Medicaid Provider Spending

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

VALLEY HEALTH SYSTEMS, INC

NPI: 1407466535 · CHARLESTON, WV 25304 · Pediatrics Physician · NPI assigned 08/04/2020

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

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

$7.17M
Total Medicaid Paid
90,660
Total Claims
74,601
Beneficiaries
43
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRUBECK, MARY-BETH (VP FINANCE, CFO)
NPI Enumeration Date08/04/2020

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,842 $75K
2021 18,764 $1.45M
2022 23,244 $1.85M
2023 30,952 $2.29M
2024 15,858 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 36,259 27,920 $7.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,974 15,249 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,843 5,210 $3K
90472 Immunization administration, each additional vaccine (list separately) 3,874 3,501 $756.16
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,719 2,357 $563.90
92551 91 86 $245.69
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,292 2,973 $243.83
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,054 831 $178.82
90723 1,220 1,108 $168.24
90670 1,505 1,370 $161.00
90686 1,261 1,089 $110.00
90648 1,721 1,561 $46.82
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,157 1,009 $5.00
3074F 799 700 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 317 306 $0.00
90474 611 557 $0.00
90680 171 156 $0.00
3008F 969 867 $0.00
94760 77 68 $0.00
90698 164 150 $0.00
90696 191 173 $0.00
90677 194 189 $0.00
90744 98 89 $0.00
90716 31 24 $0.00
90651 12 12 $0.00
90656 53 53 $0.00
99381 12 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,802 1,634 $0.00
3078F 676 590 $0.00
90633 937 819 $0.00
90681 632 584 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,264 2,009 $0.00
90832 Psychotherapy, 30 minutes with patient 535 339 $0.00
90734 279 247 $0.00
90700 155 136 $0.00
90710 411 365 $0.00
90473 152 134 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 29 $0.00
90715 17 17 $0.00
90672 49 37 $0.00
90707 19 12 $0.00
90791 Psychiatric diagnostic evaluation 17 15 $0.00
99382 14 14 $0.00