Physician
Lower Valley Hospital Association
Lower Valley Hospital Association was paid $847K by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoLOWER VALLEY HOSPITAL ASSOCIATION
FRUITA, CO 81521
FRUITA, CO 81521
33aNPI1609190206assigned 03/25/2010
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$847K
24GClaims16,098
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Colorado
Rank by total paid#2 of 21
Median peer was paid$74K
This provider vs. median11×
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 | 2,667 | $107K | |
| 2019 | 3,342 | $162K | |
| 2020 | 1,229 | $79K | |
| 2021 | 1,905 | $110K | |
| 2022 | 2,127 | $115K | |
| 2023 | 3,086 | $178K | |
| 2024incomplete | 1,742 | $96K |
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 | 35% | 4,287 | 3,844 | $297K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 1,762 | 1,595 | $165K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,292 | 2,019 | $111K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.4% | 1,551 | 1,450 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 652 | 605 | $49K |
| 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 | 4.2% | 299 | 280 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 290 | 272 | $28K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.7% | 242 | 228 | $14K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.5% | 411 | 362 | $12K |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 904 | 772 | $10K |
| 73630 | <1% | 646 | 493 | $6K | |
| 11721 | <1% | 332 | 313 | $5K |
34 more codes
| 95886 | <1% | 85 | $4K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 118 | $4K |
| 27096 | <1% | 30 | $3K | |
| 95911 | <1% | 25 | $3K | |
| 20553 | <1% | 115 | $3K | |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | <1% | 13 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 211 | $2K |
| 0001A | <1% | 54 | $2K | |
| 0002A | <1% | 49 | $2K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 30 | $1K |
| 62321 | <1% | 16 | $1K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 16 | $789.30 |
| 87428 | <1% | 35 | $740.23 | |
| 99417 | Prolong home eval add 15m | <1% | 14 | $555.52 |
| 73110 | <1% | 47 | $515.76 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $482.38 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 40 | $467.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 223 | $413.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $407.80 |
| 72110 | <1% | 54 | $389.02 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 13 | $347.93 |
| 96127 | <1% | 55 | $241.38 | |
| 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% | 367 | $203.23 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $193.56 |
| 11730 | <1% | 24 | $174.48 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 34 | $151.99 |
| 73140 | <1% | 12 | $84.90 | |
| 97026 | <1% | 17 | $61.63 | |
| 11732 | <1% | 12 | $43.65 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 268 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 81 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 22 | $0.00 |
| 1036F | 0% | 127 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 141 | $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 | $717K |
| 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.