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 1790998953)

Field	Value
Entity Type	Organization
Organization	Valley-wide Health Systems, Inc
Address	128 Market Street
City	Alamosa
State	CO
ZIP	81101
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 7, 2007

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	15,810	$270	$4.2M
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…	12,970	$40	$531.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,940	$120	$225.3K
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…	840	$180	$150.4K
D0140	Limited oral evaluation – problem focused	2,460	$50	$110.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,710	$60	$95.6K
D0150	Comprehensive oral evaluation – new or established patient	1,040	$50	$51K
D0220	Intraoral - periapical first radiographic image	2,720	$20	$40.8K
0012A	N/A	1,100	$30	$35.3K
0011A	N/A	1,530	$20	$35.1K

Showing 1–10 of 44

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 — 3 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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	25	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…	918	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…	2,178	2,630	430	$90	$268.2K
D2392	Post 2 surface resin‑based composite	528	690	290	$130	$148K
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,…	444	690	140	$90	$118.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	265	630	830	$30	$102.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	327	410	890	$40	$101.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	58	420	290	$90	$90.4K
D2391	Resin‑based composite – one surface, posterior	434	530	200	$100	$83.5K
D1120	Prophylaxis–child	467	690	300	$30	$82.1K

Showing 1–10 of 44

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	$5.2M
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