Valley Physician Enterprise, INC.
Valley Physician Enterprise, INC. was paid $590K by Medicaid between Aug 2018 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.
WINCHESTER, VA 22601
Next to other Ophthalmology Physician providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 194 | $4K | |
| 2019 | 1,015 | $33K | |
| 2020 | 984 | $38K | |
| 2021 | 2,156 | $94K | |
| 2022 | 2,352 | $125K | |
| 2023 | 3,198 | $148K | |
| 2024incomplete | 2,679 | $147K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 47% | 3,013 | 2,585 | $280K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 1,648 | 1,383 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,637 | 1,378 | $88K |
| 92015 | Determination of refractive state | 11% | 5,399 | 4,570 | $64K |
| 92060 | 5.3% | 693 | 600 | $32K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 94 | 71 | $5K |
| 92133 | <1% | 50 | 44 | $1K | |
| 92002 | <1% | 44 | 30 | $1K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.