Medicaid Provider Spending

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

VALLEY PHYSICIAN ENTERPRISE, INC.

NPI: 1578021317 · WINCHESTER, VA 22601 · Internal Medicine Physician · NPI assigned 03/12/2019

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

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

$479K
Total Medicaid Paid
14,778
Total Claims
13,794
Beneficiaries
20
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent OrganizationVALLEY PHYSICIAN ENTERPRISE, INC.
NPI Enumeration Date03/12/2019

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 $1.80M
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
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
2019 863 $23K
2020 1,374 $46K
2021 1,992 $60K
2022 3,562 $110K
2023 4,408 $141K
2024 2,579 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,546 5,948 $346K
94060 2,310 2,196 $32K
94729 1,718 1,641 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 280 269 $24K
94726 1,221 1,181 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 192 176 $7K
95800 69 69 $7K
95806 75 72 $3K
3079F 602 577 $1K
3074F 945 896 $1K
94727 69 64 $1K
99215 Prolong outpt/office vis 14 13 $855.36
3078F 579 544 $825.00
95811 14 12 $816.12
94010 13 12 $683.50
95810 Polysomnography; sleep staging with 4 or more additional parameters 14 14 $614.21
99406 26 24 $197.05
3075F 49 45 $175.00
90686 14 14 $106.24
3077F 28 27 $0.00