Valley Health Systems INC
Valley Health Systems INC was paid $8.59M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
HURRICANE, WV 25526
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 | 6,914 | $639K | |
| 2019 | 9,965 | $999K | |
| 2020 | 17,049 | $1.62M | |
| 2021 | 12,312 | $1.16M | |
| 2022 | 14,531 | $1.41M | |
| 2023 | 18,419 | $1.63M | |
| 2024incomplete | 10,143 | $1.14M |
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 | 94% | 45,189 | 30,461 | $8.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 15,726 | 11,906 | $224K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 9,309 | 6,552 | $55K |
| 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 | <1% | 6,372 | 5,433 | $41K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 988 | 949 | $41K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,751 | 830 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,649 | 2,000 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 777 | 733 | $21K |
| 90686 | <1% | 466 | 439 | $15K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 158 | 146 | $8K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,189 | 665 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 209 | 201 | $7K |
22 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 452 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 91 | $5K |
| 90648 | <1% | 85 | $3K | |
| 90670 | <1% | 84 | $3K | |
| 90723 | <1% | 61 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 19 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 16 | $672.60 |
| 90680 | <1% | 40 | $654.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 69 | $527.36 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $436.22 |
| 90656 | <1% | 42 | $297.42 | |
| 90473 | <1% | 15 | $218.11 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 397 | $168.48 |
| G0467 | Community health center visit, returning patient | 0% | 1,148 | $0.00 |
| 3074F | 0% | 404 | $0.00 | |
| 3079F | 0% | 51 | $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% | 617 | $0.00 |
| 3008F | 0% | 226 | $0.00 | |
| 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 | 0% | 374 | $0.00 |
| 3078F | 0% | 233 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 53 | $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 | 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 |
| 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.