Medicaid Provider Spending

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

VALLEY MEDICAL FACILITIES INC

NPI: 1063422053 · BEAVER, PA 15009 · General Acute Care Hospital · NPI assigned 08/09/2006

$10.29M
Total Medicaid Paid
396,571
Total Claims
356,844
Beneficiaries
303
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENBERGER, ROBERT (CFO)
NPI Enumeration Date08/09/2006

Related Entities

Other providers sharing the same authorized official: ROSENBERGER, ROBERT

ProviderCityStateTotal Paid
ADENA HEALTH SYSTEM CHILLICOTHE OH $98.12M
VALLEY MEDICAL FACILITIES, INC. SEWICKLEY PA $19.37M
VALLEY MEDICAL FACILITIES INC SEWICKLEY PA $4.22M
VALLEY MEDICAL FACILITIES, INC. SEWICKLEY PA $3.71M
VALLEY MEDICAL FACILITIES, INC. MC KEES ROCKS PA $1.86M
VALLEY MEDICAL FACILITIES INC MC KEES ROCKS PA $80K
VALLEY MEDICAL FACILITIES, INC. WEXFORD PA $32K
VALLEY MEDICAL FACILITIES, INC. BELLEVUE PA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 949 $32K
2019 1,212 $20K
2020 38,472 $764K
2021 211,505 $4.98M
2022 54,865 $1.57M
2023 61,673 $1.94M
2024 27,895 $987K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,574 21,670 $2.49M
99283 Emergency department visit for the evaluation and management, moderate severity 17,044 15,039 $1.20M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,330 8,390 $1.08M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 7,178 6,798 $648K
T1015 Clinic visit/encounter, all-inclusive 10,221 6,527 $378K
G0378 Hospital observation service, per hour 1,493 657 $375K
80053 Comprehensive metabolic panel 25,515 23,541 $262K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,160 1,133 $200K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,499 6,187 $168K
D2930 Prefabricated stainless steel crown - primary tooth 171 149 $146K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,467 1,448 $142K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,065 23,493 $137K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,743 3,652 $118K
84443 Thyroid stimulating hormone (TSH) 4,117 3,978 $93K
80061 Lipid panel 6,309 6,186 $88K
80050 General health panel 1,606 1,586 $83K
71046 Radiologic examination, chest; 2 views 5,595 5,422 $83K
70450 Computed tomography, head or brain; without contrast material 1,418 1,354 $80K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,980 2,893 $78K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,955 2,868 $76K
71275 Computed tomographic angiography, chest, with contrast material 403 395 $74K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 5,719 5,388 $72K
77067 Screening mammography, bilateral, including computer-aided detection 828 810 $70K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,712 1,689 $58K
74176 Computed tomography, abdomen and pelvis; without contrast material 736 705 $58K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 208 202 $55K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,634 6,211 $55K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,164 1,067 $53K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 228 224 $52K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,749 1,715 $51K
96375 Therapeutic injection; each additional sequential IV push 2,923 2,752 $49K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,157 1,116 $44K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,060 655 $43K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 242 238 $41K
80048 Basic metabolic panel (calcium, ionized) 4,995 3,901 $40K
X0621 443 289 $40K
85027 5,865 4,825 $38K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 151 149 $37K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,716 4,583 $35K
70551 Magnetic resonance imaging, brain; without contrast material 165 161 $33K
72141 131 129 $31K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 765 749 $29K
73630 2,582 2,242 $29K
93971 462 442 $28K
83735 4,856 4,407 $27K
87086 Culture, bacterial; quantitative colony count, urine 3,383 3,189 $26K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 672 622 $26K
