Clinic
Tygart Valley Medical Specialties, INC
Tygart Valley Medical Specialties, INC was paid $2.65M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 36% of everything it billed.
33Billing provider infoTYGART VALLEY MEDICAL SPECIALTIES, INC
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1235596677assigned 01/15/2016
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.65M
24GClaims59,134
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in West Virginia
Rank by total paid#2 of 10
Median peer was paid$1.02M
This provider vs. median2.6×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,348 | $580K | |
| 2019 | 5,168 | $264K | |
| 2020 | 10,006 | $482K | |
| 2021 | 9,580 | $316K | |
| 2022 | 9,437 | $355K | |
| 2023 | 8,548 | $362K | |
| 2024incomplete | 7,047 | $294K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 36% | 6,117 | 5,147 | $964K |
| 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 | 15% | 6,048 | 5,339 | $409K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 6,324 | 5,637 | $311K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 2,987 | 2,795 | $226K |
| 95117 | 6.0% | 20,331 | 7,859 | $160K | |
| 95024 | 4.7% | 5,632 | 4,981 | $124K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.0% | 850 | 757 | $106K |
| 94200 | 1.9% | 2,555 | 919 | $50K | |
| 92567 | 1.7% | 2,414 | 2,203 | $46K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 405 | 378 | $43K |
| 94010 | 1.5% | 1,298 | 1,213 | $39K | |
| 69210 | 1.4% | 1,124 | 978 | $37K |
10 more codes
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.2% | 66 | $33K |
| 92557 | 1.2% | 1,050 | $33K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 189 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,254 | $15K |
| 30140 | <1% | 58 | $13K | |
| 30930 | <1% | 140 | $9K | |
| 96401 | <1% | 64 | $8K | |
| 92587 | <1% | 182 | $5K | |
| 95806 | <1% | 25 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $292.50 |
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.
From NPPES
Who's on the registration
Authorized officialYOUNG, SANDY (FRONT OFFICE/ BILLING MANAGER)