Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › SEWICKLEY › VALLEY MEDICAL FACILITIES, INC.

VALLEY MEDICAL FACILITIES, INC.

NPI: 1316063068 · SEWICKLEY, PA 15143 · Case Management Agency · NPI assigned 03/22/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code T1017 with only 2 total codes billed. Highly concentrated billing profile.

$4.94M
Total Medicaid Paid
36,563
Total Claims
12,303
Beneficiaries
2
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRANDALL, BRYAN (VICE PRESIDENT CFO)
NPI Enumeration Date03/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 31 $3K
2020 2,074 $190K
2021 9,077 $1.05M
2022 9,009 $1.19M
2023 8,978 $1.37M
2024 7,394 $1.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 34,658 11,525 $4.68M
H0038 Self-help/peer services, per 15 minutes 1,905 778 $262K