Physician
Valley Physician Enterprise, INC
Valley Physician Enterprise, INC was paid $1.80M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoVALLEY PHYSICIAN ENTERPRISE, INC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1538316203assigned 08/25/2008
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$1.80M
24GClaims50,896
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Cardiac Electrophysiology Physician providers in Virginia
Rank by total paid#1 of 8
Median peer was paid$647.19
This provider vs. median2,775×
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 JOHNSON, RENEE 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 | 2,843 | $107K | |
| 2019 | 3,415 | $187K | |
| 2020 | 4,787 | $286K | |
| 2021 | 10,430 | $294K | |
| 2022 | 11,713 | $306K | |
| 2023 | 10,994 | $319K | |
| 2024incomplete | 6,714 | $297K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 9,296 | 8,538 | $623K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 8,584 | 7,819 | $387K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 2,447 | 2,320 | $240K |
| 64483 | 11% | 1,309 | 999 | $206K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 1,334 | 1,289 | $89K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 791 | 749 | $75K |
| 99205 | Prolong outpt/office vis | 2.4% | 314 | 303 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,310 | 1,274 | $40K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 1.0% | 1,786 | 1,425 | $19K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 182 | 171 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 246 | 217 | $10K |
| 3078F | <1% | 6,626 | 5,972 | $8K |
24 more codes
| 3074F | <1% | 5,511 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 161 | $6K |
| 3077F | <1% | 3,078 | $3K | |
| 3079F | <1% | 2,853 | $3K | |
| 99406 | <1% | 403 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 504 | $3K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 314 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 34 | $2K |
| 93925 | <1% | 97 | $2K | |
| 3080F | <1% | 1,117 | $1K | |
| 99221 | <1% | 32 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 584 | $1K |
| 76942 | <1% | 28 | $1K | |
| 3075F | <1% | 1,616 | $904.24 | |
| 20610 | <1% | 13 | $589.31 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $581.31 |
| 92587 | <1% | 29 | $432.37 | |
| 99490 | Ccm add 20min | <1% | 145 | $423.26 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 59 | $370.99 |
| 92567 | <1% | 13 | $128.69 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $105.40 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $61.35 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 24 | $31.66 |
| 99307 | <1% | 17 | $3.64 |
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 officialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.