Physician
Valley Health Partners Community Health Center
Valley Health Partners Community Health Center was paid $32.27M by Medicaid between Jul 2020 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
ALLENTOWN, PA 18102
ALLENTOWN, PA 18102
33aNPI1558996421assigned 03/11/2020
33bProvider typePediatrics Physician
28Total paid$32.27M
24GClaims374,443
24DCodes billed53
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#1 of 1,257
Median peer was paid$45K
This provider vs. median711×
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 | |
|---|---|---|---|
| 2020 | 13,235 | $476K | |
| 2021 | 76,984 | $4.15M | |
| 2022 | 95,923 | $8.58M | |
| 2023 | 97,454 | $9.26M | |
| 2024incomplete | 90,847 | $9.81M |
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 | 92% | 84,108 | 80,418 | $29.72M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 41,087 | 39,754 | $534K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 14,626 | 14,506 | $440K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 15,431 | 15,188 | $427K |
| 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% | 13,061 | 12,721 | $303K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13,162 | 13,001 | $300K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,408 | 7,324 | $154K |
| 92551 | <1% | 29,780 | 29,272 | $53K | |
| 90686 | <1% | 14,961 | 14,492 | $43K | |
| 99460 | <1% | 474 | 470 | $35K | |
| 90670 | <1% | 7,739 | 7,653 | $31K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,567 | 7,496 | $24K |
41 more codes
| 90698 | <1% | 4,976 | $23K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,475 | $22K |
| 99188 | <1% | 5,474 | $19K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 858 | $18K |
| 90680 | <1% | 5,689 | $17K | |
| 90633 | <1% | 4,500 | $16K | |
| 90744 | <1% | 1,976 | $14K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 520 | $13K |
| 99051 | <1% | 4,010 | $13K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 437 | $9K |
| 90734 | <1% | 405 | $7K | |
| 85018 | <1% | 7,317 | $7K | |
| 90651 | <1% | 3,290 | $6K | |
| 90716 | <1% | 898 | $4K | |
| 90707 | <1% | 886 | $4K | |
| 90696 | <1% | 856 | $3K | |
| 90710 | <1% | 960 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | $2K |
| 90715 | <1% | 606 | $1K | |
| 99173 | <1% | 25,115 | $1K | |
| 90461 | <1% | 31 | $770.38 | |
| G0008 | Administration of influenza virus vaccine | <1% | 73 | $590.00 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 638 | $561.42 |
| 97803 | <1% | 77 | $396.96 | |
| 97802 | <1% | 109 | $396.96 | |
| 96160 | <1% | 7,984 | $357.86 | |
| 90620 | <1% | 68 | $280.00 | |
| 90619 | <1% | 1,126 | $170.00 | |
| 96127 | <1% | 8,333 | $91.84 | |
| 80061 | Lipid panel | <1% | 9,111 | $64.40 |
| 83655 | <1% | 7,712 | $60.20 | |
| 88720 | <1% | 48 | $38.00 | |
| 36416 | <1% | 2,730 | $29.95 | |
| 90697 | <1% | 3,349 | $20.00 | |
| 96161 | <1% | 7,574 | $2.96 | |
| 90677 | 0% | 2,530 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 622 | $0.00 |
| 90656 | 0% | 1,448 | $0.00 | |
| 85013 | 0% | 87 | $0.00 | |
| 90381 | 0% | 79 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 12 | $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 officialGONZALEZ, VERONICA (CHIEF EXECUTIVE OFFICER)
Parent organizationVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Valley Health Partners Community Health Center | Allentown, PA | $11.18M |
| Valley Health Partners Community Health Center | Allentown, PA | $10.05M |
| Valley Health Partners Community Health Center | Allentown, PA | $3.97M |
| Valley Health Partners Community Health Center | Allentown, PA | $3.15M |
| Valley Health Partners Community Health Center | Allentown, PA | $1.94M |
| Valley Health Partners Community Health Center | Allentown, PA | $13.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.