Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rocky Mountain Youth Medical and Nursing Consultants, INC

Rocky Mountain Youth Medical and Nursing Consultants, INC was paid $41K by Medicaid between Jan 2021 and Oct 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
AURORA, CO 80011
33aNPI1811492978assigned 03/29/2018
33bProvider typePediatrics Physician
28Total paid$41K
24GClaims1,790
24DCodes billed20
24AFirst – last monthJan 2021 – Oct 2023
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#107 of 186
Median peer was paid$68K
This provider vs. median0.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20211,240$29K
2022399$10K
2023151$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 204 180 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 21% 275 235 $9K
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 12% 59 54 $5K
96127 8.4% 164 157 $3K
D0190 7.4% 208 202 $3K
99173 4.3% 209 194 $2K
0001A 4.0% 40 39 $2K
0071A 2.7% 22 21 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.6% 14 13 $1K
0002A 2.3% 23 23 $943.94
90651 2.0% 15 14 $825.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.5% 12 12 $609.84
8 more codes
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.3% 54 $544.76
90686 <1% 217 $220.38
D1206 Topical application of fluoride varnish <1% 12 $211.68
36415 Collection of venous blood by venipuncture <1% 29 $74.61
94760 <1% 27 $10.16
99000 <1% 68 $3.10
91300 <1% 79 $0.09
91307 0% 59 $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)
Parent organizationROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC
Same official

Other billing entities under TAFOYA, BARBARA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.