Clinic
Rocky Mountain Urgent Care, LLC
Rocky Mountain Urgent Care, LLC was paid $2.77M by Medicaid between Jan 2018 and Mar 2023, across 19 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 40% of everything it billed.
33Billing provider infoROCKY MOUNTAIN URGENT CARE, LLC
AURORA, CO 80012
AURORA, CO 80012
33aNPI1396706693assigned 03/28/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.77M
24GClaims40,428
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Colorado
Rank by total paid#7 of 103
Median peer was paid$293K
This provider vs. median9.5×
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.
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 | |
|---|---|---|---|
| 2018 | 12,517 | $860K | |
| 2019 | 11,175 | $838K | |
| 2020 | 6,595 | $478K | |
| 2021 | 4,718 | $295K | |
| 2022 | 4,605 | $253K | |
| 2023 | 818 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 40% | 13,963 | 12,788 | $1.10M |
| 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 | 29% | 9,787 | 8,898 | $805K |
| 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 | 21% | 4,603 | 4,176 | $572K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 2,921 | 2,711 | $165K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 985 | 869 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,545 | 2,223 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,141 | 876 | $25K |
| 81002 | <1% | 1,767 | 1,616 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 115 | 99 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 119 | 114 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 225 | 178 | $3K |
| 81025 | <1% | 181 | 170 | $1K |
7 more codes
| 94760 | <1% | 457 | $799.16 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 33 | $339.93 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $89.60 |
| H0033 | Oral medication administration, direct observation | <1% | 239 | $28.00 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 282 | $18.30 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | $6.72 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 32 | $3.50 |
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 officialGLUCHACKI, STEPHANIE (SVP. COMPLIANCE)
| Provider | Location | Paid |
|---|---|---|
| Potomac Square Family Medicine, LLC | Aurora, CO | $3.01M |
| Potomac Square Family Medicine, LLC | Westminster, CO | $486K |
| Potomac Square Family Medicine, LLC | Centennial, CO | $191K |
| Potomac Square Family Medicine, LLC | Boulder, CO | $63K |
| Skylight Health Group Co LLC | Colorado Springs, CO | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.