Clinic
Clinica Campesina Family Health Services
Clinica Campesina Family Health Services was paid $16.19M by Medicaid between Jan 2018 and Nov 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCLINICA CAMPESINA FAMILY HEALTH SERVICES
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
33aNPI1831186915assigned 10/04/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.19M
24GClaims177,919
24DCodes billed85
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#21 of 197
Median peer was paid$1.11M
This provider vs. median15×
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 | 21,010 | $1.94M | |
| 2019 | 29,774 | $3.06M | |
| 2020 | 29,737 | $3.15M | |
| 2021 | 32,695 | $3.02M | |
| 2022 | 25,323 | $2.20M | |
| 2023 | 27,941 | $1.98M | |
| 2024incomplete | 11,439 | $830K |
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 | 31% | 32,863 | 28,870 | $5.10M |
| D0999 | Unspecified diagnostic procedure, by report | 31% | 18,714 | 17,021 | $4.99M |
| 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 | 28% | 28,878 | 25,978 | $4.56M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.2% | 6,505 | 3,485 | $358K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 2,159 | 2,004 | $311K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.8% | 5,592 | 3,269 | $286K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 706 | 668 | $104K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 559 | 523 | $78K |
| D1206 | Topical application of fluoride varnish | <1% | 9,480 | 8,889 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 196 | 188 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,776 | 3,569 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 201 | 197 | $23K |
73 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,028 | $17K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 11,577 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 87 | $16K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 355 | $15K |
| D0272 | Bitewings - two radiographic images | <1% | 1,259 | $12K |
| D1120 | Dental cleaning, child | <1% | 975 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,143 | $10K |
| 0002A | <1% | 259 | $10K | |
| D1354 | <1% | 440 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 49 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 951 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 542 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 323 | $8K |
| 0001A | <1% | 306 | $8K | |
| 99000 | <1% | 11,847 | $8K | |
| 0071A | <1% | 167 | $7K | |
| 0012A | <1% | 193 | $7K | |
| 0011A | <1% | 194 | $7K | |
| 36416 | <1% | 3,342 | $7K | |
| 0072A | <1% | 139 | $6K | |
| 0064A | <1% | 146 | $6K | |
| G0467 | Community health center visit, returning patient | <1% | 595 | $5K |
| D0330 | Panoramic radiographic image | <1% | 366 | $5K |
| D1351 | Sealant - per tooth | <1% | 570 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 482 | $5K |
| D1110 | Prophylaxis - adult | <1% | 226 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,238 | $4K |
| 99201 | <1% | 26 | $4K | |
| 0124A | <1% | 53 | $4K | |
| 81002 | <1% | 1,844 | $4K | |
| 0004A | <1% | 69 | $3K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 56 | $3K |
| 90686 | <1% | 4,119 | $2K | |
| 0054A | <1% | 43 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 22 | $1K |
| D0190 | <1% | 884 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 554 | $1K |
| 0051A | <1% | 23 | $1K | |
| H0031 | Mental health assessment, by non-physician | <1% | 17 | $840.14 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 302 | $793.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,012 | $744.77 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 14 | $616.42 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 581 | $437.32 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 24 | $257.74 |
| 90677 | <1% | 30 | $253.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 896 | $235.12 |
| 81025 | <1% | 107 | $219.06 | |
| D0270 | <1% | 30 | $180.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 721 | $7.39 |
| 90715 | <1% | 26 | $0.01 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 24 | $0.00 |
| 80061 | Lipid panel | 0% | 226 | $0.00 |
| 90670 | 0% | 83 | $0.00 | |
| 90461 | 0% | 119 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 319 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 168 | $0.00 |
| 91300 | 0% | 32 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 30 | $0.00 |
| D0460 | 0% | 12 | $0.00 | |
| 80305 | 0% | 15 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 316 | $0.00 |
| 91301 | 0% | 385 | $0.00 | |
| 90688 | 0% | 886 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 56 | $0.00 |
| 90723 | 0% | 12 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| 85018 | 0% | 29 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 206 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 12 | $0.00 |
| D1353 | 0% | 40 | $0.00 | |
| 90647 | 0% | 16 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 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 officialJOHNSTON, BRIAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Clinica Campesina Family Health Services | Boulder, CO | $15.31M |
| Clinica Campesina Family Health Services | Westminster, CO | $12.16M |
| 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.