Medicaid Provider Spending

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

VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER

NPI: 1558996421 · ALLENTOWN, PA 18102 · Pediatrics Physician · NPI assigned 03/11/2020

$32.27M
Total Medicaid Paid
374,443
Total Claims
364,898
Beneficiaries
53
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALEZ, VERONICA (CHIEF EXECUTIVE OFFICER)
Parent OrganizationVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
NPI Enumeration Date03/11/2020

Related Entities

Other providers sharing the same authorized official: GONZALEZ, VERONICA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13,235 $476K
2021 76,984 $4.15M
2022 95,923 $8.58M
2023 97,454 $9.26M
2024 90,847 $9.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 84,108 80,418 $29.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,087 39,754 $534K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,626 14,506 $440K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15,431 15,188 $427K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,061 12,721 $303K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,162 13,001 $300K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,408 7,324 $154K
92551 29,780 29,272 $53K
90686 14,961 14,492 $43K
99460 474 470 $35K
90670 7,739 7,653 $31K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,567 7,496 $24K
90698 4,976 4,881 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,475 1,474 $22K
99188 5,474 5,422 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 858 639 $18K
90680 5,689 5,642 $17K
90633 4,500 4,427 $16K
90744 1,976 1,933 $14K
90472 Immunization administration, each additional vaccine (list separately) 520 519 $13K
99051 4,010 3,952 $13K
99238 Hospital discharge day management, 30 minutes or less 437 435 $9K
90734 405 404 $7K
85018 7,317 7,238 $7K
90651 3,290 3,253 $6K
90716 898 895 $4K
90707 886 875 $4K
90696 856 852 $3K
90710 960 942 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 50 50 $2K
90715 606 594 $1K
99173 25,115 24,859 $1K
90461 31 29 $770.38
G0008 Administration of influenza virus vaccine 73 64 $590.00
S9470 Nutritional counseling, dietitian visit 638 632 $561.42
97803 77 77 $396.96
97802 109 109 $396.96
96160 7,984 7,963 $357.86
90620 68 66 $280.00
90619 1,126 1,116 $170.00
96127 8,333 8,286 $91.84
80061 Lipid panel 9,111 9,070 $64.40
83655 7,712 7,627 $60.20
88720 48 40 $38.00
36416 2,730 2,703 $29.95
90697 3,349 3,333 $20.00
96161 7,574 7,457 $2.96
90677 2,530 2,512 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 622 613 $0.00
90656 1,448 1,444 $0.00
85013 87 85 $0.00
90381 79 79 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $0.00