Physician
Valley, Robert
Valley, Robert was paid $53K by Medicaid between Jan 2018 and Mar 2021, across 8 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 31% of everything it billed.
33Billing provider infoVALLEY, ROBERT
CHESWICK, PA 15024
CHESWICK, PA 15024
33aNPI1811999782assigned 08/11/2005
33bProvider typeEmergency Medicine Physician
28Total paid$53K
24GClaims1,364
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#395 of 1,211
Median peer was paid$19K
This provider vs. median2.7×
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 | 13 | $415.00 | |
| 2019 | 13 | $340.00 | |
| 2020 | 536 | $22K | |
| 2021 | 802 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 31% | 581 | 575 | $16K |
| 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% | 286 | 285 | $13K |
| 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 | 15% | 116 | 116 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 209 | 207 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 91 | 91 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 33 | 33 | $864.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | 29 | $378.00 |
| 81003 | <1% | 18 | 18 | $43.05 |
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.