Medicaid Provider Spending

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

VALLEY PHYSICIAN ENTERPRISE, INC.

NPI: 1477105153 · WINCHESTER, VA 22601 · Physical Medicine & Rehabilitation Physician · NPI assigned 07/12/2019

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

Authorized official CHAMBERS, JILL controls 20+ related entities in our dataset. Read more

$95K
Total Medicaid Paid
2,376
Total Claims
2,171
Beneficiaries
11
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHAMBERS, JILL (MANAGER INSURANCE CREDENTIALING)
Parent OrganizationVALLEY PHYSICIAN ENTERPRISE, INC.
NPI Enumeration Date07/12/2019

Related Entities

Other providers sharing the same authorized official: CHAMBERS, JILL

ProviderCityStateTotal Paid
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $23.54M
WINCHESTER MEDICAL CENTER, INC. WINCHESTER VA $9.98M
HAMPSHIRE MEMORIAL HOSPITAL, INC. ROMNEY WV $9.58M
VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA $8.57M
WINCHESTER MEDICAL CENTER WINCHESTER VA $4.83M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $3.01M
WINCHESTER MEDICAL CENTER WINCHESTER VA $2.53M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $2.10M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $1.38M
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $474K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $471K
HAMPSHIRE MEMORIAL HOSPITAL INC. ROMNEY WV $330K
EAST MOUNTAIN HEALTH PHYSICIANS INC. RANSON WV $306K
NORTHERN WV HOME HEALTH, LLC ROMNEY WV $237K
WINCHESTER MEDICAL CENTER WINCHESTER VA $216K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $70K
JACKSON MEDICAL ASSOCIATES, PLLC RIPLEY WV $44K
WINCHESTER MEDICAL CENTER WINCHESTER VA $19K
WARREN MEMORIAL HOSPITAL, INC. FRONT ROYAL VA $14K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 334 $16K
2022 553 $31K
2023 1,030 $32K
2024 459 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,363 1,226 $84K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170 161 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 25 $2K
3078F 131 122 $336.84
3079F 186 170 $329.22
3074F 166 154 $286.84
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 90 87 $213.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 183 168 $203.50
3077F 30 29 $100.00
3080F 13 12 $25.00
3075F 17 17 $25.00