Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VALLEY PHYSICIAN ENTERPRISE, INC.

NPI: 1053800961 · WINCHESTER, VA 22601 · Ophthalmology Physician · NPI assigned 05/07/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$590K
Total Medicaid Paid
12,578
Total Claims
10,661
Beneficiaries
8
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationVALLEY PHYSICIAN ENTERPRISE, INC.
NPI Enumeration Date05/07/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194 $4K
2019 1,015 $33K
2020 984 $38K
2021 2,156 $94K
2022 2,352 $125K
2023 3,198 $148K
2024 2,679 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,013 2,585 $280K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,648 1,383 $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,637 1,378 $88K
92015 Determination of refractive state 5,399 4,570 $64K
92060 693 600 $32K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 94 71 $5K
92133 50 44 $1K
92002 44 30 $1K