Physician
Lower Valley Hospital Association
Lower Valley Hospital Association was paid $717K by Medicaid between May 2019 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoLOWER VALLEY HOSPITAL ASSOCIATION
FRUITA, CO 81521
FRUITA, CO 81521
33aNPI1538626833assigned 02/23/2019
33bProvider typeFamily Medicine Physician
28Total paid$717K
24GClaims13,752
24DCodes billed15
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#57 of 532
Median peer was paid$35K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2019 | 1,607 | $71K | |
| 2020 | 1,884 | $81K | |
| 2021 | 2,939 | $158K | |
| 2022 | 4,103 | $240K | |
| 2023 | 2,390 | $112K | |
| 2024incomplete | 829 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 5,070 | 4,469 | $380K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 5,722 | 4,843 | $330K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 59 | 24 | $3K |
| 96127 | <1% | 377 | 346 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 12 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $656.80 |
| 99051 | <1% | 146 | 108 | $81.88 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 51 | 45 | $20.85 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 403 | 365 | $0.00 |
| 1036F | 0% | 65 | 58 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,641 | 1,434 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 25 | 16 | $0.00 |
3 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 101 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 55 | $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 officialKLEIN, KORREY (PRESIDENT/CEO)
Parent organizationLOWER VALLEY HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Lower Valley Hospital Association | Fruita, CO | $2.99M |
| Lower Valley Hospital Association | Fruita, CO | $2.31M |
| Lower Valley Hospital Association | Fruita, CO | $847K |
| Lower Valley Hospital Association | Fruita, CO | $100K |
| Lower Valley Hospital Association | Fruita, CO | $15K |
| Lower Valley Hospital Association | Fruita, CO | $6K |
| Lower Valley Hospital Association | Grand Junction, CO | $6K |
| Lower Valley Hospital Association | Fruita, CO | $4K |
| Lower Valley Hospital Association | Fruita, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.