Clinic
Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $6.92M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoMUSKINGUM VALLEY HEALTH CENTERS
MALTA, OH 43758
MALTA, OH 43758
33aNPI1528257789assigned 10/23/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.92M
24GClaims464,921
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#45 of 348
Median peer was paid$1.33M
This provider vs. median5.2×
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.
Entity ProliferationAuthorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 48,951 | $810K |
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 | 63% | 60,254 | 47,936 | $4.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 53,210 | 28,916 | $1.08M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 19,805 | 10,745 | $249K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 7,621 | 4,277 | $121K |
| 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 | 1.3% | 2,632 | 1,613 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 2,712 | 1,603 | $87K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 3,555 | 1,660 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,995 | 1,103 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,093 | 1,127 | $57K |
| 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% | 3,244 | 2,255 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 6,739 | 4,911 | $51K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,246 | 557 | $49K |
100 more codes
| D1120 | Dental cleaning, child | <1% | 4,536 | $46K |
| D1110 | Prophylaxis - adult | <1% | 3,793 | $46K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,731 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,238 | $41K |
| D1206 | Topical application of fluoride varnish | <1% | 5,316 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,197 | $32K |
| 90670 | <1% | 796 | $30K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,096 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,929 | $22K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 794 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,330 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 925 | $18K |
| D0274 | Bitewings - four radiographic images | <1% | 2,550 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,655 | $17K |
| 92551 | <1% | 5,077 | $17K | |
| Q3014 | Telehealth originating site facility fee | <1% | 2,212 | $15K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 802 | $15K |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,253 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,884 | $15K |
| D0330 | Panoramic radiographic image | <1% | 587 | $12K |
| 99188 | <1% | 936 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 447 | $10K |
| 99174 | <1% | 1,509 | $7K | |
| 90686 | <1% | 2,418 | $7K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,820 | $6K |
| 99177 | <1% | 1,316 | $5K | |
| 0011A | <1% | 107 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 878 | $3K |
| 0012A | <1% | 91 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 338 | $3K |
| 90698 | <1% | 282 | $3K | |
| 90633 | <1% | 163 | $3K | |
| 96127 | <1% | 1,416 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 665 | $2K |
| 90651 | <1% | 139 | $2K | |
| 90697 | <1% | 517 | $2K | |
| 0064A | <1% | 35 | $2K | |
| 96161 | <1% | 1,294 | $2K | |
| 0001A | <1% | 24 | $2K | |
| 90620 | <1% | 58 | $1K | |
| 81003 | <1% | 1,317 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 115 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 176 | $891.27 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 49 | $865.27 |
| 90734 | <1% | 101 | $845.93 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 491 | $775.97 |
| 99173 | <1% | 594 | $705.74 | |
| 36416 | <1% | 368 | $673.79 | |
| 96160 | <1% | 370 | $590.77 | |
| 90671 | <1% | 169 | $519.80 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $501.44 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $420.37 |
| 90674 | <1% | 39 | $341.50 | |
| 85018 | <1% | 277 | $294.04 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 42 | $280.38 |
| 90672 | <1% | 20 | $217.72 | |
| D1351 | Sealant - per tooth | <1% | 37 | $205.70 |
| D2331 | <1% | 15 | $190.47 | |
| 90756 | <1% | 14 | $162.91 | |
| 90619 | <1% | 71 | $158.06 | |
| 90681 | <1% | 115 | $157.25 | |
| 90685 | <1% | 15 | $63.00 | |
| 90744 | <1% | 27 | $63.00 | |
| 90461 | <1% | 1,225 | $50.00 | |
| 90677 | <1% | 160 | $31.25 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | $19.45 |
| 91301 | <1% | 220 | $2.15 | |
| 4004F | 0% | 19,896 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 6,005 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,605 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 25,969 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 37,696 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 23,801 | $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) | 0% | 1,120 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 250 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,118 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 575 | $0.00 |
| 90715 | 0% | 21 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 15 | $0.00 |
| 3078F | 0% | 166 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 100 | $0.00 |
| 2022F | 0% | 148 | $0.00 | |
| 3077F | 0% | 26 | $0.00 | |
| 1036F | 0% | 16,141 | $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% | 16,635 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,163 | $0.00 |
| 3017F | 0% | 8,840 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 14,568 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 6,014 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 17,844 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 6,478 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 3,958 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 456 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 2,027 | $0.00 |
| 3074F | 0% | 287 | $0.00 | |
| 3014F | 0% | 258 | $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) | 0% | 50 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 124 | $0.00 |
| 90656 | 0% | 91 | $0.00 | |
| 3079F | 0% | 99 | $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 officialATKINSON, DANIEL (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.