Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WESTERN VALLEY FAMILY PRACTICE, PC

NPI: 1942259973 · FRUITA, CO 81521 · Family Medicine Physician · NPI assigned 05/08/2006

$204K
Total Medicaid Paid
5,364
Total Claims
4,376
Beneficiaries
12
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialHOLMES, KURTIS (PRESIDENT)
NPI Enumeration Date05/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,573 $133K
2019 1,791 $70K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,234 2,554 $167K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 483 402 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 55 $951.73
99051 377 319 $399.32
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 328 285 $0.00
G8482 Influenza immunization administered or previously received 185 153 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 176 154 $0.00
G8484 Influenza immunization was not administered, reason not given 29 29 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 187 166 $0.00
1036F 195 178 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 88 69 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 12 $0.00