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

Rocky Mountain Clinics LLC

Rocky Mountain Clinics LLC was paid $9.63M by Medicaid between Dec 2022 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoROCKY MOUNTAIN CLINICS LLC
FORT COLLINS, CO 80524
33aNPI1295450294assigned 10/11/2022
28Total paid$9.63M
24GClaims232,544
24DCodes billed22
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#4 of 532
Median peer was paid$35K
This provider vs. median278×

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 GIBSON, SABRINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
20221,080$34K
202386,466$3.72M
2024incomplete144,998$5.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 73% 91,507 61,485 $6.99M
80305 8.6% 91,484 61,315 $823K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.9% 13,320 9,644 $764K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.0% 3,052 2,496 $287K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.9% 1,772 1,306 $182K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.7% 5,094 2,960 $160K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 1,320 485 $67K
90853 Group psychotherapy (other than of a multiple-family group) <1% 3,030 623 $54K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,896 3,592 $47K
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg <1% 2,344 1,665 $40K
81025 <1% 5,936 4,775 $38K
82075 <1% 1,854 1,421 $38K
10 more codes
J2315 Injection, naltrexone, depot form, 1 mg <1% 57 $34K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 2,111 $27K
99215 Doctor's office visit, returning patient (complex) <1% 134 $18K
99408 <1% 605 $16K
99000 <1% 3,325 $15K
90834 Psychotherapy session, about 45 minutes <1% 384 $11K
99409 <1% 215 $10K
99205 Prolong outpt/office vis <1% 59 $6K
99203 Doctor's office visit, new patient (routine) <1% 31 $2K
J0578 Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy <1% 14 $0.13

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 officialGIBSON, SABRINA (CFO)
Same official

Other billing entities under GIBSON, SABRINA

Full network →
ProviderLocationPaid
Rocky Mountain Clinics LLCPueblo, CO$307K
Rocky Mountain Clinics LLCGreeley, CO$159K
Rocky Mountain Clinics LLCColorado Springs, CO$156K
Rocky Mountain Clinics LLCLongmont, CO$137K
Rocky Mountain Clinics LLCAurora, CO$101K
Rocky Mountain Clinics LLCNorthglenn, CO$94K
Rocky Mountain Clinics LLCLoveland, CO$67K
Rocky Mountain Clinics LLCEnglewood, CO$57K
Rocky Mountain Clinics LLCBoulder, CO$47K
Rocky Mountain Clinics LLCSteamboat Springs, CO$26K
Rocky Mountain Clinics LLCGrand Junction, CO$24K
Rocky Mountain Clinics LLCWalsenburg, CO$22K
Rocky Mountain Clinics LLCSterling, CO$22K
Rocky Mountain Clinics LLCFort Collins, CO$20K
Rocky Mountain Clinics LLCCommerce City, CO$8K
Rocky Mountain Clinics, LLCEspanola, NM$4K
Rocky Mountain Clinics LLCWellington, CO$3K
Rocky Mountain Clinics LLCDurango, CO$2K
Rocky Mountain Clinics LLCPueblo, CO$1K
Rocky Mountain Clinics, LLCTaos, NM$0.00

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