Medicaid Provider Spending

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

VALLEY PHYSICIAN ENTERPRISE, INC.

NPI: 1366944670 · WINCHESTER, VA 22601 · Vascular Surgery Physician · NPI assigned 03/02/2018

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

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$673K
Total Medicaid Paid
15,988
Total Claims
14,541
Beneficiaries
24
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationVALLEY PHYSICIAN ENTERPRISE, INC.
NPI Enumeration Date03/02/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE, INC WINCHESTER VA $1.80M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 708 $14K
2019 1,948 $61K
2020 1,541 $69K
2021 2,883 $124K
2022 3,095 $153K
2023 3,348 $162K
2024 2,465 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,495 5,910 $345K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,391 3,977 $243K
93000 2,511 2,295 $23K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 161 136 $20K
99215 Prolong outpt/office vis 107 86 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 192 176 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 79 73 $7K
93296 623 571 $7K
93295 420 397 $5K
93294 257 243 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 13 $980.14
99152 81 73 $593.74
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $517.61
93018 43 38 $327.28
93015 14 14 $306.94
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 92 78 $296.74
99443 31 22 $244.26
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 29 18 $130.06
3078F 130 124 $84.43
93280 16 13 $54.85
93325 13 12 $14.54
3074F 220 203 $0.00
3079F 46 45 $0.00
3080F 12 12 $0.00