Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoVALLEY HEALTH SYSTEMS, INC.
SCOTT DEPOT, WV 25560
33aNPI1700446929assigned 06/19/2019
33bProvider typePediatrics Physician
28Total paid$6.26M
24GClaims70,010
24DCodes billed31
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in West Virginia

Rank by total paid#4 of 57
Median peer was paid$409K
This provider vs. median15×

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.

Entity ProliferationAuthorized official BRUBECK, MARY-BETH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
2019280$23K
202011,195$809K
202111,677$1.00M
202213,326$1.28M
202319,510$1.67M
2024incomplete14,022$1.48M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialBRUBECK, MARY-BETH (CFO)
Same official

Other billing entities under BRUBECK, MARY-BETH

Full network →
ProviderLocationPaid
Valley Health Systems INCHuntington, WV$17.20M
Valley Health Systems, INCWayne, WV$14.08M
Valley Health Systems INCHuntington, WV$13.47M
Valley Health Systems INCHuntington, WV$13.19M
Valley Health Systems, INC.Milton, WV$11.01M
Valley Health Systems INCHuntington, WV$10.23M
Valley Health Systems INCHuntington, WV$10.10M
Valley Health Systems INCFort Gay, WV$8.84M
Valley Health Systems INCHurricane, WV$8.59M
Valley Health Systems, INCCharleston, WV$7.17M
Valley Health Systems INCHuntington, WV$7.02M
Valley Health Systems INCCoal Grove, OH$6.42M
Valley Health Systems INCHuntington, WV$4.93M
Valley Health Systems INCPoint Pleasant, WV$3.40M
Valley Health Systems INCHarts, 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, INCHuntington, WV$1.22M
Valley Health Systems INCKermit, WV$1.11M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.