Clinic
Mountain Family Health Centers
Mountain Family Health Centers was paid $857K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 84% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY HEALTH CENTERS
AVON, CO 81620
AVON, CO 81620
33aNPI1548613409assigned 07/15/2016
33bProvider typeCommunity Health Clinic/Center
28Total paid$857K
24GClaims7,244
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Colorado
Rank by total paid#10 of 17
Median peer was paid$936K
This provider vs. median0.9×
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 | 991 | $133K | |
| 2019 | 961 | $127K | |
| 2020 | 524 | $71K | |
| 2021 | 1,131 | $163K | |
| 2022 | 1,354 | $158K | |
| 2023 | 1,784 | $198K | |
| 2024incomplete | 499 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 84% | 1,962 | 1,660 | $717K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 346 | 316 | $77K |
| D1206 | Topical application of fluoride varnish | 2.3% | 1,559 | 1,359 | $20K |
| 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 | 2.1% | 96 | 90 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 987 | 865 | $17K |
| D0350 | <1% | 269 | 252 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 49 | 47 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $832.78 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 101 | 81 | $416.39 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 356 | 302 | $333.00 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 61 | 53 | $252.00 |
10 more codes
| 90656 | <1% | 27 | $26.25 | |
| 90686 | <1% | 25 | $20.61 | |
| D9996 | <1% | 935 | $1.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 256 | $0.00 |
| 3074F | 0% | 23 | $0.00 | |
| 85018 | 0% | 15 | $0.00 | |
| 3078F | 0% | 22 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 61 | $0.00 |
| 1159F | 0% | 53 | $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 (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mountain Family Health Centers | Rifle, CO | $7.43M |
| Mountain Family Health Centers | Edwards, CO | $3.36M |
| Mountain Family Health Centers | Basalt, CO | $1.89M |
| 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.