Clinic
Mountain Family Health Centers
Mountain Family Health Centers was paid $3.36M by Medicaid between Jan 2018 and Dec 2022, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY HEALTH CENTERS
EDWARDS, CO 81632
EDWARDS, CO 81632
33aNPI1972933992assigned 11/13/2013
33bProvider typeCommunity Health Clinic/Center
28Total paid$3.36M
24GClaims32,716
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Community Health Clinic/Center providers in Colorado
Rank by total paid#5 of 17
Median peer was paid$936K
This provider vs. median3.6×
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.
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 | 7,262 | $736K | |
| 2019 | 6,184 | $676K | |
| 2020 | 4,947 | $656K | |
| 2021 | 6,378 | $680K | |
| 2022 | 7,945 | $609K |
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 | 62% | 9,459 | 7,503 | $2.10M |
| 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 | 17% | 2,998 | 2,610 | $582K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 1,209 | 1,129 | $282K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 874 | 831 | $187K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 442 | 390 | $90K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 255 | 248 | $55K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 80 | 60 | $27K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 134 | 83 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | 25 | $6K |
| 99000 | <1% | 3,160 | 2,847 | $3K | |
| 0072A | <1% | 28 | 28 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,479 | 2,368 | $1K |
38 more codes
| 0002A | <1% | 45 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 46 | $1K |
| 0071A | <1% | 44 | $1K | |
| 0001A | <1% | 35 | $988.32 | |
| 90686 | <1% | 597 | $795.81 | |
| 90670 | <1% | 997 | $484.00 | |
| D1120 | Dental cleaning, child | <1% | 16 | $483.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,442 | $460.66 |
| G0467 | Community health center visit, returning patient | <1% | 42 | $426.81 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,719 | $244.80 |
| 90633 | <1% | 53 | $105.00 | |
| 90698 | <1% | 178 | $93.00 | |
| 90700 | <1% | 13 | $75.16 | |
| 90474 | <1% | 315 | $22.38 | |
| D9996 | <1% | 29 | $0.15 | |
| 90680 | <1% | 561 | $0.10 | |
| 90647 | 0% | 250 | $0.00 | |
| 85018 | 0% | 518 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 787 | $0.00 |
| 90688 | 0% | 100 | $0.00 | |
| 96127 | 0% | 76 | $0.00 | |
| 90723 | 0% | 103 | $0.00 | |
| 90744 | 0% | 16 | $0.00 | |
| 91307 | 0% | 20 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90685 | 0% | 78 | $0.00 | |
| D0350 | 0% | 23 | $0.00 | |
| 81002 | 0% | 1,226 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 103 | $0.00 |
| 99173 | 0% | 111 | $0.00 | |
| 81003 | 0% | 195 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 434 | $0.00 |
| 83655 | 0% | 105 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 114 | $0.00 |
| 81025 | 0% | 67 | $0.00 | |
| 90473 | 0% | 45 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 90648 | 0% | 29 | $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 officialBROOKS, ROSS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mountain Family Health Centers | Rifle, CO | $7.43M |
| Mountain Family Health Centers | Basalt, CO | $1.89M |
| Mountain Family Health Centers | Avon, CO | $857K |
| Mountain Family Health Centers | Avon, CO | $720K |
| Mountain Family Health Centers | Parachute, CO | $57K |
| Mountain Family Health Centers | Parachute, CO | $43K |
| Mountain Family Health Centers | Glenwood Springs, CO | $38K |
| Mountain Family Health Centers | Basalt, CO | $24K |
| Mountain Family Health Centers | Carbondale, CO | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.