Clinic
Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $1.17M by Medicaid between Oct 2019 and Sep 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoMUSKINGUM VALLEY HEALTH CENTERS
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1144876996assigned 08/16/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.17M
24GClaims109,245
24DCodes billed30
24AFirst – last monthOct 2019 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#184 of 348
Median peer was paid$1.33M
This provider vs. median0.9×
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.
Entity ProliferationAuthorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 2,548 | $28K | |
| 2020 | 19,838 | $174K | |
| 2021 | 19,385 | $200K | |
| 2022 | 23,759 | $261K | |
| 2023 | 29,740 | $311K | |
| 2024incomplete | 13,975 | $192K |
Box 24 · Service lines
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 | 50% | 8,838 | 6,374 | $588K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 13,349 | 5,618 | $340K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.0% | 657 | 615 | $58K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.0% | 1,061 | 822 | $58K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.9% | 1,023 | 833 | $57K |
| 76830 | Ultrasound, transvaginal | 1.5% | 312 | 249 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,069 | 564 | $15K |
| 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 | 1.2% | 335 | 213 | $14K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 1,366 | 805 | $10K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 50 | 44 | $3K |
| 76801 | <1% | 45 | 41 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 71 | 38 | $2K |
18 more codes
| 81025 | <1% | 43 | $207.02 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14,776 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15,662 | $0.00 |
| 4004F | 0% | 4,142 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 6,843 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 1,707 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 31 | $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% | 3,790 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 4,189 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 501 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 11,419 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 4,129 | $0.00 |
| 1036F | 0% | 11,431 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 1,171 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 228 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 809 | $0.00 |
| 99024 | 0% | 170 | $0.00 | |
| 1111F | 0% | 28 | $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 officialATKINSON, DANIEL (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.