Physician
Hidden Valley Medical Center INC
Hidden Valley Medical Center INC was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoHIDDEN VALLEY MEDICAL CENTER INC
BLUE RIDGE, GA 30513
BLUE RIDGE, GA 30513
33aNPI1073516621assigned 05/27/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.48M
24GClaims44,545
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#9 of 162
Median peer was paid$12K
This provider vs. median120×
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 | 12,635 | $341K | |
| 2019 | 10,094 | $267K | |
| 2020 | 5,476 | $163K | |
| 2021 | 3,952 | $151K | |
| 2022 | 4,341 | $179K | |
| 2023 | 5,084 | $241K | |
| 2024incomplete | 2,963 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 16,805 | 14,497 | $661K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 16,028 | 14,271 | $601K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 899 | 857 | $71K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 711 | 617 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 1,434 | 1,212 | $16K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 527 | 397 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 568 | 418 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 362 | 344 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 769 | 707 | $9K |
| 87428 | <1% | 159 | 145 | $9K | |
| 59425 | <1% | 12 | 12 | $5K | |
| 99490 | Ccm add 20min | <1% | 748 | 669 | $5K |
43 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 219 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 624 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | $4K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 73 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 79 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 96 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 24 | $801.55 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $695.10 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 18 | $683.30 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 33 | $638.47 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 141 | $609.74 |
| 71045 | Radiologic examination, chest; single view | <1% | 202 | $582.73 |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 46 | $577.12 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 40 | $574.39 |
| 73562 | <1% | 28 | $495.55 | |
| 93000 | <1% | 44 | $454.45 | |
| 99443 | <1% | 171 | $435.95 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $434.43 |
| 71250 | <1% | 12 | $412.17 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 27 | $371.94 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $317.13 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,279 | $288.41 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 343 | $260.67 |
| 90688 | <1% | 32 | $177.24 | |
| 87807 | <1% | 15 | $176.79 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 369 | $158.44 |
| 94060 | <1% | 12 | $121.30 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 27 | $100.60 |
| 72100 | <1% | 14 | $85.96 | |
| 81003 | <1% | 42 | $69.44 | |
| 94726 | <1% | 12 | $66.16 | |
| 87276 | <1% | 13 | $64.44 | |
| 87275 | <1% | 13 | $64.44 | |
| 94729 | <1% | 12 | $41.58 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 37 | $40.71 |
| 3074F | <1% | 134 | $0.38 | |
| 3078F | <1% | 125 | $0.29 | |
| 1036F | 0% | 128 | $0.00 | |
| 3008F | 0% | 301 | $0.00 | |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 28 | $0.00 |
| 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 | 0% | 52 | $0.00 |
| 1159F | 0% | 265 | $0.00 | |
| 1160F | 0% | 265 | $0.00 |
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 officialARWOOD, SOPHIA (DIRECTOR PHYSICIAN OPERATIONS)
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|---|---|---|
| Mary Black Physicians Group LLC | Spartanburg, SC | $1.39M |
| ST Joseph Medical Group INC | Fort Wayne, IN | $411K |
| Centre RHC Corp | Centre, AL | $163K |
| Augusta Physician Services LLC | Augusta, GA | $120K |
| Doctors Hospital Physician Services LLC | Massillon, OH | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.