Clinic
Grand River Hospital District
Grand River Hospital District was paid $4.88M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoGRAND RIVER HOSPITAL DISTRICT
PARACHUTE, CO 81635
PARACHUTE, CO 81635
33aNPI1851347223assigned 05/26/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.88M
24GClaims23,601
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Colorado
Rank by total paid#7 of 45
Median peer was paid$716K
This provider vs. median6.8×
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 | 2,910 | $478K | |
| 2019 | 3,057 | $516K | |
| 2020 | 3,470 | $524K | |
| 2021 | 2,491 | $482K | |
| 2022 | 2,894 | $780K | |
| 2023 | 5,112 | $1.20M | |
| 2024incomplete | 3,667 | $898K |
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 | 46% | 8,874 | 7,423 | $2.23M |
| 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 | 44% | 12,225 | 9,516 | $2.16M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.3% | 755 | 422 | $210K |
| 96127 | 3.9% | 690 | 633 | $189K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 330 | 289 | $70K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 18 | 14 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | 16 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 357 | 310 | $3K |
| 90686 | <1% | 150 | 128 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 44 | 28 | $915.96 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | 16 | $455.22 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19 | 19 | $0.00 |
2 more codes
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)
| Provider | Location | Paid |
|---|---|---|
| Grand River Hospital District | Rifle, CO | $13.96M |
| Grand River Hospital District | Rifle, CO | $3.63M |
| Grand River Hospital District | Rifle, CO | $661K |
| Southern Idaho Ophthalmology PLLC | Twin Falls, ID | $55K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.