Clinic
Grand River Hospital District
Grand River Hospital District was paid $661K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 38% of everything it billed.
33Billing provider infoGRAND RIVER HOSPITAL DISTRICT
RIFLE, CO 81650
RIFLE, CO 81650
33aNPI1225296049assigned 05/29/2008
33bProvider typeCritical Access Hospital Clinic/Center
28Total paid$661K
24GClaims13,698
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital Clinic/Center providers in Colorado
Rank by total paid#2 of 8
Median peer was paid$298K
This provider vs. median2.2×
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 | 433 | $17K | |
| 2019 | 629 | $23K | |
| 2020 | 476 | $17K | |
| 2021 | 2,724 | $107K | |
| 2022 | 4,290 | $179K | |
| 2023 | 3,210 | $182K | |
| 2024incomplete | 1,936 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 38% | 3,241 | 3,025 | $253K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 5,101 | 4,888 | $220K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 853 | 783 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 555 | 490 | $34K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.6% | 1,152 | 1,111 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 623 | 553 | $22K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.0% | 1,877 | 1,622 | $13K |
| 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 | <1% | 58 | 55 | $5K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | 12 | $2K |
| 96127 | <1% | 226 | 224 | $1K |
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 officialCOOMBS, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Grand River Hospital District | Rifle, CO | $13.96M |
| Grand River Hospital District | Parachute, CO | $4.88M |
| Grand River Hospital District | Rifle, CO | $3.63M |
| Southern Idaho Ophthalmology PLLC | Twin Falls, ID | $55K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.