Physician
Castle Valley Children's Clinic
Castle Valley Children's Clinic was paid $45K by Medicaid between Aug 2022 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoCASTLE VALLEY CHILDREN'S CLINIC
CARBONDALE, CO 81623
CARBONDALE, CO 81623
33aNPI1285282137assigned 09/03/2019
33bProvider typePediatrics Physician
28Total paid$45K
24GClaims2,934
24DCodes billed14
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#105 of 186
Median peer was paid$68K
This provider vs. median0.7×
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 | 790 | $500.88 | |
| 2023 | 1,629 | $29K | |
| 2024incomplete | 515 | $15K |
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 | 73% | 1,311 | 714 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 366 | 238 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.4% | 326 | 216 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 20 | 15 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 57 | 26 | $1K |
| 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 | 2.6% | 93 | 28 | $1K |
| 85018 | <1% | 247 | 98 | $78.21 | |
| 94760 | <1% | 12 | 12 | $13.35 | |
| 99173 | <1% | 150 | 47 | $2.43 | |
| 96160 | 0% | 41 | 12 | $0.00 | |
| 90461 | 0% | 55 | 27 | $0.00 | |
| 36416 | 0% | 206 | 73 | $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 officialBRADLEY, JO (PRACTICE MANAGER)