Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1144876996 · ZANESVILLE, OH 43701 · Federally Qualified Health Center (FQHC) · NPI assigned 08/16/2019

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

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

$1.17M
Total Medicaid Paid
109,245
Total Claims
49,662
Beneficiaries
30
Codes Billed
2019-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date08/16/2019

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 $5.49M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
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 2,548 $28K
2020 19,838 $174K
2021 19,385 $200K
2022 23,759 $261K
2023 29,740 $311K
2024 13,975 $192K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,838 6,374 $588K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,349 5,618 $340K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 657 615 $58K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,061 822 $58K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,023 833 $57K
76830 Ultrasound, transvaginal 312 249 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,069 564 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 335 213 $14K
H1002 Prenatal care, at risk enhanced service; care coordination 1,366 805 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 50 44 $3K
76801 45 41 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 71 38 $2K
81025 43 25 $207.02
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,776 6,517 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15,662 4,942 $0.00
4004F 4,142 1,900 $0.00
G8484 Influenza immunization was not administered, reason not given 6,843 2,934 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 1,707 615 $0.00
G8482 Influenza immunization administered or previously received 31 12 $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) 3,790 1,744 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,189 1,397 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 501 268 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 11,419 5,054 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 4,129 1,891 $0.00
1036F 11,431 5,058 $0.00
G8432 Depression screening not documented, reason not given 1,171 452 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 228 129 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 809 341 $0.00
99024 170 152 $0.00
1111F 28 15 $0.00