Valley Health Systems, INC
Valley Health Systems, INC was paid $14.08M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
WAYNE, WV 25570
Next to other Counselor providers in West Virginia
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 | |
|---|---|---|---|
| 2018 | 4,586 | $386K | |
| 2019 | 11,937 | $876K | |
| 2020 | 22,814 | $1.92M | |
| 2021 | 25,446 | $2.05M | |
| 2022 | 31,685 | $2.67M | |
| 2023 | 42,339 | $3.42M | |
| 2024incomplete | 27,755 | $2.77M |
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 | 96% | 76,228 | 59,065 | $13.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 35,805 | 29,292 | $212K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 2,908 | 2,800 | $106K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 423 | 376 | $96K |
| 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% | 18,612 | 15,183 | $51K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,936 | 3,519 | $31K |
| 90686 | <1% | 1,634 | 1,501 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,042 | 3,530 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 959 | 783 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,474 | 1,320 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 748 | 672 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 597 | 532 | $3K |
51 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 607 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 405 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,233 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 357 | $2K |
| 90670 | <1% | 388 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 381 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 152 | $2K |
| D1120 | Dental cleaning, child | <1% | 226 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 268 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 75 | $2K |
| 90656 | <1% | 130 | $1K | |
| 90632 | <1% | 15 | $1K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 3,724 | $946.98 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 142 | $872.44 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 138 | $619.97 |
| D0140 | Limited oral evaluation - problem focused | <1% | 110 | $455.19 |
| G0008 | Administration of influenza virus vaccine | <1% | 234 | $436.22 |
| D0274 | Bitewings - four radiographic images | <1% | 118 | $414.06 |
| D0330 | Panoramic radiographic image | <1% | 43 | $380.80 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,954 | $235.13 |
| 90688 | <1% | 14 | $173.41 | |
| G0467 | Community health center visit, returning patient | <1% | 3,862 | $98.20 |
| 90473 | <1% | 12 | $86.77 | |
| 92015 | Determination of refractive state | <1% | 59 | $45.50 |
| D1110 | Prophylaxis - adult | 0% | 86 | $0.00 |
| 90633 | 0% | 40 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 93 | $0.00 |
| 3078F | 0% | 334 | $0.00 | |
| 90648 | 0% | 159 | $0.00 | |
| 90715 | 0% | 43 | $0.00 | |
| 90662 | 0% | 41 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 197 | $0.00 |
| 90710 | 0% | 27 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 12 | $0.00 |
| 90734 | 0% | 98 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 45 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 27 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 259 | $0.00 |
| 3008F | 0% | 385 | $0.00 | |
| 3074F | 0% | 422 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 51 | $0.00 |
| 90698 | 0% | 43 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90680 | 0% | 34 | $0.00 | |
| 90732 | 0% | 13 | $0.00 | |
| 90677 | 0% | 38 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 3079F | 0% | 27 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 20 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $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
| Provider | Location | Paid |
|---|---|---|
| Valley Health Systems INC | Huntington, WV | $17.20M |
| Valley Health Systems INC | Huntington, WV | $13.47M |
| Valley Health Systems INC | Huntington, WV | $13.19M |
| Valley Health Systems, INC. | Milton, WV | $11.01M |
| Valley Health Systems INC | Huntington, WV | $10.23M |
| Valley Health Systems INC | Huntington, WV | $10.10M |
| Valley Health Systems INC | Fort Gay, WV | $8.84M |
| Valley Health Systems INC | Hurricane, WV | $8.59M |
| Valley Health Systems, INC | Charleston, WV | $7.17M |
| Valley Health Systems INC | Huntington, WV | $7.02M |
| Valley Health Systems INC | Coal Grove, OH | $6.42M |
| Valley Health Systems, INC. | Scott Depot, WV | $6.26M |
| Valley Health Systems INC | Huntington, WV | $4.93M |
| Valley Health Systems INC | Point Pleasant, WV | $3.40M |
| Valley Health Systems INC | Harts, WV | $2.71M |
| Valley Health Systems, INC. | Barboursville, WV | $2.70M |
| Valley Health Systems, INC. | Huntington, WV | $1.81M |
| Valley Health Systems, INC. | Huntington, WV | $1.40M |
| Valley Health Systems, INC | Huntington, WV | $1.22M |
| Valley Health Systems INC | Kermit, WV | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.