Physician
Valley Health Partners Community Health Center
Valley Health Partners Community Health Center was paid $3.15M by Medicaid between Sep 2022 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
ALLENTOWN, PA 18101
ALLENTOWN, PA 18101
33aNPI1649916263assigned 05/06/2022
33bProvider typeOphthalmology Physician
28Total paid$3.15M
24GClaims28,622
24DCodes billed27
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#5 of 288
Median peer was paid$7K
This provider vs. median452×
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 | |
|---|---|---|---|
| 2022 | 94 | $22K | |
| 2023 | 6,435 | $471K | |
| 2024incomplete | 22,093 | $2.65M |
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 | 93% | 8,979 | 7,405 | $2.92M |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.3% | 3,709 | 1,633 | $135K |
| V2020 | Frames, purchases | 2.0% | 2,490 | 1,922 | $62K |
| V2750 | Anti-reflective coating, per lens | <1% | 755 | 369 | $11K |
| V2744 | Tint, photochromatic, per lens | <1% | 240 | 130 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,025 | 1,089 | $2K |
| V2299 | Specialty bifocal (by report) | <1% | 45 | 28 | $2K |
| V2781 | Progressive lens, per lens | <1% | 45 | 28 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,809 | 2,659 | $1K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 26 | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 323 | 307 | $877.87 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 23 | 12 | $841.62 |
15 more codes
| V2760 | Scratch resistant coating, per lens | <1% | 60 | $580.00 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,146 | $393.67 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 286 | $369.41 |
| V2025 | Deluxe frame | <1% | 14 | $166.32 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 94 | $40.00 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 468 | $35.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 183 | $0.00 |
| 92250 | 0% | 142 | $0.00 | |
| 90656 | 0% | 24 | $0.00 | |
| 92082 | 0% | 29 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 92015 | Determination of refractive state | 0% | 3,472 | $0.00 |
| 92133 | 0% | 167 | $0.00 | |
| 92134 | 0% | 42 | $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 (CEO)
Parent organizationVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Valley Health Partners Community Health Center | Allentown, PA | $32.27M |
| 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 | $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.