SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
NPI: 1083617823
· MARTINSBURG, WV 25401
· 261QF0400X
$61.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
379,569 |
213,853 |
$55.20M |
| 99213 |
|
145,778 |
91,729 |
$1.63M |
| 99214 |
|
77,654 |
53,088 |
$684K |
| 90834 |
|
44,484 |
20,754 |
$429K |
| 59409 |
|
575 |
526 |
$381K |
| 90471 |
|
35,809 |
26,230 |
$312K |
| 76817 |
|
2,494 |
2,251 |
$141K |
| 90472 |
|
18,909 |
13,390 |
$138K |
| 90686 |
|
12,305 |
9,402 |
$136K |
| 99212 |
|
12,354 |
8,954 |
$111K |
| 99173 |
|
17,198 |
12,079 |
$104K |
| 99395 |
|
6,781 |
4,892 |
$98K |
| 90853 |
|
6,154 |
2,556 |
$95K |
| 99392 |
|
11,114 |
7,640 |
$83K |
| 76830 |
|
1,079 |
1,035 |
$80K |
| 81025 |
|
7,847 |
5,486 |
$78K |
| 87880 |
|
5,499 |
3,799 |
$74K |
| 99391 |
|
10,339 |
7,266 |
$74K |
| 99393 |
|
8,064 |
5,725 |
$71K |
| 81002 |
|
23,482 |
12,692 |
$66K |
| 92551 |
|
14,352 |
10,003 |
$64K |
| 90670 |
|
5,963 |
4,475 |
$57K |
| 99396 |
|
1,720 |
1,455 |
$55K |
| 96372 |
|
5,276 |
3,682 |
$55K |
| 90832 |
|
9,305 |
5,627 |
$52K |
| 87210 |
|
5,339 |
3,809 |
$50K |
| 90633 |
|
5,130 |
3,711 |
$50K |
| 99394 |
|
4,795 |
3,558 |
$48K |
| 90837 |
|
4,822 |
2,479 |
$42K |
| 90791 |
|
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 |
|
403 |
368 |
$32K |
| 90744 |
|
2,491 |
2,018 |
$30K |
| 99238 |
|
628 |
595 |
$29K |
| 76816 |
|
496 |
454 |
$29K |
| 59025 |
|
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 |
Medroxyprogesterone acetate |
1,088 |
859 |
$18K |
| 99232 |
|
384 |
256 |
$18K |
| 90792 |
|
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 |
|
764 |
705 |
$12K |
| 90685 |
|
206 |
189 |
$12K |
| 90648 |
|
976 |
740 |
$12K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$11K |
| 90621 |
|
538 |
494 |
$11K |
| 99385 |
|
295 |
267 |
$10K |
| 99204 |
|
721 |
513 |
$9K |
| 99383 |
|
574 |
429 |
$9K |
| 99222 |
|
120 |
102 |
$8K |
| 93010 |
|
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 |
|
152 |
141 |
$4K |
| 90632 |
|
91 |
86 |
$3K |
| 0011A |
|
202 |
184 |
$3K |
| 71046 |
|
221 |
213 |
$3K |
| 99382 |
|
232 |
162 |
$3K |
| 99386 |
|
44 |
42 |
$2K |
| 58300 |
|
75 |
75 |
$2K |
| 87804 |
|
199 |
158 |
$2K |
| 90847 |
|
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 |
|
1,166 |
710 |
$585.29 |
| 90707 |
|
90 |
52 |
$532.47 |
| G0467 |
Fqhc visit, estab pt |
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 |
Dis site tele svcs rhc/fqhc |
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 |
|
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 |
|
259 |
167 |
$0.00 |
| G0008 |
Admin influenza virus vac |
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 |
|
502 |
383 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
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 |