Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC

NPI: 1770697278 · FAIRMONT, WV 26554 · Clinic/Center · NPI assigned 08/19/2006

$16.61M
Total Medicaid Paid
262,514
Total Claims
219,103
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALVAREZ, MANUEL (CEO)
NPI Enumeration Date08/19/2006

Related Entities

Other providers sharing the same authorized official: ALVAREZ, MANUEL

ProviderCityStateTotal Paid
R & R PERINATAL ASSOCIATES HACKENSACK NJ $162.00
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC. MANNINGTON WV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 33,467 $2.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 80,705 64,308 $14.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,990 23,997 $257K
3008F 10,334 8,907 $236K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,544 21,784 $110K
1159F 5,639 4,864 $84K
1030F 2,495 2,136 $80K
3074F 2,355 1,991 $61K
3351F 2,789 2,497 $58K
1000F 3,549 3,115 $55K
1032F 1,474 1,278 $55K
3078F 1,812 1,582 $54K
2001F 2,454 2,140 $52K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,192 6,419 $50K
1033F 1,178 1,052 $41K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,493 1,352 $34K
1034F 991 810 $30K
1036F 1,906 1,617 $30K
90686 2,295 2,080 $30K
90472 Immunization administration, each additional vaccine (list separately) 3,535 2,384 $27K
90837 Psychotherapy, 53 minutes with patient 1,414 579 $25K
4000F 1,130 981 $24K
99173 5,069 4,528 $23K
90670 575 538 $22K
3079F 1,229 998 $22K
92552 5,058 4,510 $21K
90651 510 452 $21K
4120F 797 728 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,268 2,065 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,595 2,007 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,001 1,744 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,404 1,290 $16K
3725F 308 282 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 945 790 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,571 1,383 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,412 1,313 $12K
36415 Collection of venous blood by venipuncture 2,351 2,029 $12K
1220F 667 568 $11K
3075F 440 368 $11K
J1050 Injection, medroxyprogesterone acetate, 1 mg 684 533 $11K
3077F 344 307 $9K
96127 7,082 6,157 $7K
G0467 Federally 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 9,775 7,935 $7K
0002A 225 203 $7K
3080F 218 195 $6K
3210F 133 125 $6K
36416 781 711 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 455 426 $6K
92550 266 259 $6K
0001A 236 199 $6K
4004F 279 254 $6K
4124F 155 140 $5K
3011F 206 194 $5K
90723 151 137 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,376 2,128 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 91 81 $4K
2000F 185 175 $4K
1031F 50 49 $4K
90681 117 111 $4K
90461 95 50 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 389 253 $4K
83036 Hemoglobin; glycosylated (A1C) 1,129 945 $4K
81003 590 530 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 449 362 $4K
71046 Radiologic examination, chest; 2 views 238 224 $4K
3048F 144 135 $3K
90734 535 404 $3K
90648 143 128 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 73 58 $3K
3354F 107 100 $3K
2028F 54 53 $3K
99188 117 107 $3K
90698 83 82 $3K
4010F 102 90 $3K
1035F 41 33 $3K
90633 210 200 $2K
80061 Lipid panel 525 416 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 179 142 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 149 129 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,730 1,642 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 284 264 $2K
0003A 89 60 $2K
4135F 116 97 $2K
92002 457 416 $2K
74018 110 107 $2K
3044F 90 82 $2K
90710 78 39 $1K
90715 242 201 $1K
G0444 Annual depression screening, 5 to 15 minutes 27 25 $1K
1090F 31 30 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 319 299 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,634 2,166 $975.99
1124F 812 670 $900.49
80053 Comprehensive metabolic panel 588 508 $682.81
90696 12 12 $513.00
81025 146 134 $470.00
4086F 13 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 868 751 $386.82
90662 292 232 $247.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 46 39 $195.00
90480 16 12 $166.00
G0008 Administration of influenza virus vaccine 380 340 $123.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 266 220 $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 301 253 $123.78
99441 75 44 $90.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $45.24
90656 51 50 $22.35
85018 57 55 $15.00
1160F 2,583 2,414 $0.07
92310 85 82 $0.00
90834 Psychotherapy, 45 minutes with patient 361 185 $0.00
99406 116 87 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 256 195 $0.00
87807 95 64 $0.00
90677 26 26 $0.00
99381 30 26 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 161 154 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 132 128 $0.00
91300 621 509 $0.00
87634 175 153 $0.00
99215 Prolong outpt/office vis 12 12 $0.00
90791 Psychiatric diagnostic evaluation 41 29 $0.00
81002 17 14 $0.00
83655 26 26 $0.00