Clinic
Shenandoah Valley Medical System, INC.
Shenandoah Valley Medical System, INC. was paid $2.63M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSHENANDOAH VALLEY MEDICAL SYSTEM, INC.
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1023217452assigned 07/16/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.63M
24GClaims59,444
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#18 of 145
Median peer was paid$338K
This provider vs. median7.8×
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 | 4,794 | $205K | |
| 2019 | 8,509 | $311K | |
| 2020 | 7,544 | $372K | |
| 2021 | 6,461 | $277K | |
| 2022 | 11,117 | $449K | |
| 2023 | 11,576 | $509K | |
| 2024incomplete | 9,443 | $507K |
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 | 39% | 20,999 | 17,382 | $1.01M |
| 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 | 23% | 10,348 | 9,191 | $611K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 2,973 | 2,000 | $393K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 1,772 | 1,678 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 1,364 | 1,294 | $98K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 1,169 | 1,009 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 751 | 704 | $57K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 951 | 697 | $50K |
| G0467 | Community health center visit, returning patientFederally 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 time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,583 | 2,089 | $26K |
| 90686 | <1% | 1,636 | 1,531 | $19K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 745 | 684 | $19K |
| 90670 | <1% | 624 | 582 | $15K |
29 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 950 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 164 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 95 | $9K |
| 90651 | <1% | 312 | $8K | |
| 90698 | <1% | 395 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 710 | $8K |
| 90680 | <1% | 218 | $6K | |
| 99173 | <1% | 2,743 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,614 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 173 | $6K |
| 90677 | <1% | 68 | $5K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 63 | $5K |
| 81002 | <1% | 2,221 | $5K | |
| 92551 | <1% | 486 | $4K | |
| 90633 | <1% | 315 | $4K | |
| 90734 | <1% | 156 | $3K | |
| 90744 | <1% | 214 | $3K | |
| 90715 | <1% | 101 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 33 | $2K |
| 90671 | <1% | 25 | $2K | |
| 90688 | <1% | 66 | $1K | |
| 90656 | <1% | 94 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 962 | $1K |
| 90685 | <1% | 60 | $717.67 | |
| 81025 | <1% | 154 | $711.83 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 16 | $549.00 |
| 90687 | <1% | 82 | $405.26 | |
| 90710 | <1% | 12 | $164.40 | |
| 87210 | <1% | 27 | $69.70 |
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 officialHASSING, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shenandoah Valley Medical System, INC. | Martinsburg, WV | $61.18M |
| Shenandoah Valley Medical System,inc. | Charles Town, WV | $1.81M |
| Shenandoah Valley Medical System, INC. | Berkeley Springs, WV | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.