Valley Health Systems INC
Valley Health Systems INC was paid $13.19M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
HUNTINGTON, WV 25705
Next to other Counselor 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 | |
|---|---|---|---|
| 2018 | 14,577 | $809K | |
| 2019 | 17,968 | $1.09M | |
| 2020 | 31,376 | $2.66M | |
| 2021 | 27,288 | $2.05M | |
| 2022 | 29,353 | $2.12M | |
| 2023 | 38,025 | $2.48M | |
| 2024incomplete | 23,285 | $1.98M |
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 | 87% | 73,616 | 54,200 | $11.47M |
| V2020 | Frames, purchases | 1.6% | 3,680 | 3,597 | $216K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 22,613 | 18,242 | $197K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.5% | 2,867 | 2,732 | $195K |
| 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 | 1.4% | 15,746 | 12,822 | $181K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 694 | 598 | $129K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 3,054 | 2,881 | $116K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 2,191 | 2,059 | $90K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 3,202 | 3,159 | $85K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,113 | 1,074 | $76K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,422 | 6,677 | $70K |
| 92015 | Determination of refractive state | <1% | 4,508 | 4,353 | $66K |
51 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,330 | $46K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,662 | $44K |
| D0330 | Panoramic radiographic image | <1% | 1,483 | $35K |
| D1120 | Dental cleaning, child | <1% | 1,728 | $20K |
| D0120 | Dental checkup, returning patient | <1% | 2,334 | $16K |
| D1110 | Prophylaxis - adult | <1% | 1,074 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,385 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,218 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 895 | $11K |
| 90686 | <1% | 783 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 688 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 687 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,856 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 110 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 267 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 475 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 469 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 299 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 975 | $4K |
| 76830 | Ultrasound, transvaginal | <1% | 73 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 268 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,129 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 115 | $3K |
| 72100 | <1% | 108 | $2K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 2,908 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 32 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 96 | $1K |
| 91322 | <1% | 13 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 196 | $1K |
| 74018 | <1% | 84 | $1K | |
| 90656 | <1% | 69 | $731.52 | |
| 90480 | <1% | 26 | $644.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 30 | $360.36 |
| D1206 | Topical application of fluoride varnish | <1% | 60 | $352.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 28 | $332.00 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 33 | $296.43 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,090 | $278.83 |
| G0467 | Community health center visit, returning patient | <1% | 2,208 | $194.49 |
| 73560 | <1% | 13 | $185.33 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $59.67 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 22 | $0.00 |
| 3078F | 0% | 14 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 12 | $0.00 |
| 3074F | 0% | 221 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 187 | $0.00 |
| 3008F | 0% | 281 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 18 | $0.00 |
| 3079F | 0% | 15 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| D9995 | 0% | 58 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 16 | $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. | 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. | Scott Depot, WV | $6.26M |
| 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.