Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1528257789 · MALTA, OH 43758 · Federally Qualified Health Center (FQHC) · NPI assigned 10/23/2007

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

Authorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more

$6.92M
Total Medicaid Paid
464,921
Total Claims
275,120
Beneficiaries
112
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/23/2007

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $28.59M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $16.13M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $9.67M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $5.99M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $5.49M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $1.17M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $1.09M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $328K
MUSKINGUM VALLEY HEALTH CENTERS BYESVILLE OH $228K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $158K
MUSKINGUM VALLEY HEALTH CENTERS WEST LAFAYETTE OH $120K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $71K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $59K
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $32K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $13K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,149 $697K
2019 52,092 $839K
2020 72,479 $900K
2021 77,894 $1.15M
2022 79,313 $1.17M
2023 93,043 $1.36M
2024 48,951 $810K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 60,254 47,936 $4.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,210 28,916 $1.08M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,805 10,745 $249K
90460 Immunization administration through 18 years of age via any route, first or only component 7,621 4,277 $121K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,632 1,613 $93K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,712 1,603 $87K
90832 Psychotherapy, 30 minutes with patient 3,555 1,660 $74K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,995 1,103 $59K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,093 1,127 $57K
G0467 Federally 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 3,244 2,255 $55K
D0120 Periodic oral evaluation - established patient 6,739 4,911 $51K
90837 Psychotherapy, 53 minutes with patient 1,246 557 $49K
D1120 Prophylaxis - child 4,536 3,314 $46K
D1110 Prophylaxis - adult 3,793 2,855 $46K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,731 1,449 $44K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,238 737 $41K
D1206 Topical application of fluoride varnish 5,316 3,737 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,197 2,835 $32K
90670 796 526 $30K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,096 594 $23K
D0150 Comprehensive oral evaluation - new or established patient 1,929 1,361 $22K
90834 Psychotherapy, 45 minutes with patient 794 438 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,330 1,824 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 925 502 $18K
D0274 Bitewings - four radiographic images 2,550 1,911 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,655 852 $17K
92551 5,077 2,979 $17K
Q3014 Telehealth originating site facility fee 2,212 1,233 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 802 457 $15K
36415 Collection of venous blood by venipuncture 9,253 6,194 $15K
D0140 Limited oral evaluation - problem focused 1,884 1,314 $15K
D0330 Panoramic radiographic image 587 417 $12K
99188 936 559 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 447 221 $10K
99174 1,509 939 $7K
90686 2,418 1,525 $7K
D0272 Bitewings - two radiographic images 1,820 1,340 $6K
99177 1,316 807 $5K
0011A 107 107 $4K
83036 Hemoglobin; glycosylated (A1C) 878 511 $3K
0012A 91 90 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 338 215 $3K
90698 282 185 $3K
90633 163 119 $3K
96127 1,416 840 $3K
D1208 Topical application of fluoride, excluding varnish 665 571 $2K
90651 139 94 $2K
90697 517 272 $2K
0064A 35 35 $2K
96161 1,294 686 $2K
0001A 24 24 $2K
90620 58 36 $1K
81003 1,317 754 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 115 90 $1K
D7140 Extraction, erupted tooth or exposed root 176 93 $891.27
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 49 43 $865.27
90734 101 69 $845.93
D0220 Intraoral - periapical first radiographic image 491 354 $775.97
99173 594 350 $705.74
36416 368 204 $673.79
96160 370 341 $590.77
90671 169 83 $519.80
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 22 12 $501.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 27 $420.37
90674 39 21 $341.50
85018 277 169 $294.04
71046 Radiologic examination, chest; 2 views 42 24 $280.38
90672 20 14 $217.72
D1351 Sealant - per tooth 37 12 $205.70
D2331 15 13 $190.47
90756 14 13 $162.91
90619 71 50 $158.06
90681 115 63 $157.25
90685 15 15 $63.00
90744 27 26 $63.00
90461 1,225 906 $50.00
90677 160 115 $31.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28 14 $19.45
91301 220 216 $2.15
4004F 19,896 10,897 $0.00
G8482 Influenza immunization administered or previously received 6,005 2,955 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 4,605 2,665 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 25,969 13,977 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 37,696 20,306 $0.00
G8484 Influenza immunization was not administered, reason not given 23,801 12,517 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 1,120 599 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 250 129 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,118 586 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 575 359 $0.00
90715 21 12 $0.00
G8598 Aspirin or another antiplatelet therapy used 15 13 $0.00
3078F 166 93 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 100 50 $0.00
2022F 148 110 $0.00
3077F 26 13 $0.00
1036F 16,141 8,958 $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) 16,635 8,870 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 5,163 2,773 $0.00
3017F 8,840 4,796 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 14,568 7,902 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 6,014 3,391 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 17,844 9,543 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,478 3,860 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 3,958 2,192 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 456 249 $0.00
G8432 Depression screening not documented, reason not given 2,027 1,219 $0.00
3074F 287 156 $0.00
3014F 258 210 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 50 24 $0.00
G8756 No documentation of blood pressure measurement, reason not given 124 60 $0.00
90656 91 85 $0.00
3079F 99 52 $0.00