Valley Health Systems INC
Valley Health Systems INC was paid $812K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
WAYNE, WV 25570
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 | 299 | $40K | |
| 2019 | 458 | $66K | |
| 2020 | 351 | $41K | |
| 2021 | 262 | $42K | |
| 2022 | 539 | $78K | |
| 2023 | 2,353 | $275K | |
| 2024incomplete | 2,033 | $270K |
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 | 98% | 3,808 | 2,764 | $794K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 1,501 | 1,161 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | 50 | $436.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | 17 | $132.60 |
| 92551 | <1% | 12 | 12 | $14.96 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 838 | 512 | $0.00 |
| 90734 | 0% | 13 | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 54 | 37 | $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.