Clinic
Clinica Campesina Family Health Services
Clinica Campesina Family Health Services was paid $12.16M by Medicaid between Jan 2018 and Nov 2024, across 74 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoCLINICA CAMPESINA FAMILY HEALTH SERVICES
WESTMINSTER, CO 80031
WESTMINSTER, CO 80031
33aNPI1811279136assigned 09/13/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.16M
24GClaims157,137
24DCodes billed74
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#27 of 197
Median peer was paid$1.11M
This provider vs. median11×
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 | 21,091 | $1.98M | |
| 2019 | 24,013 | $2.34M | |
| 2020 | 20,204 | $2.19M | |
| 2021 | 27,778 | $2.28M | |
| 2022 | 31,713 | $2.07M | |
| 2023 | 24,500 | $1.00M | |
| 2024incomplete | 7,838 | $299K |
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 | 43% | 35,508 | 31,191 | $5.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 34,075 | 29,668 | $4.93M |
| D0999 | Unspecified diagnostic procedure, by report | 6.1% | 2,923 | 2,739 | $747K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.8% | 6,716 | 3,267 | $345K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 1,730 | 1,607 | $311K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.7% | 4,049 | 2,022 | $209K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 247 | 229 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 298 | 267 | $42K |
| 0001A | <1% | 764 | 700 | $29K | |
| 0002A | <1% | 661 | 646 | $27K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,720 | 10,597 | $19K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 723 | 558 | $18K |
62 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 92 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,530 | $16K |
| 0012A | <1% | 425 | $15K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,840 | $15K |
| 0011A | <1% | 425 | $14K | |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | <1% | 26 | $14K |
| 0072A | <1% | 263 | $13K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,973 | $12K |
| 0071A | <1% | 285 | $12K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 67 | $12K |
| 99000 | <1% | 14,218 | $9K | |
| 0124A | <1% | 145 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 61 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 61 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $7K |
| 0054A | <1% | 147 | $7K | |
| 0064A | <1% | 190 | $7K | |
| 87428 | <1% | 711 | $6K | |
| 81002 | <1% | 3,896 | $5K | |
| 0074A | <1% | 84 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 850 | $3K |
| 0004A | <1% | 72 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 50 | $2K |
| 36416 | <1% | 2,346 | $2K | |
| D0190 | <1% | 318 | $2K | |
| 90686 | <1% | 2,731 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,400 | $2K |
| 0154A | <1% | 22 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 309 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 68 | $954.97 |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 29 | $735.36 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 324 | $380.26 |
| 81025 | <1% | 193 | $266.06 | |
| 91301 | <1% | 834 | $218.66 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,520 | $216.17 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,108 | $117.00 |
| 85018 | <1% | 34 | $6.64 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,006 | $4.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 785 | $0.00 |
| 90656 | 0% | 43 | $0.00 | |
| 90688 | 0% | 511 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 156 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 293 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 138 | $0.00 |
| 86803 | 0% | 113 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 51 | $0.00 |
| 90680 | 0% | 13 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 27 | $0.00 |
| 86592 | 0% | 15 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 247 | $0.00 |
| 80061 | Lipid panel | 0% | 364 | $0.00 |
| 90715 | 0% | 56 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 63 | $0.00 |
| 90670 | 0% | 43 | $0.00 | |
| 84439 | 0% | 17 | $0.00 | |
| 84481 | 0% | 16 | $0.00 | |
| 91300 | 0% | 15 | $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 officialJOHNSTON, BRIAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Clinica Campesina Family Health Services | Lafayette, CO | $16.19M |
| Clinica Campesina Family Health Services | Boulder, CO | $15.31M |
| Clinica Campesina Family Health Services | Lafayette, CO | $7.07M |
| Clinica Campesina Family Health Services | Boulder, CO | $893K |
| Clinica Campesina Family Health Services | Black Hawk, CO | $34K |
| Clinica Campesina Family Health Services | Nederland, CO | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.