Medicaid Provider Spending

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

VALLEY REGIONAL ENTERPRISES, INC

NPI: 1235178591 · WINCHESTER, VA 22601 · Urgent Care Clinic/Center · NPI assigned 06/05/2006

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

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$8.57M
Total Medicaid Paid
235,250
Total Claims
213,163
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent OrganizationVALLEY REGIONAL ENTERPRISES, INC
NPI Enumeration Date06/05/2006

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $95K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,121 $624K
2019 26,770 $1.10M
2020 19,310 $891K
2021 26,658 $1.18M
2022 51,842 $1.55M
2023 54,261 $1.65M
2024 41,288 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44,262 40,580 $3.34M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,938 38,253 $2.39M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,098 10,662 $802K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,936 4,711 $523K
87428 15,418 14,693 $516K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26,013 24,412 $325K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,382 7,241 $187K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,615 5,348 $153K
87430 11,031 10,481 $138K
3074F 14,040 13,089 $35K
3078F 13,019 12,169 $31K
71046 Radiologic examination, chest; 2 views 1,254 1,194 $29K
3079F 5,147 4,850 $13K
99215 Prolong outpt/office vis 81 75 $9K
3077F 3,226 3,023 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 521 487 $7K
81003 3,676 3,427 $6K
3075F 2,971 2,820 $6K
94760 7,160 6,675 $5K
3080F 2,121 2,001 $5K
87807 373 357 $5K
80047 518 482 $4K
99000 3,303 3,174 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 99 98 $4K
73610 139 133 $4K
85027 595 551 $3K
73630 128 124 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 68 64 $3K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 56 55 $3K
93000 193 187 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 141 133 $2K
36415 Collection of venous blood by venipuncture 690 644 $1K
81025 123 117 $762.24
73110 14 13 $486.21
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $438.56
29125 12 12 $437.35
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 87 87 $261.07
81002 89 82 $233.44
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 531 496 $90.79
99051 47 45 $41.25
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 90 77 $24.72
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $18.10
36416 19 16 $0.00