Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1093282733 · COSHOCTON, OH 43812 · Federally Qualified Health Center (FQHC) · NPI assigned 10/31/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more

$5.49M
Total Medicaid Paid
415,788
Total Claims
235,676
Beneficiaries
109
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date10/31/2018

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $28.59M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $16.13M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $9.67M
MUSKINGUM VALLEY HEALTH CENTERS MALTA OH $6.92M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $5.99M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $1.17M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $1.09M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $328K
MUSKINGUM VALLEY HEALTH CENTERS BYESVILLE OH $228K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $158K
MUSKINGUM VALLEY HEALTH CENTERS WEST LAFAYETTE OH $120K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $71K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $59K
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $32K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $13K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 60,842 $856K
2020 77,629 $944K
2021 68,878 $1.05M
2022 76,234 $1.01M
2023 94,613 $1.10M
2024 37,592 $528K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 44,396 35,792 $3.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54,351 28,796 $1.05M
90832 Psychotherapy, 30 minutes with patient 9,420 4,040 $196K
90460 Immunization administration through 18 years of age via any route, first or only component 10,758 4,782 $155K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,654 2,809 $137K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,396 1,999 $112K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,790 1,555 $82K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,754 1,474 $76K
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 3,307 2,727 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,751 1,035 $60K
90670 1,316 861 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,480 2,378 $50K
Q3014 Telehealth originating site facility fee 5,164 2,885 $45K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,527 2,113 $20K
92551 5,939 3,466 $20K
90633 1,253 855 $19K
36415 Collection of venous blood by venipuncture 11,895 7,404 $16K
90651 604 405 $15K
99174 1,942 1,224 $10K
90698 610 392 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 324 169 $9K
90686 2,140 1,321 $8K
99177 1,986 1,180 $8K
0012A 169 169 $6K
83036 Hemoglobin; glycosylated (A1C) 1,717 926 $6K
0011A 158 158 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 290 156 $5K
90734 251 180 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 190 109 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 366 299 $5K
90710 184 120 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 539 305 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 554 217 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 542 262 $4K
96127 1,800 1,070 $4K
0002A 65 65 $2K
99401 156 120 $2K
90619 139 96 $2K
D1206 Topical application of fluoride varnish 347 209 $2K
99173 1,394 844 $2K
0001A 61 61 $2K
90716 70 56 $1K
90834 Psychotherapy, 45 minutes with patient 55 27 $1K
81025 361 195 $1K
82962 953 498 $1K
96161 973 549 $1K
0072A 20 19 $1K
0064A 19 19 $978.44
0071A 16 16 $863.60
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 22 12 $845.58
90707 54 43 $799.78
99383 18 12 $777.08
90697 853 492 $740.25
96160 464 452 $607.16
90715 132 98 $531.64
90671 197 100 $504.71
0004A 12 12 $433.46
90744 247 162 $428.52
85018 338 218 $400.27
90756 44 33 $327.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 59 48 $305.90
90677 340 237 $298.04
90696 145 95 $271.68
90681 369 212 $167.00
36416 50 41 $129.18
90473 55 26 $119.80
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 19 $118.19
87807 21 12 $113.03
90685 44 28 $57.25
90461 1,885 1,362 $45.00
90656 58 56 $23.47
81003 21 12 $21.30
91301 320 301 $3.13
91300 156 113 $1.52
4004F 19,320 10,302 $0.00
G8484 Influenza immunization was not administered, reason not given 17,956 9,297 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 37,325 19,623 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 26,820 14,037 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 5,101 2,715 $0.00
G8482 Influenza immunization administered or previously received 3,054 1,492 $0.00
2022F 321 183 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,260 656 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 1,356 739 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 75 45 $0.00
3078F 405 212 $0.00
3077F 115 52 $0.00
3046F 21 13 $0.00
90700 17 14 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 45 25 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 184 93 $0.00
90648 16 14 $0.00
G8756 No documentation of blood pressure measurement, reason not given 273 146 $0.00
3017F 9,179 4,798 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 18,626 9,923 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 18,160 9,678 $0.00
1036F 18,427 9,853 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 17,853 9,538 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 6,230 3,298 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,447 1,803 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,154 3,367 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 4,359 2,336 $0.00
3079F 55 26 $0.00
90620 24 14 $0.00
G8432 Depression screening not documented, reason not given 266 153 $0.00
3074F 321 167 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 72 36 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 769 371 $0.00
3014F 73 39 $0.00
3075F 33 15 $0.00