Physician
Upper Valley Professional Corporation
Upper Valley Professional Corporation was paid $3.04M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoUPPER VALLEY PROFESSIONAL CORPORATION
TROY, OH 45373
TROY, OH 45373
33aNPI1407872518assigned 07/14/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.04M
24GClaims89,193
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#17 of 663
Median peer was paid$17K
This provider vs. median174×
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.
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 | 12,942 | $422K | |
| 2019 | 10,519 | $364K | |
| 2020 | 9,864 | $324K | |
| 2021 | 10,207 | $359K | |
| 2022 | 11,710 | $416K | |
| 2023 | 20,263 | $654K | |
| 2024incomplete | 13,688 | $501K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 27,952 | 25,051 | $1.13M |
| 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 | 23% | 13,054 | 11,591 | $699K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 15,380 | 10,000 | $409K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,371 | 5,717 | $337K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 4,407 | 4,019 | $264K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 500 | 477 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,276 | 2,952 | $26K |
| 99460 | <1% | 238 | 218 | $20K | |
| 96127 | <1% | 3,845 | 3,612 | $15K | |
| 99223 | Prolong inpt eval add15 m | <1% | 333 | 305 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,147 | 1,012 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 151 | 126 | $10K |
36 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 494 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 104 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 208 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 352 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 364 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 142 | $6K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 293 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $4K |
| 99188 | <1% | 177 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 153 | $4K |
| 90698 | <1% | 2,697 | $3K | |
| 96161 | <1% | 1,284 | $3K | |
| 90670 | <1% | 2,066 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 93 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 81 | $1K |
| 99220 | <1% | 39 | $1K | |
| 90686 | <1% | 2,002 | $932.20 | |
| 90680 | <1% | 742 | $650.00 | |
| 90633 | <1% | 66 | $559.96 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 39 | $432.23 |
| 99219 | <1% | 14 | $424.01 | |
| 92551 | <1% | 66 | $411.51 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $139.84 |
| 80305 | <1% | 20 | $138.25 | |
| 87807 | <1% | 12 | $120.84 | |
| 90744 | <1% | 158 | $60.00 | |
| 90656 | <1% | 177 | $23.09 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 27 | $4.27 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 117 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| 90677 | 0% | 307 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 39 | $0.00 |
| 1036F | 0% | 26 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 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 officialMICHEL, DARLENE (SYSTEMS SUPPORT ANALYST)
| Provider | Location | Paid |
|---|---|---|
| Premier Health Specialists INC | Moraine, OH | $31.13M |
| Samaritan Family Care INC | Moraine, OH | $3.86M |
| Uvpc Specialists INC. | Troy, OH | $2.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.