Lab
Valley Medical Group, P.C.
Valley Medical Group, P.C. was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 21% of everything it billed.
33Billing provider infoVALLEY MEDICAL GROUP, P.C.
EASTHAMPTON, MA 01027
EASTHAMPTON, MA 01027
33aNPI1174687966assigned 12/19/2006
33bProvider typeClinical Medical Laboratory
28Total paid$109K
24GClaims24,456
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Massachusetts
Rank by total paid#38 of 63
Median peer was paid$473K
This provider vs. median0.2×
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 | 5,631 | $46K | |
| 2019 | 3,671 | $7K | |
| 2020 | 2,083 | $4K | |
| 2021 | 5,057 | $15K | |
| 2022 | 4,439 | $26K | |
| 2023 | 2,819 | $10K | |
| 2024incomplete | 756 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 21% | 588 | 503 | $23K |
| 84443 | Thyroid stimulating hormone (TSH) | 14% | 1,766 | 1,657 | $15K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 12% | 191 | 182 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.6% | 3,513 | 3,181 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | 7.4% | 1,762 | 1,672 | $8K |
| 80053 | Comprehensive metabolic panel | 5.3% | 2,108 | 1,931 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | 5.2% | 2,068 | 1,901 | $6K |
| 80061 | Lipid panel | 4.4% | 2,466 | 2,345 | $5K |
| 83721 | 3.7% | 1,121 | 1,058 | $4K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.5% | 237 | 190 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.2% | 83 | 83 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.2% | 83 | 83 | $2K |
33 more codes
| 36415 | Collection of venous blood by venipuncture | 2.0% | 5,881 | $2K |
| 82607 | 1.5% | 217 | $2K | |
| 82043 | <1% | 406 | $1K | |
| 82570 | <1% | 435 | $1K | |
| 82728 | <1% | 60 | $684.23 | |
| 84439 | <1% | 109 | $653.06 | |
| 86140 | <1% | 238 | $643.63 | |
| ATP14 | <1% | 109 | $547.83 | |
| 85651 | <1% | 254 | $533.06 | |
| 86618 | <1% | 27 | $414.05 | |
| ATP08 | <1% | 60 | $316.65 | |
| ATP17 | <1% | 34 | $300.24 | |
| 83550 | <1% | 28 | $274.51 | |
| ATP11 | <1% | 36 | $212.52 | |
| 83540 | <1% | 29 | $210.37 | |
| 83735 | <1% | 70 | $199.71 | |
| 80076 | <1% | 47 | $172.90 | |
| 85027 | <1% | 17 | $94.96 | |
| 86431 | <1% | 12 | $77.66 | |
| 86592 | <1% | 15 | $72.73 | |
| ATP03 | <1% | 15 | $62.55 | |
| 85007 | <1% | 17 | $50.35 | |
| 84450 | <1% | 37 | $39.43 | |
| 84075 | <1% | 37 | $39.43 | |
| 82247 | <1% | 37 | $38.17 | |
| 83970 | <1% | 12 | $36.41 | |
| 82040 | <1% | 37 | $34.84 | |
| 82310 | <1% | 34 | $34.06 | |
| 82565 | <1% | 35 | $33.78 | |
| 84520 | <1% | 34 | $32.87 | |
| 84155 | <1% | 37 | $31.35 | |
| 82248 | <1% | 19 | $24.05 | |
| 82947 | <1% | 35 | $9.93 |
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 officialCARLAN, PAUL (PRESIDENT)
Parent organizationVALLEY MEDICAL GROUP, P.C.
| Provider | Location | Paid |
|---|---|---|
| Valley Medical Group, P.C. | Greenfield, MA | $9.96M |
| Valley Medical Group, P.C. | Greenfield, MA | $313K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.