Valley-Wide Health Systems, INC
Valley-Wide Health Systems, INC was paid $1.01M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
ANTONITO, CO 81120
Next to other Federally Qualified Health Center (FQHC) 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 | |
|---|---|---|---|
| 2018 | 913 | $104K | |
| 2019 | 1,115 | $122K | |
| 2020 | 845 | $87K | |
| 2021 | 1,155 | $139K | |
| 2022 | 1,066 | $180K | |
| 2023 | 1,490 | $218K | |
| 2024incomplete | 964 | $160K |
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 | 76% | 4,133 | 3,573 | $765K |
| 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 | 11% | 827 | 742 | $111K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 568 | 480 | $107K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 352 | 343 | $13K |
| 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% | 696 | 619 | $6K |
| 99000 | <1% | 201 | 163 | $3K | |
| 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% | 221 | 156 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 56 | 40 | $1K |
| 99173 | 0% | 25 | 25 | $0.00 | |
| 81002 | 0% | 26 | 24 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 153 | 149 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 117 | 110 | $0.00 |
3 more codes
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 |
|---|---|---|
| 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 | Center, CO | $2.92M |
| 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. | 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.