Clinic
Shenandoah Valley Medical System, INC.
Shenandoah Valley Medical System, INC. was paid $61.18M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoSHENANDOAH VALLEY MEDICAL SYSTEM, INC.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1083617823assigned 05/24/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$61.18M
24GClaims952,418
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#1 of 205
Median peer was paid$521K
This provider vs. median117×
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 | 115,262 | $7.73M | |
| 2019 | 53,539 | $3.21M | |
| 2020 | 113,977 | $5.97M | |
| 2021 | 139,500 | $8.36M | |
| 2022 | 220,045 | $14.77M | |
| 2023 | 187,579 | $12.54M | |
| 2024incomplete | 122,516 | $8.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 379,569 | 213,853 | $55.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 145,778 | 91,729 | $1.63M |
| 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 | 1.1% | 77,654 | 53,088 | $684K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 44,484 | 20,754 | $429K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 575 | 526 | $381K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35,809 | 26,230 | $312K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,494 | 2,251 | $141K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 18,909 | 13,390 | $138K |
| 90686 | <1% | 12,305 | 9,402 | $136K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12,354 | 8,954 | $111K |
| 99173 | <1% | 17,198 | 12,079 | $104K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 6,781 | 4,892 | $98K |
108 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 6,154 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 11,114 | $83K |
| 76830 | Ultrasound, transvaginal | <1% | 1,079 | $80K |
| 81025 | <1% | 7,847 | $78K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,499 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 10,339 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,064 | $71K |
| 81002 | <1% | 23,482 | $66K | |
| 92551 | <1% | 14,352 | $64K | |
| 90670 | <1% | 5,963 | $57K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,720 | $55K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,276 | $55K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 9,305 | $52K |
| 87210 | <1% | 5,339 | $50K | |
| 90633 | <1% | 5,130 | $50K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,795 | $48K |
| 90837 | Psychotherapy session, about an hour | <1% | 4,822 | $42K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,229 | $41K |
| 90698 | <1% | 3,392 | $41K | |
| 90715 | <1% | 3,231 | $39K | |
| 90680 | <1% | 4,024 | $33K | |
| 90474 | <1% | 2,071 | $33K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 403 | $32K |
| 90744 | <1% | 2,491 | $30K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 628 | $29K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 496 | $29K |
| 59025 | Fetal non-stress test | <1% | 1,737 | $27K |
| 90710 | <1% | 3,424 | $26K | |
| 90651 | <1% | 2,810 | $24K | |
| 90734 | <1% | 1,625 | $20K | |
| 59514 | <1% | 54 | $19K | |
| 90700 | <1% | 1,301 | $19K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,088 | $18K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 384 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,248 | $18K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,263 | $14K |
| 99381 | <1% | 1,217 | $13K | |
| 80305 | <1% | 1,264 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 764 | $12K |
| 90685 | <1% | 206 | $12K | |
| 90648 | <1% | 976 | $12K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $11K |
| 90621 | <1% | 538 | $11K | |
| 99385 | <1% | 295 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 721 | $9K |
| 99383 | <1% | 574 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 120 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 876 | $8K |
| 90696 | <1% | 1,168 | $8K | |
| 90671 | <1% | 2,679 | $7K | |
| 90839 | <1% | 70 | $7K | |
| 99460 | <1% | 107 | $7K | |
| 99384 | <1% | 304 | $6K | |
| 59430 | <1% | 627 | $5K | |
| 90746 | <1% | 200 | $5K | |
| 90713 | <1% | 124 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 152 | $4K |
| 90632 | <1% | 91 | $3K | |
| 0011A | <1% | 202 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 221 | $3K |
| 99382 | <1% | 232 | $3K | |
| 99386 | <1% | 44 | $2K | |
| 58300 | <1% | 75 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 199 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 19 | $2K |
| 0012A | <1% | 124 | $2K | |
| 90688 | <1% | 87 | $1K | |
| 0031A | <1% | 168 | $1K | |
| 57454 | <1% | 30 | $1K | |
| 0001A | <1% | 35 | $1K | |
| 0064A | <1% | 31 | $1K | |
| 0004A | <1% | 23 | $880.00 | |
| 0072A | <1% | 32 | $872.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,166 | $585.29 |
| 90707 | <1% | 90 | $532.47 | |
| G0467 | Community health center visit, returning patient | <1% | 7,420 | $518.23 |
| 0071A | <1% | 17 | $496.00 | |
| 0054A | <1% | 14 | $460.00 | |
| 0002A | <1% | 14 | $392.00 | |
| 74019 | <1% | 13 | $211.49 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,189 | $115.94 |
| 90656 | <1% | 457 | $36.35 | |
| 90619 | <1% | 779 | $26.00 | |
| 88142 | <1% | 555 | $20.26 | |
| 90473 | <1% | 1,610 | $14.61 | |
| 83037 | <1% | 822 | $8.74 | |
| 11981 | <1% | 13 | $7.59 | |
| 91300 | <1% | 108 | $0.03 | |
| 91301 | <1% | 170 | $0.01 | |
| 90697 | 0% | 1,344 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 105 | $0.00 |
| 91306 | 0% | 33 | $0.00 | |
| 90620 | 0% | 92 | $0.00 | |
| 91305 | 0% | 67 | $0.00 | |
| 90716 | 0% | 64 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 259 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 139 | $0.00 |
| 91307 | 0% | 50 | $0.00 | |
| 85018 | 0% | 58 | $0.00 | |
| 90732 | 0% | 57 | $0.00 | |
| 90681 | 0% | 528 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 502 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 0% | 303 | $0.00 |
| 99177 | 0% | 123 | $0.00 | |
| 90662 | 0% | 115 | $0.00 | |
| 99188 | 0% | 246 | $0.00 | |
| 90785 | 0% | 172 | $0.00 | |
| 83655 | 0% | 28 | $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 officialHASSING, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shenandoah Valley Medical System, INC. | Winchester, VA | $2.63M |
| 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.