Valley Internal Medicine
Valley Internal Medicine was paid $207K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.
ATHENS, AL 35613
Next to other Internal Medicine Physician providers in Alabama
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,700 | $21K | |
| 2019 | 1,646 | $26K | |
| 2020 | 844 | $34K | |
| 2021 | 615 | $44K | |
| 2022 | 637 | $48K | |
| 2023 | 430 | $28K | |
| 2024incomplete | 97 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 98% | 3,770 | 3,330 | $202K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 345 | 266 | $2K |
| 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% | 31 | 28 | $2K |
| 99490 | Ccm add 20min | <1% | 554 | 535 | $727.57 |
| 90686 | <1% | 43 | 43 | $456.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 220 | 212 | $52.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 36 | 29 | $43.37 |
| 4040F | 0% | 286 | 263 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 269 | 249 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 261 | 242 | $0.00 |
| 1036F | 0% | 141 | 130 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Athens Limestone Health Services | Harvest, AL | $1.33M |
| Medwest Clinic | Athens, AL | $757K |
| Waddell Center Family Medicine | Athens, AL | $668K |
| Valley Obstetrics & Womens Pelvic Health Center | Athens, AL | $128K |
| Rogersville Family Care | Rogersville, AL | $102K |
| West Limestone Community Care | Elkmont, AL | $33K |
| Athens Limestone Pain Center | Athens, AL | $24K |
| Elkmont Community Care | Elkmont, AL | $18K |
| Covid Clinic | Athens, AL | $17K |
| Alh Hospitalist | Athens, AL | $13K |
| Athens Limestone Healthcare INC | Athens, AL | $12K |
| Medical East | Athens, AL | $8K |
| Limestone Medical Associates | Athens, AL | $6K |
| Athens Community Care | Athens, AL | $5K |
| LHF Billing | Athens, AL | $3K |
| Athens Limestone Health Services | Athens, AL | $2K |
| Limestone Internal Medicine Center | Athens, AL | $1K |
| Capshaw Family Care | Harvest, AL | $1K |
| Tanner Community Care | Tanner, AL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.