Clinic
Castle Valley Children's Clinic
Castle Valley Children's Clinic was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCASTLE VALLEY CHILDREN'S CLINIC
NEW CASTLE, CO 81647
NEW CASTLE, CO 81647
33aNPI1578766689assigned 06/06/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.39M
24GClaims37,648
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#16 of 101
Median peer was paid$140K
This provider vs. median10.0×
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 | |
|---|---|---|---|
| 2018 | 7,037 | $241K | |
| 2019 | 6,547 | $232K | |
| 2020 | 4,510 | $151K | |
| 2021 | 5,894 | $227K | |
| 2022 | 5,913 | $251K | |
| 2023 | 4,905 | $169K | |
| 2024incomplete | 2,842 | $121K |
Box 24 · Service lines
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 | 36% | 7,869 | 6,801 | $503K |
| 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 | 25% | 3,783 | 3,179 | $352K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 5,012 | 4,441 | $168K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.0% | 766 | 673 | $98K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,104 | 1,008 | $97K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.6% | 3,362 | 3,057 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 434 | 393 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 255 | 216 | $20K |
| 85018 | <1% | 4,270 | 3,800 | $11K | |
| 99173 | <1% | 1,679 | 1,408 | $11K | |
| 36416 | <1% | 4,297 | 3,784 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 84 | 52 | $6K |
20 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 413 | $5K |
| 90461 | <1% | 1,018 | $5K | |
| 90677 | <1% | 103 | $4K | |
| 90686 | <1% | 1,124 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 189 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $2K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 16 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 78 | $1K |
| 94760 | <1% | 961 | $1K | |
| 96127 | <1% | 165 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 117 | $904.54 |
| 0072A | <1% | 14 | $360.00 | |
| 90685 | <1% | 72 | $156.82 | |
| 99000 | <1% | 68 | $149.50 | |
| 90696 | <1% | 15 | $132.34 | |
| 90688 | <1% | 15 | $59.06 | |
| 96160 | <1% | 199 | $51.28 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 36 | $50.92 |
| 90670 | 0% | 12 | $0.00 | |
| 91307 | 0% | 62 | $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 officialMOELLER, DEBBIEANNE (PRESIDENT)