Clinic
Clinica Campesina Family Health Services
Clinica Campesina Family Health Services was paid $22.29M by Medicaid between Jan 2018 and Nov 2024, across 95 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCLINICA CAMPESINA FAMILY HEALTH SERVICES
DENVER, CO 80221
DENVER, CO 80221
33aNPI1548256522assigned 09/23/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$22.29M
24GClaims263,475
24DCodes billed95
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#16 of 197
Median peer was paid$1.11M
This provider vs. median20×
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 | 40,176 | $3.57M | |
| 2019 | 42,273 | $3.92M | |
| 2020 | 43,410 | $4.33M | |
| 2021 | 43,525 | $4.11M | |
| 2022 | 38,122 | $3.18M | |
| 2023 | 40,771 | $2.36M | |
| 2024incomplete | 15,198 | $816K |
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 | 38% | 55,193 | 48,439 | $8.47M |
| 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% | 38,495 | 33,632 | $6.03M |
| D0999 | Unspecified diagnostic procedure, by report | 25% | 21,734 | 19,620 | $5.62M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.6% | 10,949 | 5,687 | $574K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.7% | 7,053 | 3,793 | $370K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,470 | 1,397 | $263K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 812 | 787 | $159K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 697 | 663 | $136K |
| D1206 | Topical application of fluoride varnish | <1% | 15,191 | 13,904 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 686 | 629 | $100K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 549 | 497 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 4,273 | 3,967 | $37K |
83 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 301 | $36K |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | <1% | 38 | $20K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15,497 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 1,730 | $17K |
| D1120 | Dental cleaning, child | <1% | 1,178 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,358 | $13K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,167 | $12K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 219 | $11K |
| 0072A | <1% | 226 | $11K | |
| D0190 | <1% | 1,949 | $10K | |
| D0274 | Bitewings - four radiographic images | <1% | 953 | $10K |
| 0071A | <1% | 218 | $10K | |
| 0002A | <1% | 227 | $10K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 712 | $9K |
| 0124A | <1% | 142 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 359 | $8K |
| 99000 | <1% | 21,267 | $8K | |
| 99349 | <1% | 41 | $7K | |
| D1110 | Prophylaxis - adult | <1% | 327 | $7K |
| 99381 | <1% | 41 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $7K |
| D1354 | <1% | 390 | $6K | |
| 0001A | <1% | 151 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,165 | $6K |
| 0054A | <1% | 143 | $6K | |
| 0064A | <1% | 146 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 160 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 151 | $3K |
| 90686 | <1% | 6,070 | $3K | |
| 81002 | <1% | 4,016 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 76 | $3K |
| 36416 | <1% | 5,124 | $3K | |
| 0052A | <1% | 44 | $2K | |
| D1351 | Sealant - per tooth | <1% | 149 | $2K |
| 0004A | <1% | 58 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,863 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 818 | $1K |
| D0170 | <1% | 37 | $1K | |
| 0154A | <1% | 16 | $926.55 | |
| G0467 | Community health center visit, returning patient | <1% | 86 | $922.04 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 22 | $840.14 |
| 0051A | <1% | 13 | $763.47 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,216 | $655.98 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 293 | $600.00 |
| 90688 | <1% | 3,065 | $591.16 | |
| 90651 | <1% | 51 | $574.02 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,791 | $546.71 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 905 | $448.62 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 87 | $304.00 |
| D9995 | <1% | 14 | $225.00 | |
| 81025 | <1% | 276 | $221.72 | |
| 90677 | <1% | 26 | $126.60 | |
| D0270 | <1% | 19 | $120.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 489 | $55.95 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 230 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,201 | $0.00 |
| 90680 | 0% | 141 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 86 | $0.00 |
| 85018 | 0% | 100 | $0.00 | |
| 90723 | 0% | 144 | $0.00 | |
| 90647 | 0% | 159 | $0.00 | |
| 91301 | 0% | 21 | $0.00 | |
| 91307 | 0% | 299 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 101 | $0.00 |
| 82962 | 0% | 113 | $0.00 | |
| 87428 | 0% | 24 | $0.00 | |
| 90474 | 0% | 14 | $0.00 | |
| 86803 | 0% | 12 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 12 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| 90461 | 0% | 900 | $0.00 | |
| 90670 | 0% | 539 | $0.00 | |
| 99408 | 0% | 38 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 80061 | Lipid panel | 0% | 117 | $0.00 |
| 83655 | 0% | 15 | $0.00 | |
| D0460 | 0% | 14 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90687 | 0% | 72 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 90473 | 0% | 12 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 12 | $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 officialSMITH, SIMON (CEO)
| Provider | Location | Paid |
|---|---|---|
| Clinica Campesina Family Health Services | Thornton, CO | $25.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.