Agency
Rocky Mountain Health Maintenance Organization, INC
Rocky Mountain Health Maintenance Organization, INC was paid $9.07M by Medicaid between Nov 2023 and Nov 2024, across 3 billing codes. Its largest line is T2023, Targeted case management; per month — 86% of everything it billed.
33Billing provider infoROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INC
GRAND JUNCTION, CO 81506
GRAND JUNCTION, CO 81506
33aNPI1609653393assigned 09/14/2023
33bProvider typeCase Management Agency
28Total paid$9.07M
24GClaims69,898
24DCodes billed3
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Colorado
Rank by total paid#15 of 71
Median peer was paid$1.01M
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2023 | 10,105 | $1.29M | |
| 2024incomplete | 59,793 | $7.78M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 86% | 53,764 | 52,316 | $7.78M |
| T2024 | Service assessment/plan of care development, waiver | 13% | 13,552 | 12,854 | $1.20M |
| A0170 | Transportation ancillary: parking fees, tolls, other | 1.0% | 2,582 | 2,487 | $91K |
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 officialPETERS, KENDRA (CONTRACT MANAGER)