Valley-Wide Health Systems, INC.
Valley-Wide Health Systems, INC. was paid $1.25M by Medicaid between Oct 2019 and Oct 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
ORDWAY, CO 81063
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 | |
|---|---|---|---|
| 2019 | 157 | $17K | |
| 2020 | 1,107 | $101K | |
| 2021 | 1,760 | $196K | |
| 2022 | 2,385 | $304K | |
| 2023 | 3,223 | $461K | |
| 2024incomplete | 1,269 | $171K |
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 | 63% | 3,455 | 3,117 | $784K |
| 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 | 31% | 2,013 | 1,836 | $393K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 797 | 765 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 72 | 60 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 40 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | 14 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,098 | 1,024 | $2K |
| 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% | 88 | 80 | $1K |
| 99000 | <1% | 1,710 | 1,450 | $869.15 | |
| 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% | 52 | 47 | $793.73 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | 76 | $46.28 |
10 more codes
| 90686 | <1% | 110 | $41.22 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 44 | $0.00 |
| 82947 | 0% | 45 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| 81002 | 0% | 41 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 43 | $0.00 |
| 90656 | 0% | 20 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 44 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 90 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $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 | Monte Vista, CO | $7.28M |
| 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 | 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.