Valley Physician Enterprise, INC.
Valley Physician Enterprise, INC. was paid $710K by Medicaid between Sep 2020 and Oct 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
WINCHESTER, VA 22601
Next to other Neurology Physician providers in 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 | |
|---|---|---|---|
| 2020 | 789 | $46K | |
| 2021 | 2,925 | $189K | |
| 2022 | 2,515 | $161K | |
| 2023 | 2,971 | $215K | |
| 2024incomplete | 1,319 | $98K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 7,433 | 7,005 | $472K |
| 99205 | Prolong outpt/office vis | 8.9% | 557 | 526 | $63K |
| 95886 | 7.6% | 560 | 506 | $54K | |
| 95816 | 4.7% | 252 | 244 | $33K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.3% | 352 | 335 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 282 | 264 | $19K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 2.1% | 406 | 376 | $15K |
| 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% | 176 | 165 | $7K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 103 | 95 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 148 | 72 | $5K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 221 | 203 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | 13 | $989.93 |
1 more codes
| 95910 | <1% | 14 | $493.82 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.