Clinic
Springvale Health Centers, INC.
Springvale Health Centers, INC. was paid $4.00M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoSPRINGVALE HEALTH CENTERS, INC.
DOVER, OH 44622
DOVER, OH 44622
33aNPI1487035986assigned 06/11/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.00M
24GClaims149,309
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#85 of 348
Median peer was paid$1.33M
This provider vs. median3.0×
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 | 15,831 | $462K | |
| 2019 | 16,659 | $579K | |
| 2020 | 18,241 | $706K | |
| 2021 | 20,017 | $772K | |
| 2022 | 19,495 | $588K | |
| 2023 | 34,923 | $556K | |
| 2024incomplete | 24,143 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 66% | 40,100 | 25,405 | $2.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 37,915 | 19,928 | $755K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.4% | 4,635 | 1,747 | $175K |
| 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 | 2.4% | 2,981 | 1,460 | $96K |
| D1110 | Prophylaxis - adult | 1.6% | 5,222 | 3,346 | $62K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 1,923 | 850 | $44K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit | <1% | 1,427 | 1,157 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,262 | 818 | $31K |
| D0330 | Panoramic radiographic image | <1% | 2,154 | 1,469 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,939 | 1,868 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,388 | 699 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,180 | 2,024 | $20K |
48 more codes
| D0274 | Bitewings - four radiographic images | <1% | 4,094 | $20K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 894 | $16K |
| D1206 | Topical application of fluoride varnish | <1% | 1,069 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 328 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 194 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 182 | $3K |
| D1120 | Dental cleaning, child | <1% | 492 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 326 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 49 | $2K |
| 99201 | <1% | 146 | $1K | |
| 99406 | <1% | 638 | $1K | |
| G0466 | Community health center visit, new patient | <1% | 21 | $840.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | $632.54 |
| 80305 | <1% | 412 | $615.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 668 | $557.38 |
| 90686 | <1% | 82 | $532.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 32 | $406.35 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 64 | $375.78 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 48 | $343.40 |
| D0272 | Bitewings - two radiographic images | <1% | 64 | $231.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 103 | $138.32 |
| 87400 | <1% | 34 | $63.60 | |
| 96127 | <1% | 41 | $41.80 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 24 | $31.50 |
| 3074F | 0% | 9,450 | $0.00 | |
| 3079F | 0% | 5,109 | $0.00 | |
| 3075F | 0% | 1,862 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 643 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 708 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 758 | $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% | 291 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 468 | $0.00 |
| 3080F | 0% | 430 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 170 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 62 | $0.00 |
| 3008F | 0% | 14 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 37 | $0.00 |
| 3044F | 0% | 18 | $0.00 | |
| 96160 | 0% | 2,245 | $0.00 | |
| 3078F | 0% | 6,611 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,023 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 812 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 557 | $0.00 |
| 99408 | 0% | 670 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 177 | $0.00 |
| 3077F | 0% | 358 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 609 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $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 officialBOROSKI, JOSEPH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Springvale Health Centers, INC. | Dover, OH | $13.57M |
| Springvale Health Centers, INC. | Dover, OH | $478K |
| Springvale Health Centers, INC | New Philadelphia, OH | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.