Valley Health Systems, INC.
Valley Health Systems, INC. was paid $234K by Medicaid between Apr 2023 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
MILTON, WV 25541
Next to other Optometrist providers in West 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 | |
|---|---|---|---|
| 2023 | 669 | $35K | |
| 2024incomplete | 2,348 | $199K |
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 | 61% | 729 | 641 | $143K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 435 | 426 | $40K |
| V2020 | Frames, purchases | 10% | 415 | 411 | $25K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 241 | 238 | $10K |
| 92015 | Determination of refractive state | 2.7% | 548 | 539 | $6K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.6% | 243 | 240 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.5% | 44 | 44 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 31 | 30 | $723.68 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 17 | 16 | $590.00 |
| 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 | <1% | 15 | 14 | $77.33 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 173 | 167 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 126 | 110 | $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
| Provider | Location | Paid |
|---|---|---|
| Valley Health Systems INC | Huntington, WV | $17.20M |
| Valley Health Systems, INC | Wayne, WV | $14.08M |
| Valley Health Systems INC | Huntington, WV | $13.47M |
| Valley Health Systems INC | Huntington, WV | $13.19M |
| Valley Health Systems, INC. | Milton, WV | $11.01M |
| Valley Health Systems INC | Huntington, WV | $10.23M |
| Valley Health Systems INC | Huntington, WV | $10.10M |
| Valley Health Systems INC | Fort Gay, WV | $8.84M |
| Valley Health Systems INC | Hurricane, WV | $8.59M |
| Valley Health Systems, INC | Charleston, WV | $7.17M |
| Valley Health Systems INC | Huntington, WV | $7.02M |
| Valley Health Systems INC | Coal Grove, OH | $6.42M |
| Valley Health Systems, INC. | Scott Depot, WV | $6.26M |
| Valley Health Systems INC | Huntington, WV | $4.93M |
| Valley Health Systems INC | Point Pleasant, WV | $3.40M |
| Valley Health Systems INC | Harts, WV | $2.71M |
| Valley Health Systems, INC. | Barboursville, WV | $2.70M |
| Valley Health Systems, INC. | Huntington, WV | $1.81M |
| Valley Health Systems, INC. | Huntington, WV | $1.40M |
| Valley Health Systems, INC | Huntington, WV | $1.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.