Valley-Wide Health Systems, INC
Valley-Wide Health Systems, INC was paid $10.76M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
ALAMOSA, CO 81101
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 | 12,333 | $1.45M | |
| 2019 | 12,840 | $1.52M | |
| 2020 | 8,885 | $1.01M | |
| 2021 | 8,822 | $1.27M | |
| 2022 | 11,064 | $1.84M | |
| 2023 | 12,786 | $2.27M | |
| 2024incomplete | 8,843 | $1.40M |
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 | 80% | 37,945 | 36,171 | $8.65M |
| 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 | 10% | 4,613 | 4,481 | $1.11M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 2,540 | 2,454 | $587K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 1,160 | 1,123 | $282K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 432 | 416 | $88K |
| 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% | 577 | 536 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,996 | 2,522 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | 46 | $5K |
| 99000 | <1% | 5,727 | 5,301 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,181 | 1,161 | $625.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 4,701 | 4,594 | $0.00 |
| 81002 | 0% | 3,550 | 3,405 | $0.00 |
15 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 6,861 | $0.00 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 13 | $0.00 |
| 81025 | 0% | 170 | $0.00 | |
| 69209 | 0% | 20 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 71 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 769 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 366 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 241 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 375 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 148 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 675 | $0.00 |
| 87807 | 0% | 263 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 30 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 85 | $0.00 |
| 90686 | 0% | 18 | $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 |
|---|---|---|
| Valley-Wide Health Systems, INC | La Junta, CO | $16.17M |
| 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 | 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.