84484 3,750 3,324 $26K
83036 Hemoglobin; glycosylated (A1C) 3,524 3,474 $25K
84703 2,658 2,524 $25K
73610 1,321 1,185 $25K
72125 Computed tomography, cervical spine; without contrast material 412 399 $24K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 468 452 $23K
87081 3,493 3,392 $23K
76705 Ultrasound, abdominal, real time with image documentation; limited 674 657 $23K
71250 339 335 $21K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 490 442 $21K
81003 7,599 7,215 $21K
76830 Ultrasound, transvaginal 441 426 $19K
77063 Screening digital breast tomosynthesis, bilateral 645 629 $19K
71260 Computed tomography, thorax, diagnostic; with contrast material 277 270 $18K
87481 431 312 $18K
76536 354 343 $18K
84439 2,082 2,028 $17K
83690 3,705 3,523 $17K
80074 278 269 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 44 44 $16K
86318 742 732 $15K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 560 542 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,176 1,119 $15K
70496 95 95 $14K
71045 Radiologic examination, chest; single view 2,456 2,305 $14K
83880 579 536 $13K
82607 1,128 1,106 $13K
86780 740 727 $13K
97161 310 300 $12K
76642 307 285 $12K
93970 155 151 $11K
86618 413 409 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 203 197 $11K
84702 597 462 $10K
83970 243 232 $10K
86803 488 479 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 170 166 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 169 164 $10K
82043 1,204 1,183 $10K
85730 2,059 1,894 $10K
76801 224 224 $10K
85610 3,239 2,602 $10K
76775 273 264 $9K
36415 Collection of venous blood by venipuncture 38,920 32,794 $9K
70498 64 64 $9K
87186 1,105 1,052 $9K
86480 113 110 $9K
87653 195 189 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,372 3,212 $9K
84153 337 333 $9K
83605 1,494 1,375 $9K
72100 438 436 $9K
80076 961 916 $9K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 398 386 $8K
82803 565 513 $8K
74018 622 604 $8K
87070 1,209 1,164 $8K
70486 125 124 $8K
82728 685 661 $8K
86702 578 572 $8K
87040 609 569 $8K
73560 496 450 $8K
86038 478 460 $7K
73030 489 464 $7K
86850 1,043 980 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 40 40 $7K
82784 347 332 $7K
86701 578 572 $7K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 342 335 $7K
73130 551 510 $7K
82570 913 873 $7K
87340 423 416 $7K
77066 Tomosynthesis, mammo 79 79 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 101 97 $6K
0240U 107 107 $6K
87390 578 572 $6K
84481 229 222 $6K
86762 261 260 $6K
87077 751 716 $6K
96361 Intravenous infusion, hydration; each additional hour 403 391 $5K
82746 472 461 $5K
84146 200 198 $5K
86140 1,636 1,501 $5K
87522 Neg quan hep c or qual rna 101 97 $5K
12001 107 107 $5K
84145 392 371 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 267 242 $5K
93000 208 202 $5K
73110 369 345 $4K
73502 238 230 $4K
86665 102 91 $4K
86900 1,164 1,083 $4K
85651 1,309 1,179 $4K
36430 100 68 $4K
86901 1,158 1,079 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 971 928 $4K
90715 431 417 $4K
85378 440 427 $4K
73221 12 12 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 72 66 $3K
76641 65 64 $3K
82565 507 488 $3K
84403 91 89 $3K
83001 145 143 $3K
86706 202 191 $3K
74019 183 178 $3K
80164 154 147 $3K
84460 361 352 $3K
71271 47 46 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 109 92 $2K
82550 395 365 $2K
84165 178 167 $2K
83550 503 483 $2K
73590 158 152 $2K
86431 268 258 $2K
86664 91 91 $2K
84100 446 316 $2K
80069 244 221 $2K
72110 86 85 $2K
84550 327 293 $2K
83721 236 230 $2K
72114 91 86 $2K
86663 91 91 $2K
84520 340 327 $2K
82950 235 234 $2K
84450 258 249 $2K
73080 165 162 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,979 1,594 $2K
83525 132 126 $2K
87493 40 40 $2K
83615 274 217 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 63 59 $1K
86235 14 12 $1K
83655 118 117 $1K
87205 362 344 $1K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 29 25 $1K
59025 Fetal non-stress test 482 288 $1K
