Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $1.37M by Medicaid between Oct 2020 and Oct 2023, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
COSHOCTON, OH 43812
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 | |
|---|---|---|---|
| 2020 | 2,491 | $31K | |
| 2021 | 22,736 | $312K | |
| 2022 | 33,191 | $477K | |
| 2023 | 31,177 | $545K |
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 | 67% | 12,606 | 11,063 | $909K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 18,880 | 9,354 | $347K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 3,078 | 1,681 | $37K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 1,936 | 1,043 | $30K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,192 | 1,126 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 527 | 291 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 371 | 184 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 927 | 386 | $5K |
| 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% | 57 | 33 | $2K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 76 | 62 | $2K |
| 87428 | <1% | 61 | 39 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 118 | 68 | $791.19 |
23 more codes
| 81003 | <1% | 205 | $163.89 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 22 | $161.92 |
| Q3014 | Telehealth originating site facility fee | <1% | 116 | $148.96 |
| 99441 | <1% | 25 | $127.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 21 | $13.94 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 21 | $8.16 |
| G8482 | Influenza immunization administered or previously received | 0% | 351 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 8,757 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,487 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 9,363 | $0.00 |
| 4004F | 0% | 4,464 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 70 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 160 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 4,365 | $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% | 3,940 | $0.00 |
| 1036F | 0% | 4,184 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 4,181 | $0.00 |
| 3017F | 0% | 577 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,151 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 100 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 55 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 130 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 21 | $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.