28Total paid$4.33M
24GClaims185,547
24DCodes billed64
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#10 of 87
Median peer was paid$179K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2020 | 2,144 | $64K | |
| 2021 | 75,084 | $1.53M | |
| 2022 | 44,707 | $1.40M | |
| 2023 | 46,104 | $1.17M | |
| 2024incomplete | 17,508 | $159K |
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 | 22% | 19,444 | 16,956 | $944K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 20,062 | 17,017 | $641K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 7,754 | 6,583 | $511K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 6,783 | 5,716 | $444K |
| 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 | 8.4% | 5,172 | 4,377 | $364K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 4,920 | 4,182 | $332K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 12,758 | 10,932 | $169K |
| D0190 | 3.4% | 11,116 | 9,622 | $146K | |
| 96127 | 3.3% | 11,225 | 9,632 | $142K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 1,682 | 1,483 | $127K |
| D0145 | Oral evaluation for a patient under three years of age | 2.6% | 4,654 | 3,886 | $114K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.6% | 8,666 | 7,619 | $68K |
52 more codes
| 99173 | 1.4% | 9,290 | $61K | |
| 99174 | 1.0% | 3,580 | $44K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 244 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 918 | $17K |
| 90670 | <1% | 4,182 | $17K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 199 | $16K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 116 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 251 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 849 | $11K |
| 83655 | <1% | 1,095 | $10K | |
| D1206 | Topical application of fluoride varnish | <1% | 775 | $8K |
| 94760 | <1% | 7,215 | $8K | |
| 90480 | <1% | 165 | $8K | |
| 90651 | <1% | 362 | $6K | |
| 0071A | <1% | 116 | $6K | |
| 90686 | <1% | 6,897 | $5K | |
| 90698 | <1% | 3,083 | $5K | |
| 85018 | <1% | 2,574 | $5K | |
| 0072A | <1% | 94 | $5K | |
| 90680 | <1% | 2,510 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 241 | $4K |
| 0002A | <1% | 89 | $4K | |
| 0001A | <1% | 85 | $3K | |
| 90461 | <1% | 9,417 | $3K | |
| 90677 | <1% | 664 | $3K | |
| 97802 | <1% | 61 | $3K | |
| 0240U | <1% | 15 | $2K | |
| 90688 | <1% | 3,376 | $2K | |
| 94664 | <1% | 131 | $2K | |
| 90734 | <1% | 68 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $1K |
| 90700 | <1% | 969 | $972.29 | |
| 90633 | <1% | 1,027 | $937.42 | |
| 90744 | <1% | 1,311 | $777.12 | |
| 36416 | <1% | 5,316 | $611.49 | |
| 90710 | <1% | 45 | $582.64 | |
| 90716 | <1% | 101 | $498.00 | |
| 90473 | <1% | 17 | $335.75 | |
| 90715 | <1% | 28 | $259.10 | |
| 90707 | <1% | 89 | $197.10 | |
| 90656 | <1% | 277 | $174.26 | |
| 99000 | <1% | 1,804 | $151.04 | |
| 90713 | <1% | 62 | $92.74 | |
| 90648 | <1% | 58 | $21.01 | |
| 91300 | <1% | 192 | $0.05 | |
| 90685 | 0% | 845 | $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% | 75 | $0.00 |
| 90672 | 0% | 35 | $0.00 | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 0% | 34 | $0.00 |
| 90687 | 0% | 12 | $0.00 | |
| 90658 | 0% | 42 | $0.00 | |
| 91307 | 0% | 279 | $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 ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Thornton, CO | $16.21M |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Denver, CO | $1.52M |
| 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.