Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Valley Health Systems INC

Valley Health Systems INC was paid $4.65M by Medicaid between Jan 2018 and Nov 2022, across 120 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 43% of everything it billed.

33Billing provider infoVALLEY HEALTH SYSTEMS INC
HUNTINGTON, WV 25703
33aNPI1104008481assigned 11/29/2007
28Total paid$4.65M
24GClaims91,967
24DCodes billed120
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers

Next to other General Practice Physician providers in West Virginia

Rank by total paid#2 of 20
Median peer was paid$53K
This provider vs. median88×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201859,885$4.22M
20198,291$129K
20209,790$134K
20217,475$87K
20226,526$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 43% 23,785 16,352 $2.00M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 16,636 11,689 $1.24M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.9% 2,084 1,515 $182K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.1% 1,833 1,568 $143K
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 2.9% 1,501 1,435 $135K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.7% 1,143 1,106 $81K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.1% 932 864 $52K
90853 Group psychotherapy (other than of a multiple-family group) 1.1% 2,797 1,133 $49K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 917 877 $45K
90472 Immunization administration, each additional vaccine (list separately) <1% 483 471 $36K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 405 394 $35K
D0140 Limited oral evaluation - problem focused <1% 741 608 $32K
108 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 344 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 411 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 270 $24K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 445 $22K
90632 <1% 353 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,881 $19K
90791 Psychiatric diagnostic evaluation <1% 252 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 211 $18K
84443 Thyroid stimulating hormone (TSH) <1% 1,379 $18K
80053 Comprehensive metabolic panel <1% 1,913 $17K
D0220 Intraoral - periapical first radiographic image <1% 490 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 803 $15K
90670 <1% 195 $15K
D7140 Extraction, erupted tooth or exposed root <1% 248 $14K
81025 <1% 2,214 $14K
99203 Doctor's office visit, new patient (routine) <1% 192 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 176 $13K
87660 <1% 699 $12K
90834 Psychotherapy session, about 45 minutes <1% 164 $12K
87480 <1% 665 $11K
87510 <1% 665 $11K
90837 Psychotherapy session, about an hour <1% 140 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 219 $11K
90633 <1% 153 $10K
86780 <1% 831 $9K
86803 <1% 762 $9K
D0330 Panoramic radiographic image <1% 306 $9K
36415 Collection of venous blood by venipuncture <1% 5,282 $9K
80061 Lipid panel <1% 822 $8K
81003 <1% 6,577 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 102 $8K
90686 <1% 66 $7K
90715 <1% 101 $7K
90710 <1% 85 $6K
87340 <1% 722 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 251 $6K
90792 Psychiatric diagnostic evaluation with medical services <1% 65 $6K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 84 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 252 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 103 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 87 $6K
90688 <1% 40 $5K
90734 <1% 73 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 68 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 570 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 249 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 87 $4K
90648 <1% 67 $4K
90651 <1% 61 $4K
76830 Ultrasound, transvaginal <1% 70 $4K
80050 General health panel <1% 63 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 47 $3K
83655 <1% 340 $3K
D0150 Comprehensive oral evaluation - new or established patient <1% 394 $3K
90473 <1% 52 $3K
90746 <1% 69 $3K
90723 <1% 66 $3K
86762 <1% 259 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 42 $3K
90685 <1% 16 $3K
90698 <1% 59 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 78 $3K
87807 <1% 239 $2K
90680 <1% 52 $2K
36416 <1% 933 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 54 $2K
D9995 <1% 75 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 40 $2K
11981 <1% 31 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 40 $2K
90744 <1% 33 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 26 $1K
D1110 Prophylaxis - adult <1% 133 $1K
85018 <1% 621 $1K
69209 <1% 14 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 32 $1K
D1120 Dental cleaning, child <1% 83 $1K
D0272 Bitewings - two radiographic images <1% 250 $1K
84439 <1% 32 $1K
58300 <1% 13 $1K
D1208 Topical application of fluoride, excluding varnish <1% 194 $875.85
90700 <1% 12 $867.05
90474 <1% 14 $867.05
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 15 $867.05
82607 <1% 12 $702.93
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 14 $694.64
99385 <1% 13 $623.71
71046 Radiologic examination, chest; 2 views <1% 16 $587.36
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 14 $409.36
87486 <1% 14 $409.36
87581 <1% 14 $409.36
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 33 $400.32
87653 <1% 38 $368.88
86777 <1% 25 $355.44
82043 <1% 17 $354.44
86580 <1% 13 $346.82
84702 <1% 21 $294.31
87081 <1% 38 $290.95
82950 <1% 74 $261.81
82570 <1% 19 $233.90
83540 <1% 15 $232.63
92551 <1% 26 $206.70
87800 <1% 15 $186.21
83735 <1% 12 $162.13
83550 <1% 12 $148.83
D0230 Intraoral - periapical each additional radiographic image <1% 85 $51.84
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening 0% 196 $0.00
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 0% 288 $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 officialWEINBERGER, RICHARD (CFO)
Same official

Other billing entities under WEINBERGER, RICHARD

Full network →
ProviderLocationPaid
Valley Health Systems, INCHuntington, WV$3.85M
Valley Health Systems INCCedar Grove, WV$2.07M
Valley Health Systems INCHuntington, WV$102K
Drs.Weinberger & Vizy L.L.CBeachwood, OH$31K
Valley Health Systems, INCCoal Grove, OH$11K
Valley Health Systems INCHuntington, WV$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.