Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $328K by Medicaid between Oct 2023 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
COSHOCTON, OH 43812
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 6,169 | $74K | |
| 2024incomplete | 16,324 | $255K |
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 | 48% | 6,615 | 4,079 | $158K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 44% | 2,982 | 2,798 | $146K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 585 | 303 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 1,163 | 713 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 1,018 | 264 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 156 | 81 | $2K |
| 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% | 29 | 16 | $870.07 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 964 | 610 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 682 | 412 | $0.00 |
| 1036F | 0% | 964 | 610 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 26 | 13 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 805 | 484 | $0.00 |
5 more codes
| G8484 | Influenza immunization was not administered, reason not given | 0% | 3,709 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,525 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 154 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 304 | $0.00 |
| 4004F | 0% | 812 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.