Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Valley-wide Health Systems, Inc. (NPI 1215383500)

Field	Value
Entity Type	Organization
Organization	Valley-wide Health Systems, Inc.
Address	121 N 6th St
City	Canon City
State	CO
ZIP	81212
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 5, 2016

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10,310	$190	$2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	7,960	$190	$1.5M
D0999	N/A	2,140	$320	$677.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	280	$180	$51.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	180	$200	$36K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	760	$50	$35K
G0467	Federally 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…	1,820	$20	$32.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	130	$240	$30.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	120	$210	$25.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$190	$17.1K

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Valley-wide Health Systems, Inc. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	75	150	2,140	$260	$2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	172	2,520	330	$100	$352K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	233	2,630	430	$90	$268.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	307	690	140	$90	$118.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	410	720	130	$100	$110K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	222	420	290	$90	$90.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	242	280	510	$30	$77.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	293	880	110	$80	$64.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	533	1,130	300	$50	$59.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	416	990	90	$120	$57.9K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valley-wide Health Systems, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$16.2M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$10.8M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$7.3M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.8M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.6M
Valley-wide Health Systems, Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$5.2M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.6M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.2M
Martin Sowards	CO	Family Medicine Physician	$105.3K	$0
Curtis Price	OR	Physical Therapist	$68.5K	$0

Nearby Providers

Other providers in the same ZIP code as Valley-wide Health Systems, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Opportunities	CO	Developmentally Disabled Services Day Training Agency	$0	$29.7M
West Central Mental Health Center, Inc.	CO	Community/Behavioral Health Agency	$0	$22.9M
Ease-e Medical Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$16M
Bright Eyes Vision Clinic PC A Colorado Professional Corporation	CO	Optometrist	$0	$11.7M
Hildebrand Home Care Inc.	CO	In Home Supportive Care Agency	$0	$9.2M
Catholic Health Initiatives Colorado	CO	Rural Health Clinic/Center	$0	$8.3M
Button Family Practice PC	CO	Rural Health Clinic/Center	$0	$6.8M
Lincare Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Catholic Health Initiatives Colorado	CO	Critical Access Hospital	$0	$6.4M
Argus Home Care Inc	CO	Home Health Agency	$0	$5.9M

Valley-wide Health Systems, Inc. — Billing Profile & Reimbursement Data

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Valley-wide Health Systems, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References