Clinic
Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $16.13M by Medicaid between Jan 2018 and Dec 2024, across 153 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
33Billing provider infoMUSKINGUM VALLEY HEALTH CENTERS
CAMBRIDGE, OH 43725
CAMBRIDGE, OH 43725
33aNPI1295118883assigned 07/01/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.13M
24GClaims1,155,909
24DCodes billed153
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#10 of 348
Median peer was paid$1.33M
This provider vs. median12×
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.
Entity ProliferationAuthorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more
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 | 68,553 | $789K | |
| 2019 | 78,026 | $839K | |
| 2020 | 97,702 | $907K | |
| 2021 | 191,968 | $2.49M | |
| 2022 | 260,359 | $3.87M | |
| 2023 | 304,119 | $4.58M | |
| 2024incomplete | 155,182 | $2.65M |
Box 24 · Service lines
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 | 58% | 128,956 | 101,713 | $9.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 142,660 | 75,240 | $2.99M |
| 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 | 2.9% | 15,453 | 9,136 | $461K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 16,953 | 7,584 | $348K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 17,956 | 8,841 | $272K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 7,468 | 4,410 | $248K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 15,778 | 8,069 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 7,400 | 3,998 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,608 | 2,590 | $143K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 5,736 | 4,629 | $126K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,429 | 1,277 | $121K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,515 | 1,933 | $108K |
141 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,868 | $99K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 5,967 | $95K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,842 | $75K |
| D1110 | Prophylaxis - adult | <1% | 4,677 | $72K |
| 90670 | <1% | 2,351 | $68K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,805 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,731 | $57K |
| D0330 | Panoramic radiographic image | <1% | 3,148 | $54K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,086 | $51K |
| D1120 | Dental cleaning, child | <1% | 4,630 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13,270 | $49K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,052 | $44K |
| D1206 | Topical application of fluoride varnish | <1% | 5,755 | $40K |
| D0120 | Dental checkup, returning patient | <1% | 4,924 | $40K |
| 36415 | Collection of venous blood by venipuncture | <1% | 20,206 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,186 | $33K |
| 92551 | <1% | 8,762 | $31K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 421 | $30K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 839 | $29K |
| Q3014 | Telehealth originating site facility fee | <1% | 3,772 | $28K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 553 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,421 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,079 | $23K |
| H1000 | Prenatal care, at-risk assessment | <1% | 222 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 529 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,259 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,248 | $20K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,773 | $19K |
| D0274 | Bitewings - four radiographic images | <1% | 2,885 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,359 | $18K |
| 99174 | <1% | 3,260 | $17K | |
| 99177 | <1% | 3,465 | $15K | |
| 81025 | <1% | 3,316 | $14K | |
| 90698 | <1% | 1,114 | $12K | |
| 90633 | <1% | 1,327 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 607 | $10K |
| 90651 | <1% | 158 | $10K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,080 | $10K |
| 99401 | <1% | 533 | $9K | |
| 90686 | <1% | 2,419 | $9K | |
| 0012A | <1% | 225 | $9K | |
| 76830 | Ultrasound, transvaginal | <1% | 138 | $9K |
| 0011A | <1% | 188 | $8K | |
| 90671 | <1% | 756 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 271 | $7K |
| 80305 | <1% | 1,284 | $7K | |
| 99188 | <1% | 745 | $7K | |
| 90734 | <1% | 164 | $6K | |
| 96161 | <1% | 4,654 | $6K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 391 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,378 | $5K |
| 85018 | <1% | 4,040 | $5K | |
| 82962 | <1% | 3,836 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 513 | $5K |
| 96127 | <1% | 1,964 | $4K | |
| 99381 | <1% | 125 | $4K | |
| 90710 | <1% | 91 | $4K | |
| 90697 | <1% | 2,251 | $4K | |
| 81003 | <1% | 3,344 | $3K | |
| D2330 | <1% | 144 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 178 | $3K |
| D1351 | Sealant - per tooth | <1% | 174 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 689 | $2K |
| 0064A | <1% | 51 | $2K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 57 | $2K |
| 96160 | <1% | 1,269 | $2K | |
| 0001A | <1% | 30 | $2K | |
| 59430 | <1% | 41 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 29 | $2K |
| 0072A | <1% | 24 | $1K | |
| 0071A | <1% | 24 | $1K | |
| 90756 | <1% | 81 | $1K | |
| 0002A | <1% | 28 | $1K | |
| 90716 | <1% | 270 | $1K | |
| 99173 | <1% | 790 | $920.85 | |
| 90744 | <1% | 591 | $876.50 | |
| 36416 | <1% | 402 | $745.01 | |
| 90707 | <1% | 269 | $697.58 | |
| 90677 | <1% | 861 | $610.98 | |
| 90474 | <1% | 170 | $599.28 | |
| 87428 | <1% | 20 | $472.50 | |
| 90681 | <1% | 1,279 | $438.00 | |
| 90672 | <1% | 42 | $417.94 | |
| 90715 | <1% | 46 | $413.52 | |
| 87807 | <1% | 71 | $380.91 | |
| 80061 | Lipid panel | <1% | 54 | $375.28 |
| 90700 | <1% | 183 | $317.75 | |
| 90674 | <1% | 21 | $292.20 | |
| 90696 | <1% | 119 | $209.18 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 217 | $202.42 |
| D0180 | <1% | 19 | $166.02 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $154.16 |
| 90685 | <1% | 56 | $136.00 | |
| 82044 | <1% | 54 | $121.53 | |
| D0270 | <1% | 88 | $115.50 | |
| 90461 | <1% | 2,499 | $80.00 | |
| 90713 | <1% | 27 | $10.00 | |
| 91301 | <1% | 355 | $3.54 | |
| 91300 | <1% | 17 | $0.17 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 65,031 | $0.00 |
| 4004F | 0% | 53,596 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 69,748 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 108,598 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 2,809 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 8,433 | $0.00 |
| 3078F | 0% | 2,128 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 267 | $0.00 |
| 2022F | 0% | 1,442 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 565 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 4,535 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 2,050 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 315 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 410 | $0.00 |
| 3046F | 0% | 516 | $0.00 | |
| 3045F | 0% | 49 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 1,028 | $0.00 |
| 3077F | 0% | 82 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 46,533 | $0.00 |
| 1036F | 0% | 58,691 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 9,880 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 9,842 | $0.00 |
| 90656 | 0% | 194 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16,008 | $0.00 |
| 3017F | 0% | 20,158 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 48,210 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 55,159 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 11,357 | $0.00 |
| 3074F | 0% | 2,254 | $0.00 | |
| 3079F | 0% | 1,579 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 1,218 | $0.00 |
| 3075F | 0% | 501 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 620 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 545 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 245 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 61 | $0.00 |
| 3044F | 0% | 380 | $0.00 | |
| 3014F | 0% | 1,096 | $0.00 | |
| 99024 | 0% | 12 | $0.00 | |
| 90619 | 0% | 36 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 94 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 112 | $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.
From NPPES
Who's on the registration
Authorized officialATKINSON, DANIEL (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.