Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Rocky Mountain Clinics LLC

Pathology, Clinical Pathology/Laboratory Medicine

Fort Collins, Colorado

NPI: 1598478059

Risk Tier

Elevated

Total Paid

$13.1M

$13,075,191

Total Claims

78K

Beneficiaries

49K

Avg Cost/Claim

$168.59

Statistical Fraud Flags (1)

New Entrant

Started billing recently but already receiving millions in Medicaid payments.

First appeared in 2022-12 and has already billed $13.1M, averaging $523K/month across 25 months.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024