Vail Clinic INC
Vail Clinic INC was paid $199K by Medicaid between Nov 2020 and Oct 2024, across 13 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 52% of everything it billed.
VAIL, CO 81657
Next to other Clinic/Center providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 24 | $149.20 | |
| 2021 | 614 | $7K | |
| 2022 | 761 | $30K | |
| 2023 | 2,000 | $106K | |
| 2024incomplete | 783 | $57K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 52% | 1,372 | 557 | $104K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 16% | 701 | 252 | $31K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 308 | 275 | $23K |
| 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 | 6.4% | 207 | 184 | $13K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 5.2% | 263 | 260 | $10K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.4% | 202 | 190 | $9K |
| 71046 | Radiologic examination, chest; 2 views | 1.9% | 288 | 224 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 58 | 51 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 340 | 127 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 19 | 14 | $142.13 |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 260 | 257 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 150 | 51 | $0.00 |
1 more codes
| 97161 | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Frontier Home Health Care | Anchorage, AK | $11.25M |
| A and D Home Health Agency Corporation | Roanoke Rapids, NC | $5.55M |
| Dillon Family Medicine, P.A. | Dillon, SC | $3.96M |
| Holmes Council on Aging | Bonifay, FL | $548K |
| Essential Care, LLC | Memphis, TN | $432K |
| Fairfield Memorial Hospital Association | Fairfield, IL | $396K |
| Future Foundations Services LLC | Las Vegas, NV | $284K |
| Vail Clinic, INC. | Vail, CO | $229K |
| Harold W. Blevins, M.D.,P.S.C. | Louisville, KY | $195K |
| Future Foundation Services LLC | Las Vegas, NV | $39K |
| Gravino & Brown Physical Therapy, PLLC | Amherst, NY | $33K |
| Richmond Urological Medical Group,inc | Pinole, CA | $28K |
| The Center for Colon and Digestive Disease P C | Huntsville, AL | $149.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.