Physician
Rocky Mountain Youth Medical and Nursing Consultants, INC
Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $628K by Medicaid between Mar 2021 and Oct 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
LAKEWOOD, CO 80228
LAKEWOOD, CO 80228
33aNPI1568065969assigned 11/18/2020
33bProvider typePediatrics Physician
28Total paid$628K
24GClaims24,220
24DCodes billed41
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#54 of 186
Median peer was paid$68K
This provider vs. median9.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TAFOYA, BARBARA controls 11+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 5,510 | $141K | |
| 2022 | 7,087 | $228K | |
| 2023 | 8,538 | $225K | |
| 2024incomplete | 3,085 | $34K |
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 | 31% | 3,815 | 3,591 | $194K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 2,419 | 2,360 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 967 | 949 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 626 | 616 | $43K |
| 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 | 6.8% | 514 | 480 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 484 | 469 | $38K |
| D0190 | 5.1% | 2,143 | 2,064 | $32K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 1,715 | 1,687 | $25K |
| 96127 | 3.7% | 1,727 | 1,660 | $23K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 448 | 439 | $13K |
| 99173 | 1.7% | 1,532 | 1,469 | $11K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 1,048 | 1,010 | $10K |
29 more codes
| 99174 | 1.4% | 501 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 84 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 63 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $3K |
| 94760 | <1% | 1,491 | $2K | |
| 90670 | <1% | 370 | $924.00 | |
| 0072A | <1% | 16 | $800.00 | |
| 83655 | <1% | 68 | $793.33 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 107 | $763.88 |
| 90461 | <1% | 1,284 | $601.81 | |
| 90651 | <1% | 31 | $550.00 | |
| 90734 | <1% | 16 | $535.05 | |
| 90686 | <1% | 859 | $459.40 | |
| 85018 | <1% | 150 | $318.27 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $214.89 |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $196.80 |
| 99000 | <1% | 415 | $123.89 | |
| 90698 | <1% | 196 | $115.00 | |
| 90680 | <1% | 105 | $108.45 | |
| 99072 | <1% | 77 | $70.00 | |
| 90744 | <1% | 57 | $60.27 | |
| 36416 | <1% | 472 | $57.60 | |
| 94761 | <1% | 29 | $55.88 | |
| 91307 | <1% | 24 | $35.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $11.76 |
| 90633 | 0% | 90 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90677 | 0% | 95 | $0.00 | |
| 90656 | 0% | 41 | $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 officialTAFOYA, BARBARA (FINANCE ADMINISTRATOR)
Parent organizationROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
| Provider | Location | Paid |
|---|---|---|
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Thornton, CO | $16.21M |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $4.33M |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Denver, CO | $1.52M |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $344K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $106K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $41K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $20K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Cortez, CO | $19K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Aurora, CO | $16K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Fort Collins, CO | $10K |
| Rocky Mountain Youth Medical and Nursing Consultants, INC | Dolores, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.