Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1295118883 · CAMBRIDGE, OH 43725 · Federally Qualified Health Center (FQHC) · NPI assigned 07/01/2015

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

Authorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more

$16.13M
Total Medicaid Paid
1,155,909
Total Claims
654,196
Beneficiaries
153
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date07/01/2015

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $28.59M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $9.67M
MUSKINGUM VALLEY HEALTH CENTERS MALTA OH $6.92M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $5.99M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $5.49M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $1.17M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $1.09M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $328K
MUSKINGUM VALLEY HEALTH CENTERS BYESVILLE OH $228K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $158K
MUSKINGUM VALLEY HEALTH CENTERS WEST LAFAYETTE OH $120K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $71K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $59K
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $32K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $13K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 155,182 $2.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 128,956 101,713 $9.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 142,660 75,240 $2.99M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,453 9,136 $461K
90832 Psychotherapy, 30 minutes with patient 16,953 7,584 $348K
90460 Immunization administration through 18 years of age via any route, first or only component 17,956 8,841 $272K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,468 4,410 $248K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,778 8,069 $204K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,400 3,998 $201K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,608 2,590 $143K
G0467 Federally 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 5,736 4,629 $126K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,429 1,277 $121K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,515 1,933 $108K
90834 Psychotherapy, 45 minutes with patient 3,868 1,809 $99K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,967 3,191 $95K
90837 Psychotherapy, 53 minutes with patient 1,842 810 $75K
D1110 Prophylaxis - adult 4,677 3,249 $72K
90670 2,351 1,575 $68K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,805 1,108 $65K
D0150 Comprehensive oral evaluation - new or established patient 5,731 3,719 $57K
D0330 Panoramic radiographic image 3,148 2,299 $54K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,086 4,347 $51K
D1120 Prophylaxis - child 4,630 3,162 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,270 4,706 $49K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,052 1,108 $44K
D1206 Topical application of fluoride varnish 5,755 3,874 $40K
D0120 Periodic oral evaluation - established patient 4,924 3,135 $40K
36415 Collection of venous blood by venipuncture 20,206 12,261 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,186 1,681 $33K
92551 8,762 5,152 $31K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 421 362 $30K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 839 473 $29K
Q3014 Telehealth originating site facility fee 3,772 2,086 $28K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 553 416 $27K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,421 763 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,079 1,652 $23K
H1000 Prenatal care, at-risk assessment 222 191 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 529 345 $21K
D7140 Extraction, erupted tooth or exposed root 1,259 560 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,248 653 $20K
83036 Hemoglobin; glycosylated (A1C) 4,773 2,853 $19K
D0274 Bitewings - four radiographic images 2,885 2,190 $18K
D0140 Limited oral evaluation - problem focused 2,359 1,543 $18K
99174 3,260 2,024 $17K
99177 3,465 2,107 $15K
81025 3,316 2,130 $14K
90698 1,114 738 $12K
90633 1,327 942 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 607 329 $10K
90651 158 130 $10K
D0272 Bitewings - two radiographic images 2,080 1,470 $10K
99401 533 376 $9K
90686 2,419 1,579 $9K
0012A 225 223 $9K
76830 Ultrasound, transvaginal 138 125 $9K
0011A 188 188 $8K
90671 756 387 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 271 155 $7K
80305 1,284 606 $7K
99188 745 402 $7K
90734 164 133 $6K
96161 4,654 2,531 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 391 287 $5K
D0220 Intraoral - periapical first radiographic image 2,378 1,706 $5K
85018 4,040 2,512 $5K
82962 3,836 2,312 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 513 304 $5K
96127 1,964 1,221 $4K
99381 125 56 $4K
90710 91 75 $4K
90697 2,251 1,282 $4K
81003 3,344 2,014 $3K
D2330 144 57 $3K
D0210 Intraoral - complete series of radiographic images 178 139 $3K
D1351 Sealant - per tooth 174 29 $3K
D0230 Intraoral - periapical each additional radiographic image 689 448 $2K
0064A 51 51 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 57 38 $2K
96160 1,269 1,228 $2K
0001A 30 30 $2K
59430 41 24 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 29 26 $2K
0072A 24 23 $1K
0071A 24 23 $1K
90756 81 66 $1K
0002A 28 28 $1K
90716 270 225 $1K
99173 790 485 $920.85
90744 591 387 $876.50
36416 402 248 $745.01
90707 269 222 $697.58
90677 861 621 $610.98
90474 170 121 $599.28
87428 20 13 $472.50
90681 1,279 743 $438.00
90672 42 33 $417.94
90715 46 40 $413.52
87807 71 31 $380.91
80061 Lipid panel 54 38 $375.28
90700 183 142 $317.75
90674 21 12 $292.20
90696 119 90 $209.18
J1885 Injection, ketorolac tromethamine, per 15 mg 217 116 $202.42
D0180 19 13 $166.02
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 12 $154.16
90685 56 40 $136.00
82044 54 39 $121.53
D0270 88 60 $115.50
90461 2,499 1,928 $80.00
90713 27 24 $10.00
91301 355 344 $3.54
91300 17 14 $0.17
G8484 Influenza immunization was not administered, reason not given 65,031 33,190 $0.00
4004F 53,596 28,673 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 69,748 36,221 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 108,598 55,538 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 2,809 1,452 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 8,433 4,797 $0.00
3078F 2,128 1,149 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 267 218 $0.00
2022F 1,442 916 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 565 295 $0.00
G8482 Influenza immunization administered or previously received 4,535 2,353 $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) 2,050 1,045 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 315 250 $0.00
G8598 Aspirin or another antiplatelet therapy used 410 265 $0.00
3046F 516 303 $0.00
3045F 49 48 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 1,028 356 $0.00
3077F 82 39 $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) 46,533 24,226 $0.00
1036F 58,691 30,290 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 9,880 5,341 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 9,842 5,583 $0.00
90656 194 189 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16,008 8,445 $0.00
3017F 20,158 10,845 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 48,210 25,096 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 55,159 27,967 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11,357 6,626 $0.00
3074F 2,254 1,228 $0.00
3079F 1,579 828 $0.00
G8432 Depression screening not documented, reason not given 1,218 862 $0.00
3075F 501 266 $0.00
G8756 No documentation of blood pressure measurement, reason not given 620 324 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 545 331 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 245 145 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 61 60 $0.00
3044F 380 262 $0.00
3014F 1,096 727 $0.00
99024 12 12 $0.00
90619 36 29 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 94 81 $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) 112 37 $0.00