Clinic
Valley-Wide Health Systems, INC
Valley-Wide Health Systems, INC was paid $2.92M by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoVALLEY-WIDE HEALTH SYSTEMS, INC
CENTER, CO 81125
CENTER, CO 81125
33aNPI1407843576assigned 10/04/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.92M
24GClaims23,090
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#77 of 197
Median peer was paid$1.11M
This provider vs. median2.6×
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 | 3,916 | $459K | |
| 2019 | 3,332 | $359K | |
| 2020 | 2,676 | $292K | |
| 2021 | 3,357 | $421K | |
| 2022 | 4,094 | $569K | |
| 2023 | 4,017 | $539K | |
| 2024incomplete | 1,698 | $284K |
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 | 52% | 7,059 | 6,172 | $1.51M |
| 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 | 37% | 5,046 | 4,697 | $1.08M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 3,409 | 3,323 | $107K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 233 | 218 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 176 | 173 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 154 | 154 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 142 | 140 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 119 | 110 | $22K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 957 | 824 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 63 | 61 | $17K |
| 99000 | <1% | 830 | 725 | $4K | |
| 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% | 379 | 247 | $3K |
18 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,203 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 158 | $2K |
| 90686 | <1% | 682 | $685.01 | |
| 99173 | <1% | 65 | $228.87 | |
| 90750 | <1% | 45 | $224.40 | |
| 91322 | <1% | 15 | $35.00 | |
| 81002 | 0% | 498 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 453 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 267 | $0.00 |
| 99188 | 0% | 42 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 404 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 536 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 29 | $0.00 |
| 87807 | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 31 | $0.00 |
| 90656 | 0% | 56 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 | La Junta, CO | $16.17M |
| 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 | 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.