Physician
Rocky Mountain Clinics LLC
Rocky Mountain Clinics LLC was paid $307K by Medicaid between Dec 2022 and Apr 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.
33Billing provider infoROCKY MOUNTAIN CLINICS LLC
PUEBLO, CO 81001
PUEBLO, CO 81001
33aNPI1295451185assigned 10/13/2022
33bProvider typeFamily Medicine Physician
28Total paid$307K
24GClaims5,889
24DCodes billed7
24AFirst – last monthDec 2022 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#106 of 532
Median peer was paid$35K
This provider vs. median8.9×
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
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 | |
|---|---|---|---|
| 2022 | 528 | $23K | |
| 2023 | 5,273 | $279K | |
| 2024incomplete | 88 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 87% | 2,931 | 2,178 | $267K |
| 80305 | 9.3% | 2,684 | 2,119 | $29K | |
| 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 | 2.5% | 63 | 54 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 17 | 17 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $865.44 |
| 81025 | <1% | 44 | 38 | $301.35 | |
| 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 | 0% | 138 | 135 | $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 officialGIBSON, SABRINA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Rocky Mountain Clinics LLC | Fort Collins, CO | $9.63M |
| Rocky Mountain Clinics LLC | Greeley, CO | $159K |
| Rocky Mountain Clinics LLC | Colorado Springs, CO | $156K |
| Rocky Mountain Clinics LLC | Longmont, CO | $137K |
| Rocky Mountain Clinics LLC | Aurora, CO | $101K |
| Rocky Mountain Clinics LLC | Northglenn, CO | $94K |
| Rocky Mountain Clinics LLC | Loveland, CO | $67K |
| Rocky Mountain Clinics LLC | Englewood, CO | $57K |
| Rocky Mountain Clinics LLC | Boulder, CO | $47K |
| Rocky Mountain Clinics LLC | Steamboat Springs, CO | $26K |
| Rocky Mountain Clinics LLC | Grand Junction, CO | $24K |
| Rocky Mountain Clinics LLC | Walsenburg, CO | $22K |
| Rocky Mountain Clinics LLC | Sterling, CO | $22K |
| Rocky Mountain Clinics LLC | Fort Collins, CO | $20K |
| Rocky Mountain Clinics LLC | Commerce City, CO | $8K |
| Rocky Mountain Clinics, LLC | Espanola, NM | $4K |
| Rocky Mountain Clinics LLC | Wellington, CO | $3K |
| Rocky Mountain Clinics LLC | Durango, CO | $2K |
| Rocky Mountain Clinics LLC | Pueblo, CO | $1K |
| Rocky Mountain Clinics, LLC | Taos, NM | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.