Apple Valley Family Medicine and Urgent Care

Apple Valley Family Medicine and Urgent Care was paid $1.29M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoAPPLE VALLEY FAMILY MEDICINE AND URGENT CARE
MARTINSBURG, WV 25401

33aNPI1558735209assigned 11/18/2015

33bProvider typeUrgent Care Clinic/Center

28Total paid$1.29M

24GClaims24,683

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Urgent Care Clinic/Center providers in West Virginia

Rank by total paid#3 of 9

Median peer was paid$906K

This provider vs. median1.4×

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.

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	3,152	$155K
2019	1,106	$56K
2020	2,596	$149K
2021	3,234	$171K
2022	5,402	$279K
2023	4,626	$224K
2024incomplete	4,567	$253K

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	66%	14,559	11,877	$846K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	6,965	5,895	$346K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	459	411	$29K
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	1.2%	151	135	$15K
99308	Subsequent nursing facility care, per day, straightforward	<1%	603	423	$9K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	345	232	$6K
99310	Prolong nursin fac eval 15m	<1%	143	77	$4K
90756		<1%	192	163	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	317	282	$4K
95927		<1%	43	43	$3K
95943		<1%	44	43	$3K
90688		<1%	109	95	$3K

19 more codes

93922		<1%	39	$2K
36415	Collection of venous blood by venipuncture	<1%	138	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	48	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	77	$1K
94729		<1%	34	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	16	$1K
99384		<1%	12	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	91	$1K
94726		<1%	33	$1K
94010		<1%	59	$937.14
81003		<1%	28	$653.77
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	$514.57
90472	Immunization administration, each additional vaccine (list separately)	<1%	36	$504.60
99307		<1%	23	$334.80
99457		<1%	25	$182.72
90674		<1%	38	$154.39
99497		<1%	13	$121.36
90715		0%	16	$0.00
90734		0%	13	$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 officialOSHIYOYE, KOLAWALE (CEO)