Medicaid Provider Spending

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

SHENANDOAH VALLEY MEDICAL SYSTEM, INC.

NPI: 1083617823 · MARTINSBURG, WV 25401 · Federally Qualified Health Center (FQHC) · NPI assigned 05/24/2005

$61.18M
Total Medicaid Paid
952,418
Total Claims
593,486
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHASSING, MICHAEL (CEO)
NPI Enumeration Date05/24/2005

Related Entities

Other providers sharing the same authorized official: HASSING, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 122,516 $8.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 379,569 213,853 $55.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 145,778 91,729 $1.63M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,654 53,088 $684K
90834 Psychotherapy, 45 minutes with patient 44,484 20,754 $429K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 575 526 $381K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 35,809 26,230 $312K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,494 2,251 $141K
90472 Immunization administration, each additional vaccine (list separately) 18,909 13,390 $138K
90686 12,305 9,402 $136K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,354 8,954 $111K
99173 17,198 12,079 $104K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,781 4,892 $98K
90853 Group psychotherapy (other than of a multiple-family group) 6,154 2,556 $95K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,114 7,640 $83K
76830 Ultrasound, transvaginal 1,079 1,035 $80K
81025 7,847 5,486 $78K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,499 3,799 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,339 7,266 $74K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,064 5,725 $71K
81002 23,482 12,692 $66K
92551 14,352 10,003 $64K
90670 5,963 4,475 $57K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,720 1,455 $55K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,276 3,682 $55K
90832 Psychotherapy, 30 minutes with patient 9,305 5,627 $52K
87210 5,339 3,809 $50K
90633 5,130 3,711 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,795 3,558 $48K
90837 Psychotherapy, 53 minutes with patient 4,822 2,479 $42K
90791 Psychiatric diagnostic evaluation 1,229 1,117 $41K
90698 3,392 2,483 $41K
90715 3,231 2,725 $39K
90680 4,024 2,911 $33K
90474 2,071 1,824 $33K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 403 368 $32K
90744 2,491 2,018 $30K
99238 Hospital discharge day management, 30 minutes or less 628 595 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 496 454 $29K
59025 Fetal non-stress test 1,737 890 $27K
90710 3,424 2,396 $26K
90651 2,810 2,131 $24K
90734 1,625 1,421 $20K
59514 54 29 $19K
90700 1,301 1,027 $19K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,088 859 $18K
99232 Subsequent hospital care, per day, moderate complexity 384 256 $18K
90792 Psychiatric diagnostic evaluation with medical services 1,248 991 $18K
99215 Prolong outpt/office vis 2,263 1,765 $14K
99381 1,217 1,001 $13K
80305 1,264 742 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 764 705 $12K
90685 206 189 $12K
90648 976 740 $12K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $11K
90621 538 494 $11K
99385 295 267 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 721 513 $9K
99383 574 429 $9K
99222 Initial hospital care, per day, moderate complexity 120 102 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 876 689 $8K
90696 1,168 819 $8K
90671 2,679 1,645 $7K
90839 70 61 $7K
99460 107 98 $7K
99384 304 289 $6K
59430 627 326 $5K
90746 200 186 $5K
90713 124 122 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 152 141 $4K
90632 91 86 $3K
0011A 202 184 $3K
71046 Radiologic examination, chest; 2 views 221 213 $3K
99382 232 162 $3K
99386 44 42 $2K
58300 75 75 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 199 158 $2K
90847 Family psychotherapy with the patient present, 50 minutes 19 13 $2K
0012A 124 119 $2K
90688 87 87 $1K
0031A 168 146 $1K
57454 30 30 $1K
0001A 35 34 $1K
0064A 31 30 $1K
0004A 23 23 $880.00
0072A 32 28 $872.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,166 710 $585.29
90707 90 52 $532.47
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 7,420 6,432 $518.23
0071A 17 16 $496.00
0054A 14 14 $460.00
0002A 14 12 $392.00
74019 13 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 2,189 1,042 $115.94
90656 457 455 $36.35
90619 779 503 $26.00
88142 555 377 $20.26
90473 1,610 897 $14.61
83037 822 514 $8.74
11981 13 12 $7.59
91300 108 96 $0.03
91301 170 167 $0.01
90697 1,344 791 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 105 80 $0.00
91306 33 32 $0.00
90620 92 60 $0.00
91305 67 64 $0.00
90716 64 33 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 259 167 $0.00
G0008 Administration of influenza virus vaccine 139 134 $0.00
91307 50 39 $0.00
85018 58 27 $0.00
90732 57 53 $0.00
90681 528 332 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 502 383 $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 303 213 $0.00
99177 123 66 $0.00
90662 115 110 $0.00
99188 246 121 $0.00
90785 172 51 $0.00
83655 28 12 $0.00