Valley Health Systems, INC.
Valley Health Systems, INC. was paid $6.26M by Medicaid between Dec 2019 and Dec 2024, across 31 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.
SCOTT DEPOT, WV 25560
Next to other Pediatrics Physician providers in West Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 280 | $23K | |
| 2020 | 11,195 | $809K | |
| 2021 | 11,677 | $1.00M | |
| 2022 | 13,326 | $1.28M | |
| 2023 | 19,510 | $1.67M | |
| 2024incomplete | 14,022 | $1.48M |
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% | 32,144 | 25,238 | $6.25M |
| 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% | 14,307 | 11,756 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,075 | 3,656 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,535 | 4,689 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,051 | 1,847 | $670.48 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,135 | 1,035 | $219.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,068 | 967 | $206.67 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 489 | 441 | $98.31 |
| 90686 | <1% | 1,020 | 913 | $22.00 | |
| 90680 | 0% | 185 | 173 | $0.00 | |
| 3074F | 0% | 942 | 739 | $0.00 | |
| 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 | 0% | 1,022 | 904 | $0.00 |
19 more codes
| 90723 | 0% | 336 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 321 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 195 | $0.00 |
| 90651 | 0% | 34 | $0.00 | |
| 90474 | 0% | 40 | $0.00 | |
| 3008F | 0% | 229 | $0.00 | |
| 90656 | 0% | 27 | $0.00 | |
| 3078F | 0% | 869 | $0.00 | |
| 90633 | 0% | 238 | $0.00 | |
| 90648 | 0% | 613 | $0.00 | |
| 90670 | 0% | 545 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,536 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 689 | $0.00 |
| 90734 | 0% | 113 | $0.00 | |
| 90473 | 0% | 104 | $0.00 | |
| 90710 | 0% | 106 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90672 | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Valley Health Systems INC | Huntington, WV | $17.20M |
| Valley Health Systems, INC | Wayne, WV | $14.08M |
| Valley Health Systems INC | Huntington, WV | $13.47M |
| Valley Health Systems INC | Huntington, WV | $13.19M |
| Valley Health Systems, INC. | Milton, WV | $11.01M |
| Valley Health Systems INC | Huntington, WV | $10.23M |
| Valley Health Systems INC | Huntington, WV | $10.10M |
| Valley Health Systems INC | Fort Gay, WV | $8.84M |
| Valley Health Systems INC | Hurricane, WV | $8.59M |
| Valley Health Systems, INC | Charleston, WV | $7.17M |
| Valley Health Systems INC | Huntington, WV | $7.02M |
| Valley Health Systems INC | Coal Grove, OH | $6.42M |
| Valley Health Systems INC | Huntington, WV | $4.93M |
| Valley Health Systems INC | Point Pleasant, WV | $3.40M |
| Valley Health Systems INC | Harts, WV | $2.71M |
| Valley Health Systems, INC. | Barboursville, WV | $2.70M |
| Valley Health Systems, INC. | Huntington, WV | $1.81M |
| Valley Health Systems, INC. | Huntington, WV | $1.40M |
| Valley Health Systems, INC | Huntington, WV | $1.22M |
| Valley Health Systems INC | Kermit, WV | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.