Physician
Valley Health Systems, INC
Valley Health Systems, INC was paid $3.85M by Medicaid between Dec 2018 and Oct 2020, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoVALLEY HEALTH SYSTEMS, INC
HUNTINGTON, WV 25703
HUNTINGTON, WV 25703
33aNPI1699257386assigned 08/30/2018
33bProvider typeFamily Medicine Physician
28Total paid$3.85M
24GClaims45,650
24DCodes billed11
24AFirst – last monthDec 2018 – Oct 2020
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#12 of 202
Median peer was paid$172K
This provider vs. median22×
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 | 419 | $16K | |
| 2019 | 20,374 | $1.55M | |
| 2020 | 24,857 | $2.28M |
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 | 86% | 19,893 | 5,574 | $3.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 9,762 | 3,518 | $284K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.5% | 6,810 | 2,908 | $134K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 2,832 | 1,286 | $46K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 4,657 | 3,031 | $46K |
| 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 | <1% | 469 | 296 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 301 | 275 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | 109 | $5K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 633 | 282 | $496.76 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 129 | 59 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 29 | 24 | $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 officialWEINBERGER, RICHARD (CFO)
| Provider | Location | Paid |
|---|---|---|
| Valley Health Systems INC | Huntington, WV | $4.65M |
| Valley Health Systems INC | Cedar Grove, WV | $2.07M |
| Valley Health Systems INC | Huntington, WV | $102K |
| Drs.Weinberger & Vizy L.L.C | Beachwood, OH | $31K |
| Valley Health Systems, INC | Coal Grove, OH | $11K |
| Valley Health Systems INC | Huntington, WV | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.