Medicaid Provider Spending

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

VALLEY PHYSICIAN ENTERPRISE, INC

NPI: 1538316203 · WINCHESTER, VA 22601 · Clinical Cardiac Electrophysiology Physician · NPI assigned 08/25/2008

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

Authorized official JOHNSON, RENEE controls 20+ related entities in our dataset. Read more

$1.80M
Total Medicaid Paid
50,896
Total Claims
46,003
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
NPI Enumeration Date08/25/2008

Related Entities

Other providers sharing the same authorized official: JOHNSON, RENEE

ProviderCityStateTotal Paid
PAGE MEMORIAL HOSPITAL, INC. LURAY VA $14.04M
EAST MOUNTAIN HEALTH PHYSICIANS, INC. RANSON WV $5.15M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $4.55M
SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK VA $1.98M
VALLEY PHYSICIAN ENTERPRISE INC WINCHESTER VA $1.58M
PAGE MEMORIAL HOSPITAL INC. LURAY VA $1.33M
WAR MEMORIAL HOSPITAL, INC. BERKELEY SPRINGS WV $748K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $710K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $673K
SHENANDOAH MEMORIAL HOSPITAL, INC. STRASBURG VA $657K
PAGE MEMORIAL HOSPITAL INC. STANLEY VA $597K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $590K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. INWOOD WV $584K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $479K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $446K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $361K
PAGE MEMORIAL HOSPITAL INC. LURAY VA $338K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. MARTINSBURG WV $328K
EAST MOUNTAIN HEALTH PHYSICIANS, INC. HEDGESVILLE WV $275K
VALLEY PHYSICIAN ENTERPRISE, INC. WINCHESTER VA $274K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 6,714 $297K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,296 8,538 $623K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,584 7,819 $387K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,447 2,320 $240K
64483 1,309 999 $206K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,334 1,289 $89K
99215 Prolong outpt/office vis 791 749 $75K
99205 Prolong outpt/office vis 314 303 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,310 1,274 $40K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,786 1,425 $19K
90791 Psychiatric diagnostic evaluation 182 171 $16K
90832 Psychotherapy, 30 minutes with patient 246 217 $10K
3078F 6,626 5,972 $8K
3074F 5,511 5,045 $7K
99232 Subsequent hospital care, per day, moderate complexity 161 51 $6K
3077F 3,078 2,764 $3K
3079F 2,853 2,619 $3K
99406 403 384 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 504 435 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 314 244 $3K
99222 Initial hospital care, per day, moderate complexity 34 30 $2K
93925 97 89 $2K
3080F 1,117 1,025 $1K
99221 32 29 $1K
99308 Subsequent nursing facility care, per day, straightforward 584 399 $1K
76942 28 26 $1K
3075F 1,616 1,493 $904.24
20610 13 12 $589.31
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $581.31
92587 29 28 $432.37
99490 Ccm add 20min 145 120 $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 59 51 $370.99
92567 13 12 $128.69
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $105.40
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $61.35
99309 Subsequent nursing facility care, per day, low to moderate complexity 24 18 $31.66
99307 17 15 $3.64