Clinic
Valley Health Care, INC
Valley Health Care, INC was paid $5.46M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoVALLEY HEALTH CARE, INC
MILL CREEK, WV 26280
MILL CREEK, WV 26280
33aNPI1801861083assigned 02/21/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.46M
24GClaims81,536
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#29 of 205
Median peer was paid$521K
This provider vs. median10×
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 | 8,812 | $590K | |
| 2019 | 5,751 | $373K | |
| 2020 | 11,212 | $715K | |
| 2021 | 13,885 | $807K | |
| 2022 | 16,148 | $1.01M | |
| 2023 | 13,325 | $992K | |
| 2024incomplete | 12,403 | $979K |
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 | 92% | 34,132 | 28,031 | $5.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 21,621 | 18,625 | $180K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 5,667 | 4,513 | $65K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 3,293 | 2,909 | $59K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,747 | 779 | $35K |
| 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% | 4,000 | 3,700 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,599 | 2,422 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 908 | 827 | $14K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 448 | 285 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 702 | 626 | $8K |
| 81003 | <1% | 334 | 304 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 443 | 410 | $7K |
26 more codes
| 90686 | <1% | 160 | $3K | |
| 87807 | <1% | 61 | $2K | |
| 81025 | <1% | 81 | $2K | |
| V2020 | Frames, purchases | <1% | 25 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 16 | $944.12 |
| 92015 | Determination of refractive state | <1% | 43 | $903.30 |
| 87428 | <1% | 3,121 | $561.95 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $443.22 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $339.88 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 39 | $184.96 |
| 0071A | <1% | 38 | $160.00 | |
| 0072A | <1% | 25 | $120.00 | |
| 87430 | <1% | 1,129 | $98.37 | |
| 87420 | <1% | 73 | $4.31 | |
| 96127 | <1% | 167 | $2.95 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 85 | $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% | 36 | $0.00 |
| 92551 | 0% | 197 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 90620 | 0% | 14 | $0.00 | |
| 99173 | 0% | 168 | $0.00 | |
| 87400 | 0% | 26 | $0.00 | |
| 99188 | 0% | 15 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 28 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 29 | $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 officialGODWIN, JORDAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Health Care INC. | Beverly, WV | $5K |
| Valley Health Care INC | Mill Creek, WV | $3K |
| Valley Health Care, INC | Coalton, WV | $60.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.