Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Berryville › NPI 1700562634
Physician

Valley Physician Enterprise, INC.

Valley Physician Enterprise, INC. was paid $27K by Medicaid between Apr 2024 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoVALLEY PHYSICIAN ENTERPRISE, INC.
BERRYVILLE, VA 22611
33aNPI1700562634assigned 06/26/2023
28Total paid$27K
24GClaims507
24DCodes billed8
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#307 of 772
Median peer was paid$13K
This provider vs. median2.1×

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 JOHNSON, RENEE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2024incomplete507$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 273 252 $21K
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 17% 44 42 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 26 25 $1K
3074F 1.1% 83 82 $300.00
3079F <1% 27 27 $150.00
3077F <1% 20 17 $100.00
3080F <1% 19 17 $75.00
3078F <1% 15 14 $25.00

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 officialJOHNSON, RENEE (CREDENTIALING COORDINATOR)
Parent organizationVALLEY PHYSICIAN ENTERPRISE, INC.
Same official

Other billing entities under JOHNSON, RENEE

Full network →

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