Physician
Valley Health Partners Community Health Center
Valley Health Partners Community Health Center was paid $11.18M by Medicaid between Jul 2020 and Dec 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
ALLENTOWN, PA 18102
ALLENTOWN, PA 18102
33aNPI1770118648assigned 03/11/2020
33bProvider typeObstetrics & Gynecology Physician
28Total paid$11.18M
24GClaims63,752
24DCodes billed32
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
Rank by total paid#1 of 511
Median peer was paid$14K
This provider vs. median780×
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 | |
|---|---|---|---|
| 2020 | 1,937 | $93K | |
| 2021 | 14,296 | $1.05M | |
| 2022 | 19,148 | $3.69M | |
| 2023 | 16,912 | $3.56M | |
| 2024incomplete | 11,459 | $2.78M |
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 | 95% | 31,180 | 28,270 | $10.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 22,178 | 20,178 | $349K |
| 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% | 2,207 | 2,169 | $56K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 359 | 358 | $35K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 489 | 479 | $22K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 277 | 195 | $16K |
| 59025 | Fetal non-stress test | <1% | 749 | 549 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 444 | 437 | $11K |
| 90746 | <1% | 183 | 182 | $10K | |
| 90715 | <1% | 363 | 359 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 697 | 696 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 518 | 503 | $7K |
20 more codes
| 81025 | <1% | 2,302 | $6K | |
| T1001 | Nursing assessment / evaluation | <1% | 39 | $6K |
| 90686 | <1% | 843 | $3K | |
| 76801 | <1% | 52 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 40 | $2K |
| 59430 | <1% | 60 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 62 | $1K |
| 87210 | <1% | 171 | $1K | |
| 76813 | <1% | 12 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 218 | $749.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $717.60 |
| 85018 | <1% | 15 | $67.38 | |
| 81002 | <1% | 13 | $60.96 | |
| 3074F | <1% | 41 | $10.00 | |
| 3075F | <1% | 12 | $10.00 | |
| 90656 | 0% | 105 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 37 | $0.00 |
| 90651 | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $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 officialGONZALEZ, VERONICA (CEO)
Parent organizationVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Valley Health Partners Community Health Center | Allentown, PA | $32.27M |
| Valley Health Partners Community Health Center | Allentown, PA | $10.05M |
| Valley Health Partners Community Health Center | Allentown, PA | $3.97M |
| Valley Health Partners Community Health Center | Allentown, PA | $3.15M |
| Valley Health Partners Community Health Center | Allentown, PA | $1.94M |
| Valley Health Partners Community Health Center | Allentown, PA | $13.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.