Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LOWER VALLEY HOSPITAL ASSOCIATION

NPI: 1538626833 · FRUITA, CO 81521 · Family Medicine Physician · NPI assigned 02/23/2019

$717K
Total Medicaid Paid
13,752
Total Claims
11,880
Beneficiaries
15
Codes Billed
2019-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKLEIN, KORREY (PRESIDENT/CEO)
Parent OrganizationLOWER VALLEY HOSPITAL ASSOCIATION
NPI Enumeration Date02/23/2019

Related Entities

Other providers sharing the same authorized official: KLEIN, KORREY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,607 $71K
2020 1,884 $81K
2021 2,939 $158K
2022 4,103 $240K
2023 2,390 $112K
2024 829 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,070 4,469 $380K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,722 4,843 $330K
90834 Psychotherapy, 45 minutes with patient 59 24 $3K
96127 377 346 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
99215 Prolong outpt/office vis 12 12 $656.80
99051 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) 51 45 $20.85
G9903 Patient screened for tobacco use and identified as a tobacco non-user 403 365 $0.00
1036F 65 58 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,641 1,434 $0.00
G8484 Influenza immunization was not administered, reason not given 25 16 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 101 94 $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) 12 12 $0.00
G8482 Influenza immunization administered or previously received 55 42 $0.00