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 1568627941)

Field	Value
Entity Type	Organization
Organization	Valley-wide Health Systems, Inc
Address	1131 Main St
City	Alamosa
State	CO
ZIP	81101
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 24, 2008

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 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…	37,950	$230	$8.7M
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…	4,610	$240	$1.1M
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,…	2,540	$230	$586.7K
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…	1,160	$240	$281.9K
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…	430	$200	$88.1K
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…	580	$30	$16.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3,000	$1	$12K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	50	$120	$5.4K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	1,180	$1	$1.2K
0241U	N/A	150	$0	$0

Showing 1–10 of 27

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 — 1 of 9 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	47	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…	363	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,…	58	690	140	$90	$118.4K
0241U	N/A	61	90	310	$100	$97.8K
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…	125	880	110	$80	$64.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	109	280	160	$50	$36.3K
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…	68	110	900	$20	$32.4K
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…	43	280	70	$70	$20K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	855	1,210	110	$10	$13.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	29	370	100	$20	$12.2K

Showing 1–10 of 27

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	$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	$4.5M
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
San Luis Valley Community Mental Health Center	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Red Willows, Inc.	CO	Transportation Broker	$0	$12.6M
Lutheran Hospital Association Of The San Luis Valley	CO	General Acute Care Hospital	$0	$10.5M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Slv Home Services Corp	CO	Home Health Agency	$0	$5.5M
Blue Peaks Developmental Services, Inc.	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Sweet Tooth Dental, PC	CO	Dentist	$0	$5.2M
Lutheran Hospital Association Of The San Luis Valley	CO	Obstetrics & Gynecology Physician	$0	$5.1M
Lincare Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Guardian Flight LLC	CO	Air Ambulance	$556.7K	$2.4M

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