Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Rifle › NPI 1649218991
Hospital

Grand River Hospital District

Grand River Hospital District was paid $3.63M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 34% of everything it billed.

33Billing provider infoGRAND RIVER HOSPITAL DISTRICT
RIFLE, CO 81650
33aNPI1649218991assigned 06/02/2006
33bProvider typeCritical Access Hospital
28Total paid$3.63M
24GClaims75,759
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Colorado

Rank by total paid#3 of 26
Median peer was paid$111K
This provider vs. median33×

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$50K$100K$150K2018201920202021202220232024
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
201812,560$383K
20199,883$291K
20207,437$215K
202111,097$479K
202210,377$516K
202314,941$1.03M
2024incomplete9,464$715K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99282 Emergency department visit for the evaluation and management, low to moderate severity 34% 5,719 5,166 $1.24M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 3,972 3,275 $549K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.0% 2,384 1,937 $291K
96361 Intravenous infusion, hydration; each additional hour 6.1% 829 660 $223K
80053 Comprehensive metabolic panel 5.1% 10,598 9,012 $187K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4.9% 959 890 $178K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.5% 1,709 1,642 $163K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.1% 781 773 $111K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.9% 2,775 994 $107K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.8% 11,355 9,566 $64K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.2% 15 14 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 3,227 3,098 $43K
64 more codes
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.0% 2,026 $38K
84443 Thyroid stimulating hormone (TSH) <1% 2,414 $35K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 404 $32K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 182 $27K
36415 Collection of venous blood by venipuncture <1% 8,300 $27K
96375 Therapeutic injection; each additional sequential IV push <1% 649 $20K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,586 $18K
84484 <1% 819 $17K
80061 Lipid panel <1% 891 $15K
71046 Radiologic examination, chest; 2 views <1% 255 $15K
81003 <1% 2,296 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 38 $14K
99285 Emergency room visit (most serious) <1% 220 $14K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,900 $11K
87486 <1% 146 $11K
71045 Radiologic examination, chest; single view <1% 748 $10K
J7120 Ringers lactate infusion, up to 1000 cc <1% 719 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 522 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 146 $8K
87088 <1% 599 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 547 $7K
80320 <1% 103 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,083 $6K
77067 Screening mammography, bilateral, including computer-aided detection <1% 68 $6K
87581 <1% 146 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 467 $5K
J2704 Injection, propofol, 10 mg <1% 266 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 254 $4K
87400 <1% 288 $4K
83690 <1% 789 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 146 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 515 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 153 $2K
73030 <1% 17 $2K
83605 <1% 46 $1K
73630 <1% 21 $1K
81025 <1% 41 $1K
97161 <1% 65 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 41 $1K
84439 <1% 71 $870.08
86140 <1% 42 $857.23
85610 <1% 286 $839.73
81001 <1% 262 $803.86
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 16 $646.06
83880 <1% 14 $634.32
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14 $443.60
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14 $443.60
J3010 Injection, fentanyl citrate, 0.1 mg <1% 83 $384.50
84703 <1% 53 $348.61
97597 <1% 30 $297.08
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 13 $209.68
80306 <1% 40 $172.08
85651 <1% 24 $162.79
87186 <1% 26 $135.66
80305 <1% 12 $120.12
84481 <1% 15 $103.05
85379 <1% 24 $5.76
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 45 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 75 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 15 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 0% 46 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 14 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 256 $0.00
A6260 Wound cleansers, any type, any size 0% 30 $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 officialCOOMBS, JAMES (CEO)
Same official

Other billing entities under COOMBS, JAMES

Full network →
ProviderLocationPaid
Grand River Hospital DistrictRifle, CO$13.96M
Grand River Hospital DistrictParachute, CO$4.88M
Grand River Hospital DistrictRifle, CO$661K
Southern Idaho Ophthalmology PLLCTwin Falls, ID$55K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.