Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Gunnison › NPI 1588780886
Clinic

Gunnison Valley Family Physicians

Gunnison Valley Family Physicians was paid $352K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoGUNNISON VALLEY FAMILY PHYSICIANS
GUNNISON, CO 81230
33aNPI1588780886assigned 03/21/2007
28Total paid$352K
24GClaims5,495
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Colorado

Rank by total paid#37 of 101
Median peer was paid$140K
This provider vs. median2.5×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018882$63K
20191,189$79K
2020509$38K
2021694$52K
2022830$56K
2023976$44K
2024incomplete415$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 2,072 1,726 $175K
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% 2,779 2,453 $161K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.3% 54 49 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 45 42 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 247 236 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 190 131 $3K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 12 12 $319.20
81003 <1% 84 53 $162.41
90686 <1% 12 12 $117.69

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 officialGARREN, LAURETTA (MANAGING PARTNER)