Valley Physician Enterprise, INC.
Valley Physician Enterprise, INC. was paid $673K by Medicaid between May 2018 and Dec 2024, across 24 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 51% of everything it billed.
WINCHESTER, VA 22601
Next to other Vascular Surgery Physician providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 708 | $14K | |
| 2019 | 1,948 | $61K | |
| 2020 | 1,541 | $69K | |
| 2021 | 2,883 | $124K | |
| 2022 | 3,095 | $153K | |
| 2023 | 3,348 | $162K | |
| 2024incomplete | 2,465 | $90K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 51% | 6,495 | 5,910 | $345K |
| 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 | 36% | 4,391 | 3,977 | $243K |
| 93000 | 3.5% | 2,511 | 2,295 | $23K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.0% | 161 | 136 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 107 | 86 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 192 | 176 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 79 | 73 | $7K |
| 93296 | 1.0% | 623 | 571 | $7K | |
| 93295 | <1% | 420 | 397 | $5K | |
| 93294 | <1% | 257 | 243 | $2K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 13 | 13 | $980.14 |
| 99152 | <1% | 81 | 73 | $593.74 |
12 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $517.61 |
| 93018 | <1% | 43 | $327.28 | |
| 93015 | <1% | 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) | <1% | 92 | $296.74 |
| 99443 | <1% | 31 | $244.26 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 29 | $130.06 |
| 3078F | <1% | 130 | $84.43 | |
| 93280 | <1% | 16 | $54.85 | |
| 93325 | <1% | 13 | $14.54 | |
| 3074F | 0% | 220 | $0.00 | |
| 3079F | 0% | 46 | $0.00 | |
| 3080F | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.