Clinic
Valley Health Care, INC.
Valley Health Care, INC. was paid $777K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoVALLEY HEALTH CARE, INC.
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1659720464assigned 06/13/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$777K
24GClaims7,961
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#89 of 205
Median peer was paid$521K
This provider vs. median1.5×
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 | 1,206 | $104K | |
| 2019 | 1,553 | $149K | |
| 2020 | 1,217 | $115K | |
| 2021 | 412 | $36K | |
| 2022 | 709 | $76K | |
| 2023 | 1,445 | $150K | |
| 2024incomplete | 1,419 | $148K |
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 | 100% | 4,105 | 2,541 | $774K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 433 | 401 | $2K |
| 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% | 2,266 | 1,541 | $607.83 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | 17 | $553.69 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 697 | 565 | $370.14 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 32 | 31 | $7.71 |
| 99173 | 0% | 45 | 45 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 27 | 26 | $0.00 |
| 86580 | 0% | 38 | 38 | $0.00 | |
| 92551 | 0% | 42 | 41 | $0.00 | |
| 90686 | 0% | 150 | 136 | $0.00 | |
| 87428 | 0% | 42 | 33 | $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 officialELZA, SANDRA (CEO)
Parent organizationVALLEY HEALTH CARE, INC
| Provider | Location | Paid |
|---|---|---|
| Valley Health Care, INC. | Elkins, WV | $24K |
| Valley Health Care, INC. | Elkins, WV | $24K |
| Valley Health Care, INC. | Elkins, WV | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.