Clinic
Marillac Clinic, INC.
Marillac Clinic, INC. was paid $38.29M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 39% of everything it billed.
33Billing provider infoMARILLAC CLINIC, INC.
GRAND JUNCTION, CO 81504
GRAND JUNCTION, CO 81504
33aNPI1518239219assigned 01/27/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$38.29M
24GClaims458,520
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#4 of 197
Median peer was paid$1.11M
This provider vs. median35×
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 | 109,183 | $8.31M | |
| 2019 | 100,063 | $9.38M | |
| 2020 | 40,683 | $4.87M | |
| 2021 | 40,455 | $4.40M | |
| 2022 | 49,713 | $5.07M | |
| 2023 | 87,266 | $4.50M | |
| 2024incomplete | 31,157 | $1.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 39% | 58,276 | 43,419 | $14.83M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 47,206 | 23,118 | $7.38M |
| 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 | 13% | 32,643 | 17,707 | $5.14M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.6% | 41,646 | 11,916 | $3.31M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 4.0% | 7,512 | 3,294 | $1.52M |
| 99406 | 3.1% | 9,866 | 3,891 | $1.19M | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.0% | 7,477 | 3,551 | $1.14M |
| D1206 | Topical application of fluoride varnish | <1% | 18,986 | 15,795 | $370K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,941 | 1,043 | $335K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,405 | 1,092 | $265K |
| 1036F | <1% | 4,320 | 3,572 | $218K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 8,822 | 5,162 | $167K |
94 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 734 | $162K |
| D1110 | Prophylaxis - adult | <1% | 4,372 | $158K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 6,856 | $137K |
| 1034F | <1% | 2,201 | $135K | |
| H0031 | Mental health assessment, by non-physician | <1% | 581 | $131K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,226 | $127K |
| 1159F | <1% | 7,378 | $124K | |
| 90674 | <1% | 1,859 | $116K | |
| D0190 | <1% | 11,338 | $114K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,295 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,887 | $98K |
| D0120 | Dental checkup, returning patient | <1% | 5,487 | $95K |
| D4910 | <1% | 1,420 | $80K | |
| D1120 | Dental cleaning, child | <1% | 2,912 | $78K |
| 1160F | <1% | 7,376 | $77K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,129 | $67K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,257 | $65K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 957 | $58K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,435 | $53K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 3,813 | $32K |
| D0274 | Bitewings - four radiographic images | <1% | 1,677 | $31K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 120 | $29K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,808 | $28K |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 700 | $27K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 2,017 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,702 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 78 | $19K |
| 2000F | <1% | 7,977 | $18K | |
| 97802 | <1% | 29,313 | $17K | |
| 96127 | <1% | 17,640 | $17K | |
| D4341 | <1% | 72 | $16K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 179 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 68 | $13K |
| 2001F | <1% | 7,747 | $13K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 75 | $11K |
| D1351 | Sealant - per tooth | <1% | 466 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,972 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 294 | $9K |
| 4010F | <1% | 1,394 | $8K | |
| D0272 | Bitewings - two radiographic images | <1% | 615 | $7K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 14,979 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 112 | $6K |
| 80305 | <1% | 408 | $6K | |
| 90715 | <1% | 116 | $5K | |
| 93000 | <1% | 104 | $5K | |
| 90732 | <1% | 25 | $5K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 7,730 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 65 | $4K |
| 4274F | <1% | 1,050 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 254 | $3K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 204 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 284 | $3K |
| 1170F | <1% | 132 | $2K | |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 13 | $2K |
| 81025 | <1% | 45 | $1K | |
| 1125F | <1% | 412 | $1K | |
| 4037F | <1% | 55 | $1K | |
| D4346 | <1% | 12 | $1K | |
| 3074F | <1% | 9,093 | $958.51 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,447 | $863.66 |
| 2010F | <1% | 8,272 | $781.12 | |
| 81002 | <1% | 204 | $753.54 | |
| 3075F | <1% | 1,260 | $636.80 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 133 | $630.18 |
| D0240 | <1% | 32 | $559.13 | |
| 85610 | <1% | 51 | $386.08 | |
| 3078F | <1% | 3,109 | $315.09 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $193.04 |
| D4342 | <1% | 322 | $156.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 36 | $22.60 |
| D1354 | <1% | 1,369 | $4.42 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 344 | $2.79 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 301 | $0.09 |
| 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% | 35 | $0.09 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,076 | $0.00 |
| 3079F | 0% | 3,262 | $0.00 | |
| 3008F | 0% | 7,819 | $0.00 | |
| 90688 | 0% | 13 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 212 | $0.00 |
| 90686 | 0% | 54 | $0.00 | |
| 3080F | 0% | 435 | $0.00 | |
| 82044 | 0% | 26 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 135 | $0.00 |
| 3044F | 0% | 14 | $0.00 | |
| 82043 | 0% | 14 | $0.00 | |
| 1126F | 0% | 63 | $0.00 | |
| D0170 | 0% | 24 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 3077F | 0% | 377 | $0.00 | |
| 4004F | 0% | 217 | $0.00 | |
| 97810 | 0% | 103 | $0.00 | |
| 4040F | 0% | 13 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 30 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 61 | $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 officialRAMACHANDRAN, LATA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Marillac Clinic, INC | Grand Junction, CO | $1.57M |
| Marillac Clinic, INC. | Montrose, CO | $734K |
| Marillac Clinic, INC. | Grand Junction, CO | $222K |
| Marillac Clinic, INC | Grand Junction, CO | $198K |
| Marillac Clinic, INC. | Grand Junction, CO | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.