Medicaid Provider Spending

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

VALLEY HEALTH SYSTEMS INC

NPI: 1124323340 · POINT PLEASANT, WV 25550 · Pediatrics Physician · NPI assigned 01/19/2011

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

Authorized official BRUBECK, MARY-BETH controls 20+ related entities in our dataset. Read more

$3.40M
Total Medicaid Paid
35,982
Total Claims
28,197
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRUBECK, MARY-BETH (VICE PRESIDENT OF FINANCE / CFO)
NPI Enumeration Date01/19/2011

Related Entities

Other providers sharing the same authorized official: BRUBECK, MARY-BETH

ProviderCityStateTotal Paid
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $17.20M
VALLEY HEALTH SYSTEMS, INC WAYNE WV $14.08M
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $13.47M
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $13.19M
VALLEY HEALTH SYSTEMS, INC. MILTON WV $11.01M
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $10.23M
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $10.10M
VALLEY HEALTH SYSTEMS INC FORT GAY WV $8.84M
VALLEY HEALTH SYSTEMS INC HURRICANE WV $8.59M
VALLEY HEALTH SYSTEMS, INC CHARLESTON WV $7.17M
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $7.02M
VALLEY HEALTH SYSTEMS INC COAL GROVE OH $6.42M
VALLEY HEALTH SYSTEMS, INC. SCOTT DEPOT WV $6.26M
VALLEY HEALTH SYSTEMS INC HUNTINGTON WV $4.93M
VALLEY HEALTH SYSTEMS INC HARTS WV $2.71M
VALLEY HEALTH SYSTEMS, INC. BARBOURSVILLE WV $2.70M
VALLEY HEALTH SYSTEMS, INC. HUNTINGTON WV $1.81M
VALLEY HEALTH SYSTEMS, INC. HUNTINGTON WV $1.40M
VALLEY HEALTH SYSTEMS, INC HUNTINGTON WV $1.22M
VALLEY HEALTH SYSTEMS INC KERMIT WV $1.11M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,266 $201K
2019 3,148 $276K
2020 4,990 $484K
2021 4,650 $475K
2022 6,446 $586K
2023 8,374 $793K
2024 5,108 $582K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,192 13,937 $3.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,723 7,448 $117K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,843 1,619 $10K
90832 Psychotherapy, 30 minutes with patient 834 637 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,654 1,392 $5K
90472 Immunization administration, each additional vaccine (list separately) 863 769 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 407 371 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 432 407 $4K
90686 397 336 $3K
90837 Psychotherapy, 53 minutes with patient 340 221 $3K
90670 42 39 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 264 210 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 169 155 $793.28
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43 41 $702.31
90734 87 74 $121.67
3074F 225 167 $0.00
3008F 159 136 $0.00
90651 45 39 $0.00
90656 15 15 $0.00
3078F 220 159 $0.00
90648 28 25 $0.00