Physician
Fountain Valley Health Care LLC
Fountain Valley Health Care LLC was paid $871K by Medicaid between Jun 2022 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoFOUNTAIN VALLEY HEALTH CARE LLC
COLORADO SPRINGS, CO 80906
COLORADO SPRINGS, CO 80906
33aNPI1275272924assigned 06/01/2022
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$871K
24GClaims18,167
24DCodes billed26
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Colorado
Rank by total paid#5 of 16
Median peer was paid$510K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 2,041 | $99K | |
| 2023 | 7,915 | $451K | |
| 2024incomplete | 8,211 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 4,520 | 3,941 | $408K |
| 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 | 19% | 1,512 | 1,425 | $167K |
| 96127 | 13% | 7,041 | 5,924 | $113K | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 7.7% | 53 | 42 | $67K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 4.4% | 1,259 | 1,154 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 258 | 217 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 172 | 148 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 826 | 658 | $11K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.2% | 973 | 910 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 106 | 105 | $10K |
| 99383 | <1% | 44 | 40 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 296 | 256 | $3K |
14 more codes
| 99205 | Prolong outpt/office vis | <1% | 15 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 575 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 20 | $2K |
| 99384 | <1% | 18 | $1K | |
| 99408 | <1% | 53 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 22 | $911.88 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $892.94 |
| 80305 | <1% | 70 | $793.80 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $755.71 |
| 90837 | Psychotherapy session, about an hour | <1% | 20 | $403.53 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 220 | $248.04 |
| 99385 | <1% | 12 | $124.37 | |
| H0049 | Alcohol and/or drug screening | 0% | 22 | $0.00 |
| 90838 | 0% | 15 | $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 officialJORDAN, JACQUITA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Fountain Valley Health Care LLC | Colorado Springs, CO | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.