FOUNTAIN VALLEY HEALTH CARE LLC
NPI: 1275272924
· COLORADO SPRINGS, CO 80906
· 207QA0401X
$871K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,041 |
$99K |
| 2023 |
7,915 |
$451K |
| 2024 |
8,211 |
$321K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,520 |
3,941 |
$408K |
| 99204 |
|
1,512 |
1,425 |
$167K |
| 96127 |
|
7,041 |
5,924 |
$113K |
| J2315 |
Naltrexone, depot form |
53 |
42 |
$67K |
| G8431 |
Pos clin depres scrn f/u doc |
1,259 |
1,154 |
$38K |
| 99213 |
|
258 |
217 |
$13K |
| 99391 |
|
172 |
148 |
$13K |
| 96372 |
|
826 |
658 |
$11K |
| G8510 |
Scr dep neg, no plan reqd |
973 |
910 |
$11K |
| 99395 |
|
106 |
105 |
$10K |
| 99383 |
|
44 |
40 |
$4K |
| 96110 |
|
296 |
256 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$3K |
| 90471 |
|
575 |
520 |
$2K |
| 99396 |
|
20 |
19 |
$2K |
| 99384 |
|
18 |
12 |
$1K |
| 99408 |
|
53 |
39 |
$1K |
| 90791 |
|
22 |
14 |
$911.88 |
| 99212 |
|
31 |
26 |
$892.94 |
| 80305 |
|
70 |
59 |
$793.80 |
| 99392 |
|
14 |
14 |
$755.71 |
| 90837 |
|
20 |
15 |
$403.53 |
| 90472 |
|
220 |
201 |
$248.04 |
| 99385 |
|
12 |
12 |
$124.37 |
| H0049 |
Alcohol/drug screening |
22 |
14 |
$0.00 |
| 90838 |
|
15 |
12 |
$0.00 |