Valley Women's Health Group, LLC
Valley Women's Health Group, LLC was paid $154K by Medicaid between Jan 2018 and May 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoVALLEY WOMEN'S HEALTH GROUP, LLC
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1497978019assigned 04/11/2007
33bProvider typeSpecialist
28Total paid$154K
24GClaims6,724
24DCodes billed9
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#51 of 179
Median peer was paid$23K
This provider vs. median6.6×
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 | 1,755 | $41K | |
| 2019 | 1,201 | $18K | |
| 2020 | 809 | $16K | |
| 2021 | 840 | $19K | |
| 2022 | 1,170 | $28K | |
| 2023 | 823 | $26K | |
| 2024incomplete | 126 | $6K |
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 | 37% | 1,194 | 1,157 | $57K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 35% | 644 | 632 | $54K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 11% | 194 | 194 | $18K |
| 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 | 5.9% | 126 | 126 | $9K |
| 87210 | 5.4% | 1,845 | 1,089 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 234 | 223 | $7K |
| 85018 | <1% | 406 | 404 | $825.19 | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 12 | 12 | $116.54 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,069 | 2,028 | $106.33 |
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 officialKOZIARA, KAREN (PRACTICE ADMINISTRATOR)