Clinic
Valley-Wide Health Systems, INC
Valley-Wide Health Systems, INC was paid $16.17M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoVALLEY-WIDE HEALTH SYSTEMS, INC
LA JUNTA, CO 81050
LA JUNTA, CO 81050
33aNPI1225025703assigned 09/30/2005
33bProvider typeDental Clinic/Center
28Total paid$16.17M
24GClaims148,716
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#2 of 193
Median peer was paid$180K
This provider vs. median90×
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.
Entity ProliferationAuthorized official ARNOLDI, JANIA controls 19+ related entities in our dataset. Read more
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 | 19,991 | $2.00M | |
| 2019 | 21,522 | $2.26M | |
| 2020 | 17,709 | $1.91M | |
| 2021 | 22,518 | $2.37M | |
| 2022 | 28,021 | $2.89M | |
| 2023 | 25,830 | $3.14M | |
| 2024incomplete | 13,125 | $1.61M |
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 | 59% | 45,758 | 39,833 | $9.51M |
| 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 | 20% | 16,942 | 14,605 | $3.29M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.6% | 6,510 | 6,040 | $1.55M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 1,695 | 1,681 | $421K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 1,400 | 1,337 | $352K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 1,134 | 1,076 | $232K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 846 | 838 | $208K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 921 | 873 | $185K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 7,013 | 6,773 | $176K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 254 | 225 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 177 | 174 | $44K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,545 | 1,358 | $35K |
48 more codes
| G0467 | Community health center visit, returning patient | <1% | 3,459 | $27K |
| 99000 | <1% | 13,472 | $20K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 60 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,393 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 223 | $10K |
| 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% | 521 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,254 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $4K |
| 90686 | <1% | 1,260 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,558 | $2K |
| 81002 | <1% | 13,935 | $2K | |
| 59025 | Fetal non-stress test | <1% | 93 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 42 | $1K |
| 99460 | <1% | 14 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 924 | $938.85 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $911.52 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 131 | $865.27 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 182 | $625.90 |
| 99173 | <1% | 77 | $310.88 | |
| G0008 | Administration of influenza virus vaccine | <1% | 170 | $215.47 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 196 | $182.32 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,749 | $37.44 |
| 90732 | <1% | 18 | $34.20 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 797 | $0.00 |
| 81025 | 0% | 2,729 | $0.00 | |
| 90473 | 0% | 131 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 10,692 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 43 | $0.00 |
| 82947 | 0% | 160 | $0.00 | |
| 99188 | 0% | 168 | $0.00 | |
| 90715 | 0% | 83 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 14 | $0.00 |
| 90662 | 0% | 12 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 59 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 28 | $0.00 |
| 87807 | 0% | 952 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 177 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 87 | $0.00 |
| 90677 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 296 | $0.00 |
| 90656 | 0% | 87 | $0.00 | |
| 85018 | 0% | 80 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 12 | $0.00 |
| 76801 | 0% | 24 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 33 | $0.00 |
| 93000 | 0% | 58 | $0.00 | |
| 90474 | 0% | 14 | $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 officialARNOLDI, JANIA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| 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. | Canon City, CO | $4.47M |
| 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.