Valley-Wide Health Systems, INC
Valley-Wide Health Systems, INC was paid $7.28M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
MONTE VISTA, CO 81144
Next to other Dental Clinic/Center 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 | 6,530 | $829K | |
| 2019 | 7,681 | $1.13M | |
| 2020 | 6,600 | $942K | |
| 2021 | 7,979 | $1.03M | |
| 2022 | 7,265 | $1.23M | |
| 2023 | 9,297 | $1.48M | |
| 2024incomplete | 4,332 | $639K |
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 | 41% | 15,408 | 13,662 | $3.01M |
| D0999 | Unspecified diagnostic procedure, by report | 39% | 8,122 | 6,338 | $2.85M |
| 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 | 15% | 5,773 | 5,248 | $1.08M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 2,575 | 2,485 | $93K |
| 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% | 3,123 | 2,709 | $68K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 198 | 151 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 85 | 79 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,188 | 548 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 895 | 751 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,245 | 1,146 | $13K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,239 | 771 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | 30 | $8K |
39 more codes
| D0120 | Dental checkup, returning patient | <1% | 609 | $7K |
| 99000 | <1% | 1,874 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,493 | $5K |
| D1110 | Prophylaxis - adult | <1% | 225 | $5K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 162 | $5K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 165 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 105 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 695 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 196 | $3K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 101 | $2K |
| D1354 | <1% | 200 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,087 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 214 | $1K |
| D1120 | Dental cleaning, child | <1% | 15 | $744.00 |
| D0274 | Bitewings - four radiographic images | <1% | 81 | $738.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 354 | $625.90 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 49 | $515.48 |
| D0270 | <1% | 192 | $312.00 | |
| 91322 | <1% | 17 | $70.00 | |
| 81002 | 0% | 539 | $0.00 | |
| 81025 | 0% | 30 | $0.00 | |
| 99173 | 0% | 54 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 67 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 266 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 32 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 28 | $0.00 |
| 90715 | 0% | 14 | $0.00 | |
| 99499 | 0% | 15 | $0.00 | |
| 90686 | 0% | 672 | $0.00 | |
| 90656 | 0% | 61 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 53 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 14 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 27 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 19 | $0.00 |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 12 | $0.00 |
| 93000 | 0% | 12 | $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 | Alamosa, CO | $10.76M |
| 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.