Clinic
Valley Health Care, INC
Valley Health Care, INC was paid $7.59M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoVALLEY HEALTH CARE, INC
ELKINS, WV 26241
ELKINS, WV 26241
33aNPI1710270954assigned 05/20/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.59M
24GClaims112,938
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#19 of 205
Median peer was paid$521K
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.
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 | 8,794 | $541K | |
| 2019 | 8,715 | $578K | |
| 2020 | 21,686 | $1.16M | |
| 2021 | 21,758 | $1.27M | |
| 2022 | 19,869 | $1.38M | |
| 2023 | 16,493 | $1.33M | |
| 2024incomplete | 15,623 | $1.34M |
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 | 93% | 45,309 | 37,344 | $7.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 21,103 | 18,897 | $134K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 4,439 | 3,969 | $93K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 7,199 | 6,317 | $91K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,252 | 2,725 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,038 | 2,909 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,328 | 624 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,170 | 1,139 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,162 | 2,045 | $15K |
| 92551 | <1% | 1,574 | 1,540 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,413 | 1,341 | $10K |
| 90686 | <1% | 769 | 728 | $9K |
39 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 893 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 653 | $6K |
| 90670 | <1% | 577 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,448 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 467 | $4K |
| 99173 | <1% | 1,276 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,398 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 161 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 311 | $2K |
| 85018 | <1% | 137 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,380 | $2K |
| 80305 | <1% | 46 | $1K | |
| 81025 | <1% | 18 | $1K | |
| 87428 | <1% | 4,222 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 60 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 150 | $1K |
| 90474 | <1% | 281 | $652.51 | |
| 90680 | <1% | 283 | $652.51 | |
| 90710 | <1% | 24 | $576.12 | |
| 81003 | <1% | 388 | $569.63 | |
| 90648 | <1% | 101 | $339.71 | |
| 87400 | <1% | 39 | $209.62 | |
| 90633 | <1% | 149 | $191.97 | |
| 90698 | <1% | 80 | $155.12 | |
| 87430 | <1% | 1,252 | $149.63 | |
| 96127 | <1% | 234 | $8.93 | |
| 90715 | 0% | 42 | $0.00 | |
| 90662 | 0% | 44 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 72 | $0.00 |
| 99188 | 0% | 187 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 156 | $0.00 |
| 90734 | 0% | 73 | $0.00 | |
| 87807 | 0% | 146 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 118 | $0.00 |
| 90651 | 0% | 51 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 79 | $0.00 |
| 90744 | 0% | 26 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 147 | $0.00 |
| 90696 | 0% | 13 | $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 officialGRAY, VEVICA (ADMIN. ASST)
Parent organizationVALLEY HEALTH CARE, INC