Medicaid Provider Spending

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

VALLEY PHYSICIAN ENTERPRISE, INC.

NPI: 1194348441 · WINCHESTER, VA 22601 · Neurology Physician · NPI assigned 05/21/2020

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

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$710K
Total Medicaid Paid
10,519
Total Claims
9,818
Beneficiaries
13
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationVALLEY PHYSICIAN ENTERPRISE, INC.
NPI Enumeration Date05/21/2020

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 789 $46K
2021 2,925 $189K
2022 2,515 $161K
2023 2,971 $215K
2024 1,319 $98K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,433 7,005 $472K
99205 Prolong outpt/office vis 557 526 $63K
95886 560 506 $54K
95816 252 244 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 352 335 $31K
99215 Prolong outpt/office vis 282 264 $19K
70551 Magnetic resonance imaging, brain; without contrast material 406 376 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 176 165 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 103 95 $6K
99233 Prolong inpt eval add15 m 148 72 $5K
70450 Computed tomography, head or brain; without contrast material 221 203 $4K
99223 Prolong inpt eval add15 m 15 13 $989.93
95910 14 14 $493.82