Valley-Wide Health Systems, INC.
Valley-Wide Health Systems, INC. was paid $4.47M by Medicaid between Jan 2018 and Oct 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
CANON CITY, CO 81212
Next to other Dental Clinic/Center providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,315 | $472K | |
| 2019 | 6,740 | $895K | |
| 2020 | 4,425 | $637K | |
| 2021 | 5,819 | $893K | |
| 2022 | 3,343 | $535K | |
| 2023 | 3,477 | $673K | |
| 2024incomplete | 1,867 | $365K |
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 | 45% | 10,311 | 9,262 | $1.99M |
| 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 | 34% | 7,958 | 7,078 | $1.52M |
| D0999 | Unspecified diagnostic procedure, by report | 15% | 2,137 | 1,441 | $678K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 283 | 262 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 179 | 169 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 760 | 729 | $35K |
| 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% | 1,815 | 1,627 | $33K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 129 | 123 | $30K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 119 | 117 | $25K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 88 | 83 | $17K |
| D1110 | Prophylaxis - adult | <1% | 363 | 265 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 240 | 90 | $7K |
26 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 234 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 317 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 157 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 241 | $3K |
| 99382 | <1% | 13 | $3K | |
| 99383 | <1% | 12 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 817 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 311 | $1K |
| 99000 | <1% | 147 | $765.75 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 950 | $625.90 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $483.00 |
| D0120 | Dental checkup, returning patient | <1% | 79 | $445.00 |
| D0274 | Bitewings - four radiographic images | <1% | 47 | $382.00 |
| 99173 | <1% | 72 | $228.87 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 162 | $201.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 30 | $50.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 137 | $0.00 |
| 90686 | 0% | 373 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 19 | $0.00 |
| 81002 | 0% | 201 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 48 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 41 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 98 | $0.00 |
| 81025 | 0% | 42 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 29 | $0.00 |
| D0330 | Panoramic radiographic image | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Valley-Wide Health Systems, INC | La Junta, CO | $16.17M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $10.76M |
| Valley-Wide Health Systems, INC | Monte Vista, CO | $7.28M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $5.79M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $5.65M |
| Valley-Wide Health Systems, INC | Alamosa, CO | $5.65M |
| Valley-Wide Health Systems, INC | Rocky Ford, CO | $4.64M |
| Valley-Wide Health Systems, INC | La Jara, CO | $4.24M |
| Valley-Wide Health Systems, INC | Las Animas, CO | $4.22M |
| Valley-Wide Health Systems, INC | Center, CO | $2.92M |
| Valley-Wide Health Systems, INC | San Luis, CO | $1.67M |
| Valley-Wide Health Systems, INC. | Ordway, CO | $1.25M |
| Valley-Wide Health Systems, INC | Center, CO | $1.22M |
| Valley-Wide Health Systems, INC | Antonito, CO | $1.01M |
| Valley-Wide Health Systems, INC. | Buena Vista, CO | $922K |
| Valley-Wide Health Systems, INC | Moffat, CO | $399K |
| Valley-Wide Health Systems, INC. | Canon City, CO | $383K |
| Valley-Wide Health Systems, INC. | Alamosa, CO | $338K |
| Valley-Wide Health System, INC. | Alamosa, CO | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.