Clinic
Mountain Family Health Centers
Mountain Family Health Centers was paid $1.89M by Medicaid between Jan 2018 and Oct 2024, across 32 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 60% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY HEALTH CENTERS
BASALT, CO 81621
BASALT, CO 81621
33aNPI1548569924assigned 03/24/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.89M
24GClaims11,366
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#82 of 197
Median peer was paid$1.11M
This provider vs. median1.7×
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 | 1,289 | $158K | |
| 2019 | 1,495 | $338K | |
| 2020 | 1,651 | $351K | |
| 2021 | 2,365 | $322K | |
| 2022 | 1,210 | $207K | |
| 2023 | 2,686 | $413K | |
| 2024incomplete | 670 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 60% | 3,021 | 2,348 | $1.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,567 | 2,119 | $438K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.3% | 927 | 398 | $158K |
| 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 | 6.6% | 853 | 690 | $125K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 30 | 27 | $8K |
| 0071A | <1% | 342 | 206 | $6K | |
| 0072A | <1% | 265 | 160 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 42 | 12 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 194 | 175 | $2K |
| D1110 | Prophylaxis - adult | <1% | 88 | 78 | $2K |
| 0001A | <1% | 152 | 92 | $2K |
20 more codes
| 0002A | <1% | 128 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 128 | $2K |
| 0004A | <1% | 106 | $2K | |
| 0012A | <1% | 31 | $1K | |
| 0053A | <1% | 33 | $864.78 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 100 | $416.39 |
| D0274 | Bitewings - four radiographic images | <1% | 92 | $395.00 |
| 0011A | <1% | 12 | $342.25 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 163 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 15 | $0.00 |
| 91300 | 0% | 17 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 735 | $0.00 |
| 99000 | 0% | 618 | $0.00 | |
| 90686 | 0% | 102 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 320 | $0.00 |
| 91307 | 0% | 157 | $0.00 | |
| 90688 | 0% | 44 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 43 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 15 | $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 officialBROOKS, ROSS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mountain Family Health Centers | Rifle, CO | $7.43M |
| Mountain Family Health Centers | Edwards, CO | $3.36M |
| Mountain Family Health Centers | Avon, CO | $857K |
| Mountain Family Health Centers | Avon, CO | $720K |
| Mountain Family Health Centers | Parachute, CO | $57K |
| Mountain Family Health Centers | Parachute, CO | $43K |
| Mountain Family Health Centers | Glenwood Springs, CO | $38K |
| Mountain Family Health Centers | Basalt, CO | $24K |
| Mountain Family Health Centers | Carbondale, CO | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.