Clinic
Valley Regional Enterprises, INC
Valley Regional Enterprises, INC was paid $394K by Medicaid between Jan 2018 and Dec 2018, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoVALLEY REGIONAL ENTERPRISES, INC
MARTINSBURG, WV 25404
MARTINSBURG, WV 25404
33aNPI1669724928assigned 10/11/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$394K
24GClaims7,465
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Urgent Care Clinic/Center providers in West Virginia
Rank by total paid#7 of 9
Median peer was paid$906K
This provider vs. median0.4×
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 | 7,465 | $394K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 3,041 | 2,747 | $184K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 16% | 1,505 | 1,420 | $62K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 604 | 589 | $40K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.2% | 340 | 320 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.4% | 691 | 329 | $25K |
| 94760 | 5.5% | 553 | 521 | $22K | |
| 81003 | 2.9% | 305 | 286 | $11K | |
| 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% | 154 | 142 | $7K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 73 | 72 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 59 | 56 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 53 | 53 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | 14 | $1K |
4 more codes
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 officialWISEMAN, DAVID (DIVISION CONTROLLER)
Parent organizationVALLEY REGIONAL ENTERPRISES, INC