Rocky Mountain Primary Care Clinic

Rocky Mountain Primary Care Clinic was paid $3.02M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoROCKY MOUNTAIN PRIMARY CARE CLINIC
PUEBLO, CO 81003

33aNPI1720385016assigned 02/22/2011

33bProvider typePrimary Care Nurse Practitioner

28Total paid$3.02M

24GClaims101,163

24DCodes billed35

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Primary Care Nurse Practitioner providers in Colorado

Rank by total paid#1 of 11

Median peer was paid$13K

This provider vs. median231×

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	22,790	$561K
2019	19,069	$542K
2020	13,030	$467K
2021	13,692	$473K
2022	12,617	$401K
2023	11,864	$353K
2024incomplete	8,101	$223K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	28,619	24,658	$2.11M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	10,586	9,051	$589K
94760		2.4%	32,635	26,880	$73K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.9%	5,163	3,787	$57K
80305		1.5%	4,342	3,910	$46K
Q3014	Telehealth originating site facility fee	1.3%	2,174	1,842	$38K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	2,628	2,491	$26K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	917	869	$17K
99000		<1%	5,234	4,535	$10K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	81	66	$8K
90756		<1%	459	442	$7K
90686		<1%	422	386	$6K

23 more codes

G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	246	$5K
99406		<1%	462	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	126	$4K
99407		<1%	205	$4K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	32	$3K
90674		<1%	163	$3K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	1,734	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	24	$2K
96127		<1%	368	$2K
82947		<1%	660	$1K
0134A		<1%	24	$1K
99203	Doctor's office visit, new patient (routine)	<1%	16	$1K
90656		<1%	61	$961.05
90688		<1%	78	$916.34
82962		<1%	399	$737.95
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	15	$579.32
81025		<1%	32	$210.33
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	153	$120.64
99050		<1%	15	$106.96
81002		<1%	29	$62.28
1000F		0%	2,440	$0.00
G0008	Administration of influenza virus vaccine	0%	94	$0.00
4000F		0%	527	$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 officialKIRBY, ASHLEY (NURSE PRACTITIONER/OWNER)