Clinic
Mountain Family Health Centers
Mountain Family Health Centers was paid $8.90M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY HEALTH CENTERS
GLENWOOD SPRINGS, CO 81601
GLENWOOD SPRINGS, CO 81601
33aNPI1477552388assigned 07/21/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$8.90M
24GClaims93,089
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Colorado
Rank by total paid#2 of 17
Median peer was paid$936K
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 | 20,400 | $1.75M | |
| 2019 | 20,048 | $1.79M | |
| 2020 | 14,731 | $1.63M | |
| 2021 | 14,961 | $1.53M | |
| 2022 | 11,371 | $1.15M | |
| 2023 | 7,968 | $704K | |
| 2024incomplete | 3,610 | $344K |
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 | 53% | 22,556 | 17,650 | $4.67M |
| 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 | 27% | 13,191 | 10,151 | $2.41M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.6% | 3,328 | 1,887 | $501K |
| D0999 | Unspecified diagnostic procedure, by report | 4.5% | 1,066 | 830 | $401K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.4% | 1,727 | 916 | $302K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 494 | 404 | $109K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 482 | 244 | $88K |
| H0031 | Mental health assessment, by non-physician | <1% | 361 | 261 | $70K |
| 99000 | <1% | 6,342 | 5,149 | $56K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 191 | 179 | $48K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 29,167 | 21,049 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 159 | 142 | $31K |
34 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 95 | $22K |
| 99442 | <1% | 82 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,183 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,313 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 111 | $14K |
| G0467 | Community health center visit, returning patient | <1% | 1,155 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 52 | $8K |
| 99443 | <1% | 30 | $8K | |
| D1206 | Topical application of fluoride varnish | <1% | 276 | $6K |
| 90686 | <1% | 928 | $5K | |
| 0001A | <1% | 130 | $4K | |
| 0002A | <1% | 121 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 42 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $3K |
| 0012A | <1% | 109 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 282 | $2K |
| 0011A | <1% | 67 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 560 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,115 | $1K |
| 90688 | <1% | 307 | $1K | |
| D0190 | <1% | 16 | $594.00 | |
| 81003 | <1% | 14 | $266.93 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 96 | $239.80 |
| 90656 | <1% | 14 | $26.25 | |
| 81002 | 0% | 54 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 92 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 74 | $0.00 |
| 85018 | 0% | 147 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 342 | $0.00 |
| 96127 | 0% | 71 | $0.00 | |
| 91307 | 0% | 35 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 73 | $0.00 |
| 3074F | 0% | 12 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 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 officialMOYER, DUSTIN (CEO)