Western Valley Family Practice, PC

Western Valley Family Practice, PC was paid $204K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoWESTERN VALLEY FAMILY PRACTICE, PC
FRUITA, CO 81521

33aNPI1942259973assigned 05/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$204K

24GClaims5,364

24DCodes billed12

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#133 of 532

Median peer was paid$35K

This provider vs. median5.9×

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	3,573	$133K
2019	1,791	$70K

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	82%	3,234	2,554	$167K
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	17%	483	402	$36K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	69	55	$951.73
99051		<1%	377	319	$399.32
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	328	285	$0.00
G8482	Influenza immunization administered or previously received	0%	185	153	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	176	154	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	29	29	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	187	166	$0.00
1036F		0%	195	178	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	88	69	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	13	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.

From NPPES

Who's on the registration

Authorized officialHOLMES, KURTIS (PRESIDENT)