Physician
Valley Medical Care LLC
Valley Medical Care LLC was paid $4.68M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoVALLEY MEDICAL CARE LLC
JASPER, TN 37347
JASPER, TN 37347
33aNPI1417376195assigned 04/10/2014
33bProvider typePediatrics Physician
28Total paid$4.68M
24GClaims194,750
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#25 of 333
Median peer was paid$139K
This provider vs. median34×
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 | 23,929 | $567K | |
| 2019 | 29,024 | $643K | |
| 2020 | 26,099 | $537K | |
| 2021 | 25,689 | $641K | |
| 2022 | 25,679 | $656K | |
| 2023 | 30,576 | $783K | |
| 2024incomplete | 33,754 | $850K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 27,519 | 22,856 | $1.62M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 13% | 19,419 | 17,154 | $620K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 12,988 | 11,251 | $503K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 16,732 | 9,062 | $414K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 4,633 | 4,157 | $310K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 3,618 | 3,250 | $217K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 3,126 | 2,880 | $206K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 1,841 | 1,640 | $135K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 6,149 | 4,158 | $104K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 6,866 | 5,843 | $65K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 1,256 | 1,071 | $53K |
| 92551 | 1.0% | 7,494 | 6,608 | $48K |
60 more codes
| 96160 | <1% | 2,895 | $42K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 563 | $38K |
| 99460 | <1% | 669 | $33K | |
| 99173 | <1% | 5,841 | $32K | |
| 99381 | <1% | 387 | $23K | |
| 96161 | <1% | 1,840 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 791 | $20K |
| 96127 | <1% | 4,958 | $19K | |
| 81002 | <1% | 7,613 | $17K | |
| 83655 | <1% | 1,594 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,112 | $17K |
| 87807 | <1% | 1,467 | $13K | |
| 81025 | <1% | 2,529 | $12K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 803 | $11K |
| 99383 | <1% | 128 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,686 | $8K |
| 90651 | <1% | 908 | $6K | |
| 99382 | <1% | 86 | $6K | |
| 85018 | <1% | 2,722 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 81 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 157 | $5K |
| 3008F | <1% | 10,331 | $4K | |
| 36416 | <1% | 2,450 | $4K | |
| 92567 | <1% | 297 | $4K | |
| A4614 | Peak expiratory flow rate meter, hand held | <1% | 172 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 386 | $2K |
| 90734 | <1% | 651 | $2K | |
| 99384 | <1% | 40 | $2K | |
| 90710 | <1% | 893 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 281 | $1K |
| 90686 | <1% | 2,239 | $1K | |
| 90461 | <1% | 5,662 | $976.43 | |
| 90670 | <1% | 2,868 | $778.18 | |
| 90621 | <1% | 21 | $679.37 | |
| 90697 | <1% | 387 | $447.40 | |
| 90633 | <1% | 1,463 | $292.73 | |
| 99442 | <1% | 24 | $227.52 | |
| 90715 | <1% | 269 | $185.13 | |
| 99441 | <1% | 23 | $184.78 | |
| 90681 | <1% | 1,015 | $170.00 | |
| 90716 | <1% | 320 | $124.02 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 774 | $96.45 |
| 85013 | <1% | 15 | $87.09 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 41 | $79.37 |
| 90696 | <1% | 231 | $67.82 | |
| 94760 | <1% | 126 | $40.34 | |
| 90677 | <1% | 110 | $17.00 | |
| 90620 | <1% | 100 | $6.00 | |
| 90723 | <1% | 1,088 | $2.00 | |
| 99000 | <1% | 8,509 | $1.00 | |
| 90647 | <1% | 655 | $1.00 | |
| 90656 | <1% | 18 | $1.00 | |
| 90744 | 0% | 83 | $0.00 | |
| 90698 | 0% | 125 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90700 | 0% | 100 | $0.00 | |
| 90707 | 0% | 311 | $0.00 | |
| 90661 | 0% | 26 | $0.00 | |
| 90648 | 0% | 77 | $0.00 | |
| 90685 | 0% | 85 | $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 officialSHAFI, ARIF (OWNER)