97165 90 87 $1K
83002 66 66 $1K
84681 39 38 $1K
72040 83 81 $1K
73090 113 111 $1K
72070 60 58 $1K
12011 26 25 $1K
82947 268 263 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 25 25 $1K
84402 39 39 $1K
84270 40 40 $1K
84155 283 264 $1K
10060 12 12 $1K
96376 328 309 $944.68
82077 580 530 $922.05
85018 291 258 $920.88
29125 37 37 $903.50
83516 380 362 $871.61
82248 119 97 $853.40
86334 27 27 $845.98
J2270 Injection, morphine sulfate, up to 10 mg 1,448 1,123 $842.28
86200 63 62 $825.17
72050 27 27 $820.50
86376 65 52 $817.53
82977 101 75 $805.30
86160 29 29 $771.35
J1885 Injection, ketorolac tromethamine, per 15 mg 4,739 4,358 $741.93
85014 244 210 $739.53
86923 50 39 $738.20
P9016 Red blood cells, leukocytes reduced, each unit 16 13 $728.37
84480 73 72 $652.02
83540 77 76 $649.87
82962 917 669 $642.89
82533 53 48 $639.60
71101 43 43 $605.85
76870 12 12 $598.40
77080 12 12 $590.11
86617 12 12 $535.93
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 53 49 $465.45
90686 149 146 $464.35
J2704 Injection, propofol, 10 mg 3,900 2,998 $462.10
87451 44 43 $453.77
86308 55 55 $416.72
86708 26 25 $394.50
J0696 Injection, ceftriaxone sodium, per 250 mg 704 612 $392.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 223 215 $379.00
87045 57 56 $370.19
87046 57 56 $353.86
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 164 148 $345.98
84436 32 31 $333.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,559 2,196 $332.95
83921 15 14 $331.14
J3490 Unclassified drugs 228 174 $321.20
82627 13 13 $315.00
87529 89 84 $311.64
82105 15 13 $306.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,995 5,126 $299.34
93017 13 13 $292.95
93922 16 15 $291.49
82150 57 56 $285.21
73562 15 15 $257.31
A9575 Injection, gadoterate meglumine, 0.1 ml 361 343 $249.70
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $224.70
84156 72 66 $217.33
82140 62 57 $216.58
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,042 960 $176.33
J2765 Injection, metoclopramide hcl, up to 10 mg 758 685 $171.49
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 128 79 $165.57
76857 12 12 $152.48
73140 15 15 $147.50
G0008 Administration of influenza virus vaccine 18 18 $138.27
88304 59 59 $127.93
80178 12 12 $115.20
81513 253 247 $113.10
J0690 Injection, cefazolin sodium, 500 mg 672 456 $106.19
J1170 Injection, hydromorphone, up to 4 mg 114 86 $104.51
J1644 Injection, heparin sodium, per 1000 units 463 273 $91.50
88314 102 98 $85.06
J3010 Injection, fentanyl citrate, 0.1 mg 3,295 2,505 $84.57
J2060 Injection, lorazepam, 2 mg 259 235 $70.34
94010 13 13 $69.30
85045 14 13 $57.96
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 523 354 $55.25
82010 17 13 $53.50
80179 47 46 $51.72
J1741 Injection, ibuprofen, 100 mg 148 105 $50.60
76882 13 13 $49.26
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 299 291 $39.93
85049 43 41 $38.10
85660 14 13 $36.08
J2250 Injection, midazolam hydrochloride, per 1 mg 1,974 1,558 $18.69
J1630 Injection, haloperidol, up to 5 mg 18 14 $13.41
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 52 51 $11.27
87324 25 24 $9.50
87449 54 52 $9.50
J3475 Injection, magnesium sulfate, per 500 mg 53 45 $8.60
J1815 Injection, insulin, per 5 units 84 55 $7.86
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 202 186 $6.80
88300 26 26 $3.75
J2370 Injection, phenylephrine hcl, up to 1 ml 228 173 $3.74
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,699 1,416 $1.47
3046F 335 333 $0.00
3050F 1,039 1,020 $0.00
3078F 1,026 1,003 $0.00
3051F 329 322 $0.00
3077F 30 29 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 14 14 $0.00
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral 13 13 $0.00
3060F 288 280 $0.00
3048F 2,148 2,117 $0.00
3052F 187 186 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 69 64 $0.00
3011F 4,808 4,730 $0.00
3061F 502 496 $0.00
3049F 1,167 1,153 $0.00
3044F 1,741 1,725 $0.00
3074F 1,077 1,054 $0.00
3079F 40 39 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 16 13 $0.00