Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1396261756 · ZANESVILLE, OH 43701 · Federally Qualified Health Center (FQHC) · NPI assigned 08/17/2017

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

Authorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more

$9.67M
Total Medicaid Paid
670,810
Total Claims
392,752
Beneficiaries
130
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date08/17/2017

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $28.59M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $16.13M
MUSKINGUM VALLEY HEALTH CENTERS MALTA OH $6.92M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $5.99M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $5.49M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $1.17M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $1.09M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $328K
MUSKINGUM VALLEY HEALTH CENTERS BYESVILLE OH $228K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $158K
MUSKINGUM VALLEY HEALTH CENTERS WEST LAFAYETTE OH $120K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $71K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $59K
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $32K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $13K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53,357 $821K
2019 78,519 $1.24M
2020 111,707 $1.34M
2021 108,026 $1.58M
2022 129,447 $1.75M
2023 129,070 $1.79M
2024 60,684 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 80,580 64,727 $5.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63,237 34,298 $1.33M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,337 5,089 $287K
90832 Psychotherapy, 30 minutes with patient 12,319 5,791 $269K
90837 Psychotherapy, 53 minutes with patient 4,018 1,915 $160K
90460 Immunization administration through 18 years of age via any route, first or only component 10,996 5,216 $153K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,431 2,030 $112K
D1110 Prophylaxis - adult 7,976 5,553 $104K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,950 1,651 $88K
D0120 Periodic oral evaluation - established patient 11,806 7,938 $86K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,301 3,903 $83K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,355 1,403 $82K
D1120 Prophylaxis - child 9,093 6,298 $79K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,838 1,504 $76K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,424 1,282 $64K
D1206 Topical application of fluoride varnish 9,780 6,697 $64K
90834 Psychotherapy, 45 minutes with patient 2,181 1,142 $61K
D0150 Comprehensive oral evaluation - new or established patient 6,114 4,169 $60K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,644 984 $52K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,472 2,023 $50K
Q3014 Telehealth originating site facility fee 5,589 3,180 $44K
D7140 Extraction, erupted tooth or exposed root 2,114 958 $40K
D0274 Bitewings - four radiographic images 5,856 4,176 $39K
J1050 Injection, medroxyprogesterone acetate, 1 mg 424 399 $37K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,576 867 $36K
90670 1,191 783 $33K
D0140 Limited oral evaluation - problem focused 3,632 2,418 $29K
D0330 Panoramic radiographic image 1,213 838 $27K
92551 6,580 3,858 $22K
99215 Prolong outpt/office vis 521 248 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,049 657 $18K
36415 Collection of venous blood by venipuncture 11,557 7,191 $17K
D0272 Bitewings - two radiographic images 3,661 2,490 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,191 1,568 $15K
90651 546 371 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 318 176 $11K
0012A 288 286 $11K
0011A 315 312 $10K
83036 Hemoglobin; glycosylated (A1C) 2,614 1,496 $10K
90686 2,627 1,615 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 668 569 $9K
0001A 184 182 $9K
D1351 Sealant - per tooth 957 166 $8K
90633 505 368 $8K
99177 1,914 1,153 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,128 628 $7K
0002A 175 175 $7K
90734 292 199 $7K
D0220 Intraoral - periapical first radiographic image 2,964 2,060 $6K
99173 3,633 2,167 $5K
96127 2,119 1,258 $4K
90698 500 317 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 191 119 $4K
0064A 87 87 $4K
90710 63 43 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 299 272 $4K
D1208 Topical application of fluoride, excluding varnish 1,001 762 $3K
81025 740 540 $3K
0072A 69 69 $3K
0071A 73 71 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 320 218 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 351 142 $2K
82962 1,517 839 $2K
90620 41 27 $2K
80305 308 119 $2K
90619 226 165 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 66 35 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 26 12 $614.25
D0270 398 275 $600.27
D2330 23 13 $591.47
96160 412 404 $584.92
D2331 23 12 $507.92
99442 43 22 $487.52
99441 84 45 $457.52
90715 116 80 $442.02
90656 112 109 $410.96
D0230 Intraoral - periapical each additional radiographic image 287 188 $410.25
90672 45 30 $351.69
99174 55 34 $282.28
90696 83 55 $230.18
81002 140 77 $186.80
90744 137 102 $156.00
36416 56 41 $140.07
90697 472 261 $139.41
96161 136 89 $133.28
90461 2,020 1,458 $60.79
81003 56 41 $56.81
85018 31 25 $44.61
90685 25 13 $20.00
91301 597 590 $5.89
91300 201 184 $1.97
G8754 Most recent diastolic blood pressure < 90 mmhg 9,054 4,833 $0.00
1036F 29,677 15,830 $0.00
G8432 Depression screening not documented, reason not given 1,132 657 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 26,822 14,054 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 10,437 6,114 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 25,657 13,549 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 26,413 13,938 $0.00
3017F 11,889 6,197 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 7,557 4,020 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 8,456 4,622 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 15 12 $0.00
3079F 233 127 $0.00
G8756 No documentation of blood pressure measurement, reason not given 1,839 962 $0.00
3080F 22 13 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 2,938 1,534 $0.00
3074F 1,260 698 $0.00
3075F 152 85 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 149 80 $0.00
90677 215 156 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 59 26 $0.00
3014F 59 50 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 42 41 $0.00
G8484 Influenza immunization was not administered, reason not given 26,780 13,835 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 41,161 21,538 $0.00
4004F 28,949 15,547 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 3,175 1,672 $0.00
G8482 Influenza immunization administered or previously received 5,263 2,763 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 55,035 29,048 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 119 78 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 7,950 4,249 $0.00
3078F 1,583 891 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 455 236 $0.00
2022F 273 170 $0.00
90671 102 58 $0.00
90681 12 12 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 742 402 $0.00
3077F 147 76 $0.00
3046F 239 130 $0.00
G8598 Aspirin or another antiplatelet therapy used 65 39 $0.00