Valley Health Systems INC
Valley Health Systems INC was paid $807K by Medicaid between Jan 2018 and Apr 2024, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
GALLIPOLIS FERRY, WV 25515
Next to other Family Medicine Physician providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 380 | $36K | |
| 2019 | 698 | $74K | |
| 2020 | 1,421 | $155K | |
| 2021 | 1,592 | $166K | |
| 2022 | 1,731 | $180K | |
| 2023 | 2,177 | $195K | |
| 2024incomplete | 72 | $2K |
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 | 96% | 4,675 | 3,737 | $773K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 2,129 | 1,801 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 906 | 807 | $10K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 178 | 168 | $7K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 27 | 25 | $3K |
| 90686 | <1% | 12 | 12 | $436.22 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $25.90 |
| 3008F | 0% | 61 | 57 | $0.00 | |
| G0467 | Community health center visit, returning patientFederally 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 | 0% | 54 | 48 | $0.00 |
| 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 | 0% | 17 | 17 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.