Physician
Valley Professionals Community Health Center, INC.
Valley Professionals Community Health Center, INC. was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoVALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC.
CAYUGA, IN 47928
CAYUGA, IN 47928
33aNPI1417284043assigned 11/03/2009
33bProvider typeFamily Medicine Physician
28Total paid$1.33M
24GClaims41,256
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#50 of 408
Median peer was paid$81K
This provider vs. median16×
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 | 4,407 | $129K | |
| 2019 | 2,910 | $126K | |
| 2020 | 4,442 | $174K | |
| 2021 | 6,218 | $217K | |
| 2022 | 9,054 | $233K | |
| 2023 | 8,404 | $256K | |
| 2024incomplete | 5,821 | $194K |
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 | 44% | 12,041 | 9,229 | $589K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 15,307 | 10,742 | $209K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.6% | 1,571 | 1,062 | $127K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.3% | 2,807 | 1,844 | $97K |
| D9999 | Unspecified adjunctive procedure, by report | 6.8% | 1,461 | 1,119 | $90K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 2,271 | 1,698 | $77K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 1,422 | 995 | $43K |
| D1110 | Prophylaxis - adult | 1.4% | 470 | 294 | $18K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 267 | 236 | $18K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 471 | 212 | $12K |
| D0330 | Panoramic radiographic image | <1% | 179 | 119 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 438 | 312 | $7K |
22 more codes
| D0120 | Dental checkup, returning patient | <1% | 393 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 542 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 93 | $3K |
| 87428 | <1% | 108 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 35 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29 | $2K |
| D1120 | Dental cleaning, child | <1% | 91 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 139 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 187 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 119 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 160 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 37 | $773.73 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $723.58 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 181 | $551.48 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 85 | $547.33 |
| 98940 | <1% | 18 | $424.80 | |
| 90785 | <1% | 73 | $422.46 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 85 | $343.00 |
| G0467 | Community health center visit, returning patient | <1% | 36 | $197.88 |
| 90686 | <1% | 95 | $182.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $150.01 |
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 officialWARREN, TERRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Professionals Community Health Center, INC. | Clinton, IN | $6.49M |
| Valley Professionals Community Health Center INC | Terre Haute, IN | $5.07M |
| Valley Professionals Community Health Center INC | Crawfordsville, IN | $1.55M |
| Valley Professionals Community Health Center INC | Terre Haute, IN | $980K |
| Valley Professionals Community Health Center INC | Rockville, IN | $938K |
| Valley Professionals Community Health Center, INC. | Bloomingdale, IN | $724K |
| Valley Professionals Community Health Center INC | West Terre Haute, IN | $249K |
| JR Pharmacy Rockville LLC 4 | Rockville, IN | $0.00 |
| JR Pharmacy LLC 2 | Terre Haute, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.