Clinic
Mountain Family Health Centers
Mountain Family Health Centers was paid $720K by Medicaid between Jan 2023 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoMOUNTAIN FAMILY HEALTH CENTERS
AVON, CO 81620
AVON, CO 81620
33aNPI1982328969assigned 10/03/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$720K
24GClaims8,272
24DCodes billed32
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#121 of 197
Median peer was paid$1.11M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 5,279 | $494K | |
| 2024incomplete | 2,993 | $225K |
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 | 58% | 2,027 | 1,621 | $414K |
| 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 | 18% | 956 | 659 | $128K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 505 | 481 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 297 | 280 | $51K |
| D0999 | Unspecified diagnostic procedure, by report | 1.1% | 19 | 19 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 28 | 26 | $7K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 20 | 13 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 17 | 16 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 425 | 369 | $832.78 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 370 | 317 | $416.39 |
| 90686 | <1% | 297 | 285 | $391.59 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 22 | 12 | $294.40 |
20 more codes
| 90670 | <1% | 122 | $242.00 | |
| 90680 | <1% | 90 | $199.31 | |
| 90647 | <1% | 90 | $119.55 | |
| D1206 | Topical application of fluoride varnish | <1% | 14 | $110.00 |
| 90656 | <1% | 18 | $26.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 791 | $0.00 |
| 99000 | 0% | 363 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 439 | $0.00 |
| 85018 | 0% | 128 | $0.00 | |
| 3074F | 0% | 36 | $0.00 | |
| 90698 | 0% | 43 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 1159F | 0% | 142 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 878 | $0.00 |
| 99173 | 0% | 14 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90473 | 0% | 40 | $0.00 | |
| 83655 | 0% | 17 | $0.00 | |
| D9996 | 0% | 15 | $0.00 | |
| 3078F | 0% | 24 | $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 | Edwards, CO | $3.36M |
| Mountain Family Health Centers | Basalt, CO | $1.89M |
| Mountain Family Health Centers | Avon, CO | $857K |
| 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.