Clinic
Rocky Mountain Youth Medical and Nursing Consultants, INC
Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $16.21M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
THORNTON, CO 80229
THORNTON, CO 80229
33aNPI1730295296assigned 08/21/2006
33bProvider typeClinic/Center
28Total paid$16.21M
24GClaims538,029
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#5 of 87
Median peer was paid$179K
This provider vs. median91×
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 | |
|---|---|---|---|
| 2018 | 124,397 | $3.70M | |
| 2019 | 127,442 | $3.80M | |
| 2020 | 104,129 | $3.42M | |
| 2021 | 59,080 | $1.94M | |
| 2022 | 49,716 | $1.66M | |
| 2023 | 54,771 | $1.50M | |
| 2024incomplete | 18,494 | $190K |
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 | 23% | 63,773 | 59,959 | $3.70M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 54,490 | 52,931 | $2.46M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 24,112 | 22,174 | $1.95M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 21,941 | 21,411 | $1.93M |
| 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 | 8.2% | 15,665 | 14,592 | $1.33M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 12,320 | 12,021 | $1.08M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 37,945 | 37,038 | $653K |
| D0190 | 2.6% | 28,343 | 27,486 | $425K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.1% | 3,006 | 2,504 | $343K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 10,531 | 10,266 | $317K |
| 96127 | 1.7% | 25,816 | 25,086 | $274K | |
| 99173 | 1.5% | 25,583 | 24,814 | $237K |
84 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 2,286 | $223K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.2% | 19,794 | $197K |
| 99460 | <1% | 1,537 | $89K | |
| D1206 | Topical application of fluoride varnish | <1% | 5,557 | $88K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,225 | $85K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,434 | $79K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,617 | $61K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 579 | $59K |
| 90670 | <1% | 14,813 | $58K | |
| 99174 | <1% | 3,567 | $56K | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 424 | $44K |
| 94760 | <1% | 22,418 | $44K | |
| 99000 | <1% | 19,729 | $34K | |
| 83655 | <1% | 2,430 | $32K | |
| 36416 | <1% | 16,617 | $30K | |
| D1120 | Dental cleaning, child | <1% | 733 | $23K |
| H0031 | Mental health assessment, by non-physician | <1% | 207 | $22K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 169 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,497 | $21K |
| 0071A | <1% | 333 | $19K | |
| 90461 | <1% | 29,729 | $18K | |
| 0072A | <1% | 350 | $18K | |
| 90680 | <1% | 7,794 | $15K | |
| 85018 | <1% | 5,837 | $15K | |
| 90698 | <1% | 6,326 | $14K | |
| D0120 | Dental checkup, returning patient | <1% | 503 | $12K |
| 90651 | <1% | 815 | $11K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 215 | $10K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 259 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 234 | $7K |
| 0001A | <1% | 167 | $7K | |
| 0002A | <1% | 144 | $6K | |
| 90686 | <1% | 5,875 | $6K | |
| 0240U | <1% | 36 | $6K | |
| 90677 | <1% | 779 | $6K | |
| 99462 | <1% | 215 | $5K | |
| 90633 | <1% | 3,402 | $4K | |
| 99050 | <1% | 618 | $4K | |
| 0081A | <1% | 63 | $4K | |
| 99384 | <1% | 32 | $3K | |
| 0082A | <1% | 68 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $3K |
| 90688 | <1% | 10,995 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 997 | $3K |
| 90480 | <1% | 38 | $2K | |
| 90734 | <1% | 293 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 48 | $2K |
| 90723 | <1% | 1,800 | $2K | |
| 90716 | <1% | 294 | $2K | |
| 90700 | <1% | 1,691 | $2K | |
| 0124A | <1% | 33 | $2K | |
| 90710 | <1% | 115 | $2K | |
| 90744 | <1% | 2,624 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 59 | $2K |
| 94761 | <1% | 322 | $1K | |
| 0054A | <1% | 33 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 64 | $1K |
| 90707 | <1% | 317 | $1K | |
| 97802 | <1% | 28 | $1K | |
| 90648 | <1% | 3,375 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 44 | $891.71 |
| 99070 | <1% | 55 | $889.24 | |
| 0074A | <1% | 17 | $850.00 | |
| 0052A | <1% | 18 | $850.00 | |
| 0154A | <1% | 13 | $803.01 | |
| 94664 | <1% | 46 | $510.87 | |
| 90837 | Psychotherapy session, about an hour | <1% | 12 | $397.12 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 27 | $333.64 |
| 97803 | <1% | 12 | $320.76 | |
| 90685 | <1% | 2,231 | $314.39 | |
| 90715 | <1% | 55 | $249.10 | |
| 90687 | <1% | 2,214 | $176.21 | |
| 90656 | <1% | 380 | $168.42 | |
| 90713 | <1% | 116 | $168.38 | |
| H0049 | Alcohol and/or drug screening | <1% | 40 | $108.43 |
| 81002 | <1% | 27 | $90.54 | |
| 91307 | <1% | 810 | $35.00 | |
| 91300 | <1% | 407 | $0.10 | |
| 91308 | 0% | 187 | $0.00 | |
| 90672 | 0% | 26 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 38 | $0.00 |
| 91312 | 0% | 33 | $0.00 | |
| 91305 | 0% | 103 | $0.00 | |
| 91315 | 0% | 13 | $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)
| Provider | Location | Paid |
|---|---|---|
| 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 | Lakewood, CO | $628K |
| 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.