Valley Health Systems INC
Valley Health Systems INC was paid $4.93M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
HUNTINGTON, WV 25704
Next to other Obstetrics & Gynecology 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 | 6,776 | $317K | |
| 2019 | 8,206 | $408K | |
| 2020 | 10,736 | $948K | |
| 2021 | 8,096 | $555K | |
| 2022 | 10,235 | $614K | |
| 2023 | 17,786 | $1.11M | |
| 2024incomplete | 12,714 | $979K |
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 | 86% | 27,764 | 20,915 | $4.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 13,433 | 9,973 | $139K |
| D9999 | Unspecified adjunctive procedure, by report | 1.7% | 419 | 355 | $85K |
| D0330 | Panoramic radiographic image | 1.1% | 1,732 | 1,543 | $56K |
| D1110 | Prophylaxis - adult | 1.0% | 1,436 | 1,277 | $50K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 1,214 | 1,155 | $47K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,163 | 1,901 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 1,821 | 1,538 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,547 | 2,202 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,148 | 1,829 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,156 | 1,020 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 458 | 329 | $24K |
29 more codes
| D0274 | Bitewings - four radiographic images | <1% | 883 | $20K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,941 | $19K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 280 | $16K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 631 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,199 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 258 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 424 | $9K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,593 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,140 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 573 | $6K |
| 90686 | <1% | 132 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 64 | $734.41 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 2,143 | $717.90 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 78 | $519.98 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $485.16 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 30 | $451.16 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,047 | $295.13 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $209.94 |
| G0467 | Community health center visit, returning patient | <1% | 555 | $65.03 |
| 3078F | 0% | 213 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 46 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 18 | $0.00 |
| 3079F | 0% | 41 | $0.00 | |
| 3074F | 0% | 406 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 360 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 28 | $0.00 |
| 3008F | 0% | 102 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 27 | $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 | 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 |
| Valley Health Systems INC | Kermit, WV | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.