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

Rocky Mountain Youth Medical and Nursing Consultants, INC

Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $106K by Medicaid between Feb 2021 and Oct 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
AURORA, CO 80010
33aNPI1326543497assigned 03/29/2018
33bProvider typeClinic/Center
28Total paid$106K
24GClaims4,266
24DCodes billed23
24AFirst – last monthFeb 2021 – Oct 2023
Compared with peers

Next to other Clinic/Center providers in Colorado

Rank by total paid#57 of 87
Median peer was paid$179K
This provider vs. median0.6×

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$5.0K$10K$15K2018201920202021202220232024
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
20212,290$57K
2022984$26K
2023992$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 553 482 $34K
90460 Immunization administration through 18 years of age via any route, first or only component 13% 441 375 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.6% 98 95 $10K
D0190 9.3% 737 633 $10K
96127 8.9% 542 473 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.8% 92 65 $6K
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 5.6% 61 55 $6K
99173 4.7% 679 580 $5K
0072A 2.8% 60 55 $3K
0071A 2.6% 57 48 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.7% 176 160 $2K
D1206 Topical application of fluoride varnish 1.2% 126 87 $1K
11 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 20 $965.58
0001A <1% 16 $658.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 31 $612.25
90686 <1% 289 $582.47
90651 <1% 13 $275.00
94760 <1% 27 $53.94
91307 <1% 160 $35.00
99000 <1% 15 $3.10
91300 <1% 45 $0.02
90461 0% 14 $0.00
91305 0% 14 $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)
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.