Salud Family Health
Salud Family Health was paid $3.08M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
ESTES PARK, CO 80517
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,300 | $557K | |
| 2019 | 5,085 | $564K | |
| 2020 | 3,382 | $494K | |
| 2021 | 2,825 | $445K | |
| 2022 | 2,759 | $338K | |
| 2023 | 6,409 | $565K | |
| 2024incomplete | 1,816 | $113K |
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 | 35% | 7,535 | 6,152 | $1.06M |
| D0999 | Unspecified diagnostic procedure, by report | 20% | 2,647 | 2,102 | $608K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 16% | 3,414 | 1,718 | $503K |
| 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 | 13% | 2,327 | 1,919 | $391K |
| H0031 | Mental health assessment, by non-physician | 5.4% | 1,041 | 434 | $166K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 1,039 | 543 | $116K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 403 | 273 | $55K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 1.2% | 259 | 105 | $38K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 209 | 200 | $33K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 251 | 100 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126 | 118 | $20K |
| D1110 | Prophylaxis - adult | <1% | 374 | 365 | $15K |
23 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 605 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 41 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,940 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 20 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 219 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 72 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 40 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 263 | $874.00 |
| D0274 | Bitewings - four radiographic images | <1% | 92 | $715.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $619.74 |
| 97810 | <1% | 856 | $601.29 | |
| 99000 | <1% | 132 | $404.48 | |
| G0467 | Community health center visit, returning patient | <1% | 14 | $308.07 |
| 36415 | Collection of venous blood by venipuncture | <1% | 467 | $191.55 |
| D1206 | Topical application of fluoride varnish | <1% | 429 | $150.00 |
| D0330 | Panoramic radiographic image | <1% | 16 | $125.00 |
| 90686 | 0% | 14 | $0.00 | |
| 98926 | 0% | 468 | $0.00 | |
| 81003 | 0% | 34 | $0.00 | |
| 97811 | 0% | 79 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Salud Family Health | Longmont, CO | $25.70M |
| Salud Family Health | Fort Collins, CO | $24.44M |
| Salud Family Health | Commerce City, CO | $24.34M |
| Salud Family Health | Brighton, CO | $17.02M |
| Salud Family Health | Brighton, CO | $3.53M |
| Salud Family Health | Sterling, CO | $2.53M |
| Salud Family Health | Fort Lupton, CO | $725K |
| Salud Family Health | Commerce City, CO | $183K |
| Salud Family Health | Brighton, CO | $65K |
| Salud Family Health | Fort Lupton, CO | $60K |
| Salud Family Health | Fort Collins, CO | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.