Hospital
Vail Clinic, INC.
Vail Clinic, INC. was paid $229K by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is 99284, emergency room visit (serious) — 32% of everything it billed.
33Billing provider infoVAIL CLINIC, INC.
VAIL, CO 81657
VAIL, CO 81657
33aNPI1992812333assigned 08/23/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$229K
24GClaims8,935
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Acute Care Hospital providers in Colorado
Rank by total paid#37 of 51
Median peer was paid$1.24M
This provider vs. median0.2×
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.
Entity ProliferationAuthorized official BROWN, MICHAEL controls 12+ related entities in our dataset. Read more
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 | 894 | $27K | |
| 2019 | 785 | $20K | |
| 2020 | 1,995 | $46K | |
| 2021 | 1,500 | $43K | |
| 2022 | 1,117 | $35K | |
| 2023 | 1,821 | $46K | |
| 2024incomplete | 823 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 402 | 321 | $72K |
| 80053 | Comprehensive metabolic panel | 18% | 1,265 | 824 | $42K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 225 | 186 | $41K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.7% | 216 | 148 | $15K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 6.2% | 3,017 | 1,889 | $14K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 2.8% | 106 | 64 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 237 | 193 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.7% | 342 | 270 | $6K |
| 97535 | Self-care/home management training, each 15 minutes | 2.4% | 55 | 13 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.8% | 1,192 | 716 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.2% | 81 | 26 | $3K |
| 0001A | <1% | 79 | 73 | $2K |
16 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 759 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 30 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 425 | $1K |
| 99285 | Emergency room visit (most serious) | <1% | 15 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 109 | $961.02 |
| 0012A | <1% | 39 | $945.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 28 | $798.75 |
| 0031A | <1% | 24 | $630.00 | |
| 0002A | <1% | 22 | $630.00 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 39 | $470.92 |
| 0011A | <1% | 22 | $315.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 14 | $275.23 |
| 82378 | <1% | 25 | $155.49 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 0% | 125 | $0.00 |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 28 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 14 | $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 officialBROWN, MICHAEL (SVP & CFO)
| Provider | Location | Paid |
|---|---|---|
| Frontier Home Health Care | Anchorage, AK | $11.25M |
| A and D Home Health Agency Corporation | Roanoke Rapids, NC | $5.55M |
| Dillon Family Medicine, P.A. | Dillon, SC | $3.96M |
| Holmes Council on Aging | Bonifay, FL | $548K |
| Essential Care, LLC | Memphis, TN | $432K |
| Fairfield Memorial Hospital Association | Fairfield, IL | $396K |
| Future Foundations Services LLC | Las Vegas, NV | $284K |
| Harold W. Blevins, M.D.,P.S.C. | Louisville, KY | $195K |
| Future Foundation Services LLC | Las Vegas, NV | $39K |
| Gravino & Brown Physical Therapy, PLLC | Amherst, NY | $33K |
| Richmond Urological Medical Group,inc | Pinole, CA | $28K |
| The Center for Colon and Digestive Disease P C | Huntsville, AL | $149.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.