Medicaid Provider Spending

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

VALLEY HEALTH SYSTEMS INC

NPI: 1194020677 · GALLIPOLIS FERRY, WV 25515 · Family Medicine Physician · NPI assigned 01/14/2011

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

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

$807K
Total Medicaid Paid
8,071
Total Claims
6,684
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialBRUBECK, MARY-BETH (VICE PRESIDENT OF FINANCE / CFO)
NPI Enumeration Date01/14/2011

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 POINT PLEASANT WV $3.40M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 380 $36K
2019 698 $74K
2020 1,421 $155K
2021 1,592 $166K
2022 1,731 $180K
2023 2,177 $195K
2024 72 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,675 3,737 $773K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,129 1,801 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 906 807 $10K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 178 168 $7K
90832 Psychotherapy, 30 minutes with patient 27 25 $3K
90686 12 12 $436.22
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $25.90
3008F 61 57 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 54 48 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 17 $0.00