Clinic
Valley Professionals Community Health Center, INC.
Valley Professionals Community Health Center, INC. was paid $6.49M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoVALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC.
CLINTON, IN 47842
CLINTON, IN 47842
33aNPI1104006253assigned 11/06/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.49M
24GClaims199,394
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#12 of 156
Median peer was paid$568K
This provider vs. median11×
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 | 13,025 | $295K | |
| 2019 | 21,333 | $1.00M | |
| 2020 | 19,743 | $903K | |
| 2021 | 34,720 | $1.18M | |
| 2022 | 46,087 | $1.11M | |
| 2023 | 35,916 | $1.03M | |
| 2024incomplete | 28,570 | $974K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 57,276 | 42,232 | $2.73M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 20% | 67,591 | 44,289 | $1.32M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.6% | 19,104 | 10,435 | $621K |
| 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 | 4.6% | 5,047 | 3,918 | $300K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 6,099 | 4,187 | $292K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.1% | 2,796 | 1,837 | $199K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.6% | 6,201 | 2,072 | $167K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 1,856 | 1,515 | $143K |
| D1110 | Prophylaxis - adult | 1.9% | 2,643 | 2,335 | $124K |
| D0330 | Panoramic radiographic image | 1.5% | 1,626 | 1,448 | $97K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,664 | 1,469 | $56K |
| 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% | 2,800 | 1,884 | $51K |
43 more codes
| D0120 | Dental checkup, returning patient | <1% | 2,264 | $49K |
| D1206 | Topical application of fluoride varnish | <1% | 2,353 | $42K |
| D1120 | Dental cleaning, child | <1% | 1,315 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 852 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,799 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 340 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 285 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,596 | $17K |
| 98940 | <1% | 746 | $13K | |
| 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 | <1% | 553 | $12K |
| 87428 | <1% | 501 | $12K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 879 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 873 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 327 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 69 | $10K |
| 99382 | <1% | 138 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 173 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 135 | $8K |
| 80305 | <1% | 777 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 107 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 343 | $8K |
| 97012 | <1% | 503 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 176 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 314 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 270 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 761 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 102 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 192 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| 90785 | <1% | 274 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 325 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 131 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $1K |
| 90686 | <1% | 306 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $579.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $376.34 |
| 83037 | <1% | 49 | $297.09 | |
| 81002 | <1% | 229 | $217.95 | |
| 90688 | <1% | 86 | $162.59 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 4,346 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 33 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 14 | $0.00 |
| 81025 | 0% | 15 | $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 officialWARREN, TERRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Professionals Community Health Center INC | Terre Haute, IN | $5.07M |
| Valley Professionals Community Health Center INC | Crawfordsville, IN | $1.55M |
| Valley Professionals Community Health Center, INC. | Cayuga, IN | $1.33M |
| Valley Professionals Community Health Center INC | Terre Haute, IN | $980K |
| Valley Professionals Community Health Center INC | Rockville, IN | $938K |
| Valley Professionals Community Health Center, INC. | Bloomingdale, IN | $724K |
| Valley Professionals Community Health Center INC | West Terre Haute, IN | $249K |
| JR Pharmacy Rockville LLC 4 | Rockville, IN | $0.00 |
| JR Pharmacy LLC 2 | Terre Haute, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.