Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $5.49M by Medicaid between Jan 2019 and Dec 2024, across 109 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
COSHOCTON, OH 43812
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 60,842 | $856K | |
| 2020 | 77,629 | $944K | |
| 2021 | 68,878 | $1.05M | |
| 2022 | 76,234 | $1.01M | |
| 2023 | 94,613 | $1.10M | |
| 2024incomplete | 37,592 | $528K |
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 | 58% | 44,396 | 35,792 | $3.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 54,351 | 28,796 | $1.05M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.6% | 9,420 | 4,040 | $196K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 10,758 | 4,782 | $155K |
| 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 | 2.5% | 4,654 | 2,809 | $137K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 3,396 | 1,999 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 2,790 | 1,555 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 2,754 | 1,474 | $76K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.4% | 3,307 | 2,727 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,751 | 1,035 | $60K |
| 90670 | <1% | 1,316 | 861 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,480 | 2,378 | $50K |
97 more codes
| Q3014 | Telehealth originating site facility fee | <1% | 5,164 | $45K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,527 | $20K |
| 92551 | <1% | 5,939 | $20K | |
| 90633 | <1% | 1,253 | $19K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,895 | $16K |
| 90651 | <1% | 604 | $15K | |
| 99174 | <1% | 1,942 | $10K | |
| 90698 | <1% | 610 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 324 | $9K |
| 90686 | <1% | 2,140 | $8K | |
| 99177 | <1% | 1,986 | $8K | |
| 0012A | <1% | 169 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,717 | $6K |
| 0011A | <1% | 158 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 290 | $5K |
| 90734 | <1% | 251 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 190 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 366 | $5K |
| 90710 | <1% | 184 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 539 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 554 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 542 | $4K |
| 96127 | <1% | 1,800 | $4K | |
| 0002A | <1% | 65 | $2K | |
| 99401 | <1% | 156 | $2K | |
| 90619 | <1% | 139 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 347 | $2K |
| 99173 | <1% | 1,394 | $2K | |
| 0001A | <1% | 61 | $2K | |
| 90716 | <1% | 70 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 55 | $1K |
| 81025 | <1% | 361 | $1K | |
| 82962 | <1% | 953 | $1K | |
| 96161 | <1% | 973 | $1K | |
| 0072A | <1% | 20 | $1K | |
| 0064A | <1% | 19 | $978.44 | |
| 0071A | <1% | 16 | $863.60 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 22 | $845.58 |
| 90707 | <1% | 54 | $799.78 | |
| 99383 | <1% | 18 | $777.08 | |
| 90697 | <1% | 853 | $740.25 | |
| 96160 | <1% | 464 | $607.16 | |
| 90715 | <1% | 132 | $531.64 | |
| 90671 | <1% | 197 | $504.71 | |
| 0004A | <1% | 12 | $433.46 | |
| 90744 | <1% | 247 | $428.52 | |
| 85018 | <1% | 338 | $400.27 | |
| 90756 | <1% | 44 | $327.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | $305.90 |
| 90677 | <1% | 340 | $298.04 | |
| 90696 | <1% | 145 | $271.68 | |
| 90681 | <1% | 369 | $167.00 | |
| 36416 | <1% | 50 | $129.18 | |
| 90473 | <1% | 55 | $119.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $118.19 |
| 87807 | <1% | 21 | $113.03 | |
| 90685 | <1% | 44 | $57.25 | |
| 90461 | <1% | 1,885 | $45.00 | |
| 90656 | <1% | 58 | $23.47 | |
| 81003 | <1% | 21 | $21.30 | |
| 91301 | <1% | 320 | $3.13 | |
| 91300 | <1% | 156 | $1.52 | |
| 4004F | 0% | 19,320 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 17,956 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37,325 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 26,820 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 5,101 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 3,054 | $0.00 |
| 2022F | 0% | 321 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,260 | $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) | 0% | 1,356 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 75 | $0.00 |
| 3078F | 0% | 405 | $0.00 | |
| 3077F | 0% | 115 | $0.00 | |
| 3046F | 0% | 21 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 45 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 184 | $0.00 |
| 90648 | 0% | 16 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 273 | $0.00 |
| 3017F | 0% | 9,179 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 18,626 | $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) | 0% | 18,160 | $0.00 |
| 1036F | 0% | 18,427 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 17,853 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,230 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,447 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 6,154 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 4,359 | $0.00 |
| 3079F | 0% | 55 | $0.00 | |
| 90620 | 0% | 24 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 266 | $0.00 |
| 3074F | 0% | 321 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 72 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 769 | $0.00 |
| 3014F | 0% | 73 | $0.00 | |
| 3075F | 0% | 33 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.