Clinic
Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $9.67M by Medicaid between Jan 2018 and Dec 2024, across 130 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoMUSKINGUM VALLEY HEALTH CENTERS
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1396261756assigned 08/17/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.67M
24GClaims670,810
24DCodes billed130
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#24 of 348
Median peer was paid$1.33M
This provider vs. median7.3×
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.
Entity ProliferationAuthorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 60,684 | $1.15M |
Box 24 · Service lines
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 | 60% | 80,580 | 64,727 | $5.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 63,237 | 34,298 | $1.33M |
| 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 | 3.0% | 9,337 | 5,089 | $287K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.8% | 12,319 | 5,791 | $269K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 4,018 | 1,915 | $160K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 10,996 | 5,216 | $153K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 3,431 | 2,030 | $112K |
| D1110 | Prophylaxis - adult | 1.1% | 7,976 | 5,553 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,950 | 1,651 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 11,806 | 7,938 | $86K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,301 | 3,903 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,355 | 1,403 | $82K |
118 more codes
| D1120 | Dental cleaning, child | <1% | 9,093 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,838 | $76K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,424 | $64K |
| D1206 | Topical application of fluoride varnish | <1% | 9,780 | $64K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,181 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 6,114 | $60K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,644 | $52K |
| G0467 | Community health center visit, returning patient | <1% | 2,472 | $50K |
| Q3014 | Telehealth originating site facility fee | <1% | 5,589 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,114 | $40K |
| D0274 | Bitewings - four radiographic images | <1% | 5,856 | $39K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 424 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,576 | $36K |
| 90670 | <1% | 1,191 | $33K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,632 | $29K |
| D0330 | Panoramic radiographic image | <1% | 1,213 | $27K |
| 92551 | <1% | 6,580 | $22K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 521 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,049 | $18K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,557 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 3,661 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,191 | $15K |
| 90651 | <1% | 546 | $13K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 318 | $11K |
| 0012A | <1% | 288 | $11K | |
| 0011A | <1% | 315 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,614 | $10K |
| 90686 | <1% | 2,627 | $10K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 668 | $9K |
| 0001A | <1% | 184 | $9K | |
| D1351 | Sealant - per tooth | <1% | 957 | $8K |
| 90633 | <1% | 505 | $8K | |
| 99177 | <1% | 1,914 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,128 | $7K |
| 0002A | <1% | 175 | $7K | |
| 90734 | <1% | 292 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,964 | $6K |
| 99173 | <1% | 3,633 | $5K | |
| 96127 | <1% | 2,119 | $4K | |
| 90698 | <1% | 500 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 191 | $4K |
| 0064A | <1% | 87 | $4K | |
| 90710 | <1% | 63 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 299 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,001 | $3K |
| 81025 | <1% | 740 | $3K | |
| 0072A | <1% | 69 | $3K | |
| 0071A | <1% | 73 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 320 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 351 | $2K |
| 82962 | <1% | 1,517 | $2K | |
| 90620 | <1% | 41 | $2K | |
| 80305 | <1% | 308 | $2K | |
| 90619 | <1% | 226 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 66 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 26 | $614.25 |
| D0270 | <1% | 398 | $600.27 | |
| D2330 | <1% | 23 | $591.47 | |
| 96160 | <1% | 412 | $584.92 | |
| D2331 | <1% | 23 | $507.92 | |
| 99442 | <1% | 43 | $487.52 | |
| 99441 | <1% | 84 | $457.52 | |
| 90715 | <1% | 116 | $442.02 | |
| 90656 | <1% | 112 | $410.96 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 287 | $410.25 |
| 90672 | <1% | 45 | $351.69 | |
| 99174 | <1% | 55 | $282.28 | |
| 90696 | <1% | 83 | $230.18 | |
| 81002 | <1% | 140 | $186.80 | |
| 90744 | <1% | 137 | $156.00 | |
| 36416 | <1% | 56 | $140.07 | |
| 90697 | <1% | 472 | $139.41 | |
| 96161 | <1% | 136 | $133.28 | |
| 90461 | <1% | 2,020 | $60.79 | |
| 81003 | <1% | 56 | $56.81 | |
| 85018 | <1% | 31 | $44.61 | |
| 90685 | <1% | 25 | $20.00 | |
| 91301 | <1% | 597 | $5.89 | |
| 91300 | <1% | 201 | $1.97 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 9,054 | $0.00 |
| 1036F | 0% | 29,677 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 1,132 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 26,822 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 10,437 | $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) | 0% | 25,657 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 26,413 | $0.00 |
| 3017F | 0% | 11,889 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 7,557 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 8,456 | $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) | 0% | 15 | $0.00 |
| 3079F | 0% | 233 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 1,839 | $0.00 |
| 3080F | 0% | 22 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 2,938 | $0.00 |
| 3074F | 0% | 1,260 | $0.00 | |
| 3075F | 0% | 152 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 149 | $0.00 |
| 90677 | 0% | 215 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 59 | $0.00 |
| 3014F | 0% | 59 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 42 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 26,780 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 41,161 | $0.00 |
| 4004F | 0% | 28,949 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 3,175 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 5,263 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 55,035 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 119 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 7,950 | $0.00 |
| 3078F | 0% | 1,583 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 455 | $0.00 |
| 2022F | 0% | 273 | $0.00 | |
| 90671 | 0% | 102 | $0.00 | |
| 90681 | 0% | 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) | 0% | 742 | $0.00 |
| 3077F | 0% | 147 | $0.00 | |
| 3046F | 0% | 239 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 65 | $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.
From NPPES
Who's on the registration
Authorized officialATKINSON, DANIEL (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.