Medicaid Provider Spending

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

VALLEY HEALTH SYSTEMS, INC.

NPI: 1376276931 · MILTON, WV 25541 · Optometrist · NPI assigned 07/01/2022

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

Authorized official BRUBECK, MARY-BETH controls 20+ related entities in our dataset. Read more

$234K
Total Medicaid Paid
3,017
Total Claims
2,876
Beneficiaries
12
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRUBECK, MARY-BETH (VP OF FINANCE / CFO)
NPI Enumeration Date07/01/2022

Related Entities

Other providers sharing the same authorized official: BRUBECK, MARY-BETH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 669 $35K
2024 2,348 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 729 641 $143K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 435 426 $40K
V2020 Frames, purchases 415 411 $25K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 241 238 $10K
92015 Determination of refractive state 548 539 $6K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 243 240 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 44 44 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 31 30 $723.68
V2784 Lens, polycarbonate or equal, any index, per lens 17 16 $590.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $77.33
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 173 167 $0.00
90832 Psychotherapy, 30 minutes with patient 126 110 $0.00