Physician
Valley Health Systems, INC
Valley Health Systems, INC was paid $7.17M by Medicaid between Nov 2020 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoVALLEY HEALTH SYSTEMS, INC
CHARLESTON, WV 25304
CHARLESTON, WV 25304
33aNPI1407466535assigned 08/04/2020
33bProvider typePediatrics Physician
28Total paid$7.17M
24GClaims90,660
24DCodes billed43
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#3 of 57
Median peer was paid$409K
This provider vs. median18×
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 BRUBECK, MARY-BETH 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 | |
|---|---|---|---|
| 2020 | 1,842 | $75K | |
| 2021 | 18,764 | $1.45M | |
| 2022 | 23,244 | $1.85M | |
| 2023 | 30,952 | $2.29M | |
| 2024incomplete | 15,858 | $1.50M |
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 | 100% | 36,259 | 27,920 | $7.16M |
| 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% | 18,974 | 15,249 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,843 | 5,210 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,874 | 3,501 | $756.16 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,719 | 2,357 | $563.90 |
| 92551 | <1% | 91 | 86 | $245.69 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,292 | 2,973 | $243.83 |
| 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% | 1,054 | 831 | $178.82 |
| 90723 | <1% | 1,220 | 1,108 | $168.24 | |
| 90670 | <1% | 1,505 | 1,370 | $161.00 | |
| 90686 | <1% | 1,261 | 1,089 | $110.00 | |
| 90648 | <1% | 1,721 | 1,561 | $46.82 |
31 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,157 | $5.00 |
| 3074F | 0% | 799 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 317 | $0.00 |
| 90474 | 0% | 611 | $0.00 | |
| 90680 | 0% | 171 | $0.00 | |
| 3008F | 0% | 969 | $0.00 | |
| 94760 | 0% | 77 | $0.00 | |
| 90698 | 0% | 164 | $0.00 | |
| 90696 | 0% | 191 | $0.00 | |
| 90677 | 0% | 194 | $0.00 | |
| 90744 | 0% | 98 | $0.00 | |
| 90716 | 0% | 31 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90656 | 0% | 53 | $0.00 | |
| 99381 | 0% | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,802 | $0.00 |
| 3078F | 0% | 676 | $0.00 | |
| 90633 | 0% | 937 | $0.00 | |
| 90681 | 0% | 632 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,264 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 535 | $0.00 |
| 90734 | 0% | 279 | $0.00 | |
| 90700 | 0% | 155 | $0.00 | |
| 90710 | 0% | 411 | $0.00 | |
| 90473 | 0% | 152 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 32 | $0.00 |
| 90715 | 0% | 17 | $0.00 | |
| 90672 | 0% | 49 | $0.00 | |
| 90707 | 0% | 19 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 17 | $0.00 |
| 99382 | 0% | 14 | $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 officialBRUBECK, MARY-BETH (VP FINANCE, CFO)
| 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 | 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 |
| Valley Health Systems INC | Kermit, WV | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.