Clinic
Monongahela Valley Association of Health Centers, INC
Monongahela Valley Association of Health Centers, INC was paid $16.61M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoMONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1770697278assigned 08/19/2006
33bProvider typeClinic/Center
28Total paid$16.61M
24GClaims262,514
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in West Virginia
Rank by total paid#1 of 20
Median peer was paid$667K
This provider vs. median25×
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 | 23,530 | $1.15M | |
| 2019 | 35,190 | $1.84M | |
| 2020 | 49,381 | $2.37M | |
| 2021 | 36,223 | $2.23M | |
| 2022 | 47,698 | $3.71M | |
| 2023 | 37,025 | $2.89M | |
| 2024incomplete | 33,467 | $2.42M |
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 | 89% | 80,705 | 64,308 | $14.72M |
| 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% | 28,990 | 23,997 | $257K |
| 3008F | 1.4% | 10,334 | 8,907 | $236K | |
| 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% | 25,544 | 21,784 | $110K |
| 1159F | <1% | 5,639 | 4,864 | $84K | |
| 1030F | <1% | 2,495 | 2,136 | $80K | |
| 3074F | <1% | 2,355 | 1,991 | $61K | |
| 3351F | <1% | 2,789 | 2,497 | $58K | |
| 1000F | <1% | 3,549 | 3,115 | $55K | |
| 1032F | <1% | 1,474 | 1,278 | $55K | |
| 3078F | <1% | 1,812 | 1,582 | $54K | |
| 2001F | <1% | 2,454 | 2,140 | $52K |
111 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,192 | $50K |
| 1033F | <1% | 1,178 | $41K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,493 | $34K |
| 1034F | <1% | 991 | $30K | |
| 1036F | <1% | 1,906 | $30K | |
| 90686 | <1% | 2,295 | $30K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,535 | $27K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,414 | $25K |
| 4000F | <1% | 1,130 | $24K | |
| 99173 | <1% | 5,069 | $23K | |
| 90670 | <1% | 575 | $22K | |
| 3079F | <1% | 1,229 | $22K | |
| 92552 | <1% | 5,058 | $21K | |
| 90651 | <1% | 510 | $21K | |
| 4120F | <1% | 797 | $20K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,268 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,595 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,001 | $16K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,404 | $16K |
| 3725F | <1% | 308 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 945 | $12K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,571 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,412 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,351 | $12K |
| 1220F | <1% | 667 | $11K | |
| 3075F | <1% | 440 | $11K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 684 | $11K |
| 3077F | <1% | 344 | $9K | |
| 96127 | <1% | 7,082 | $7K | |
| G0467 | Community health center visit, returning patient | <1% | 9,775 | $7K |
| 0002A | <1% | 225 | $7K | |
| 3080F | <1% | 218 | $6K | |
| 3210F | <1% | 133 | $6K | |
| 36416 | <1% | 781 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 455 | $6K |
| 92550 | <1% | 266 | $6K | |
| 0001A | <1% | 236 | $6K | |
| 4004F | <1% | 279 | $6K | |
| 4124F | <1% | 155 | $5K | |
| 3011F | <1% | 206 | $5K | |
| 90723 | <1% | 151 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 2,376 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 91 | $4K |
| 2000F | <1% | 185 | $4K | |
| 1031F | <1% | 50 | $4K | |
| 90681 | <1% | 117 | $4K | |
| 90461 | <1% | 95 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 389 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,129 | $4K |
| 81003 | <1% | 590 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 449 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 238 | $4K |
| 3048F | <1% | 144 | $3K | |
| 90734 | <1% | 535 | $3K | |
| 90648 | <1% | 143 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 73 | $3K |
| 3354F | <1% | 107 | $3K | |
| 2028F | <1% | 54 | $3K | |
| 99188 | <1% | 117 | $3K | |
| 90698 | <1% | 83 | $3K | |
| 4010F | <1% | 102 | $3K | |
| 1035F | <1% | 41 | $3K | |
| 90633 | <1% | 210 | $2K | |
| 80061 | Lipid panel | <1% | 525 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 179 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 149 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,730 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 284 | $2K |
| 0003A | <1% | 89 | $2K | |
| 4135F | <1% | 116 | $2K | |
| 92002 | <1% | 457 | $2K | |
| 74018 | <1% | 110 | $2K | |
| 3044F | <1% | 90 | $2K | |
| 90710 | <1% | 78 | $1K | |
| 90715 | <1% | 242 | $1K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 27 | $1K |
| 1090F | <1% | 31 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 319 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,634 | $975.99 |
| 1124F | <1% | 812 | $900.49 | |
| 80053 | Comprehensive metabolic panel | <1% | 588 | $682.81 |
| 90696 | <1% | 12 | $513.00 | |
| 81025 | <1% | 146 | $470.00 | |
| 4086F | <1% | 13 | $442.62 | |
| 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% | 868 | $386.82 |
| 90662 | <1% | 292 | $247.56 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 46 | $195.00 |
| 90480 | <1% | 16 | $166.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 380 | $123.78 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 266 | $123.78 |
| 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 | <1% | 301 | $123.78 |
| 99441 | <1% | 75 | $90.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $45.24 |
| 90656 | <1% | 51 | $22.35 | |
| 85018 | <1% | 57 | $15.00 | |
| 1160F | <1% | 2,583 | $0.07 | |
| 92310 | 0% | 85 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 361 | $0.00 |
| 99406 | 0% | 116 | $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% | 256 | $0.00 |
| 87807 | 0% | 95 | $0.00 | |
| 90677 | 0% | 26 | $0.00 | |
| 99381 | 0% | 30 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 161 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 132 | $0.00 |
| 91300 | 0% | 621 | $0.00 | |
| 87634 | 0% | 175 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 41 | $0.00 |
| 81002 | 0% | 17 | $0.00 | |
| 83655 | 0% | 26 | $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 officialALVAREZ, MANUEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| R & R Perinatal Associates | Hackensack, NJ | $162.00 |
| Monongahela Valley Association of Health Centers, INC. | Mannington, WV | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.