Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $1.09M by Medicaid between Sep 2021 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
CAMBRIDGE, OH 43725
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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 | |
|---|---|---|---|
| 2021 | 8,365 | $68K | |
| 2022 | 30,817 | $313K | |
| 2023 | 30,653 | $401K | |
| 2024incomplete | 19,991 | $305K |
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 | 57% | 7,193 | 3,925 | $619K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 9,561 | 3,234 | $204K |
| 99401 | 9.3% | 3,936 | 2,618 | $101K | |
| 80305 | 5.4% | 11,915 | 4,310 | $59K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.1% | 1,979 | 891 | $45K |
| 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 | 3.0% | 960 | 321 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 2,043 | 896 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 65 | 37 | $551.15 |
| 36415 | Collection of venous blood by venipuncture | <1% | 24 | 13 | $30.27 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 4,882 | 1,643 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,840 | 910 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 8,468 | 2,907 | $0.00 |
12 more codes
| 4004F | 0% | 9,202 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 503 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 24 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 9,158 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 691 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 746 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,983 | $0.00 |
| 1036F | 0% | 689 | $0.00 | |
| 3017F | 0% | 1,266 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 9,142 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,563 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 993 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.