Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1841472982 · ZANESVILLE, OH 43701 · Federally Qualified Health Center (FQHC) · NPI assigned 11/30/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more

$28.59M
Total Medicaid Paid
2,067,797
Total Claims
1,190,000
Beneficiaries
171
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date11/30/2007

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $16.13M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $9.67M
MUSKINGUM VALLEY HEALTH CENTERS MALTA OH $6.92M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $5.99M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $5.49M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $1.17M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $1.09M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $328K
MUSKINGUM VALLEY HEALTH CENTERS BYESVILLE OH $228K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $158K
MUSKINGUM VALLEY HEALTH CENTERS WEST LAFAYETTE OH $120K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $71K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $59K
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $32K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $13K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 291,107 $4.10M
2019 324,439 $4.62M
2020 380,409 $4.72M
2021 314,603 $4.60M
2022 273,469 $3.87M
2023 320,614 $4.15M
2024 163,156 $2.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 228,246 167,308 $15.66M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 203,271 110,433 $4.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,534 25,878 $1.31M
90832 Psychotherapy, 30 minutes with patient 46,104 21,315 $927K
90460 Immunization administration through 18 years of age via any route, first or only component 41,188 19,769 $596K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,442 8,164 $456K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27,789 16,059 $374K
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 15,963 12,680 $343K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,699 6,214 $330K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,286 6,469 $324K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,989 2,790 $252K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,618 3,987 $236K
D0120 Periodic oral evaluation - established patient 21,213 14,669 $213K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,752 3,972 $203K
90670 5,827 4,055 $199K
D1110 Prophylaxis - adult 11,347 8,002 $193K
D1120 Prophylaxis - child 16,098 10,957 $191K
Q3014 Telehealth originating site facility fee 20,755 11,657 $185K
D1206 Topical application of fluoride varnish 19,542 12,967 $166K
90837 Psychotherapy, 53 minutes with patient 4,053 2,001 $155K
90834 Psychotherapy, 45 minutes with patient 5,805 3,026 $149K
D0150 Comprehensive oral evaluation - new or established patient 10,001 6,561 $131K
D7140 Extraction, erupted tooth or exposed root 4,200 2,057 $118K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,389 2,347 $118K
D0330 Panoramic radiographic image 5,470 3,672 $116K
96110 Developmental screening, with scoring and documentation, per standardized instrument 25,485 9,436 $94K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,893 1,740 $92K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,370 1,924 $83K
92551 23,129 13,821 $81K
D0274 Bitewings - four radiographic images 8,693 6,113 $69K
D0140 Limited oral evaluation - problem focused 7,307 4,717 $67K
36415 Collection of venous blood by venipuncture 33,405 21,081 $47K
80305 8,270 3,185 $46K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,919 2,488 $46K
99188 3,684 2,209 $43K
90698 3,463 2,362 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,676 3,086 $43K
90633 2,892 2,138 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,132 3,601 $40K
90651 1,581 1,089 $40K
99174 6,700 4,136 $36K
83036 Hemoglobin; glycosylated (A1C) 8,100 4,825 $31K
90686 10,819 6,707 $31K
J1040 Injection, methylprednisolone acetate, 80 mg 2,753 1,879 $28K
D0272 Bitewings - two radiographic images 5,434 3,535 $27K
H1002 Prenatal care, at risk enhanced service; care coordination 4,462 2,658 $27K
81025 5,009 3,835 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,284 737 $23K
99177 4,311 2,671 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 889 543 $19K
99401 1,133 785 $18K
D1208 Topical application of fluoride, excluding varnish 2,454 2,000 $18K
D1351 Sealant - per tooth 1,384 251 $17K
D0220 Intraoral - periapical first radiographic image 7,316 4,901 $16K
90734 1,056 771 $15K
96127 6,728 4,094 $15K
90792 Psychiatric diagnostic evaluation with medical services 371 238 $14K
11720 1,953 1,185 $13K
H1000 Prenatal care, at-risk assessment 402 283 $13K
90710 529 376 $12K
96161 7,253 4,052 $11K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 417 336 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,420 679 $10K
82962 7,966 4,707 $9K
99381 258 138 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 268 166 $7K
90381 14 13 $6K
90716 157 138 $6K
90697 2,347 1,381 $4K
90707 172 151 $4K
36416 1,888 1,226 $4K
99173 2,976 1,683 $4K
D0270 1,921 1,276 $4K
85018 2,681 1,724 $3K
D0230 Intraoral - periapical each additional radiographic image 1,593 1,103 $3K
0071A 62 61 $3K
96160 1,776 1,692 $3K
80061 Lipid panel 334 245 $3K
D1354 195 82 $2K
0072A 52 52 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 325 234 $2K
90480 84 59 $2K
90744 1,808 1,273 $2K
81003 2,228 1,445 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 38 38 $2K
90681 2,178 1,415 $2K
99385 95 63 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 101 69 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 55 52 $2K
D0210 Intraoral - complete series of radiographic images 58 57 $2K
0002A 28 28 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 32 29 $1K
99384 21 20 $1K
90715 275 211 $1K
0134A 25 25 $964.12
10060 14 12 $855.52
90671 415 238 $775.53
0064A 13 13 $767.39
90696 461 332 $704.61
D2330 24 12 $645.24
99383 21 13 $641.34
76830 Ultrasound, transvaginal 15 15 $628.52
11730 20 12 $557.74
11721 32 14 $466.08
90685 220 212 $388.00
90700 365 228 $385.63
90656 521 493 $322.73
90677 1,059 774 $288.66
90648 72 67 $260.36
90474 152 112 $244.24
J1885 Injection, ketorolac tromethamine, per 15 mg 301 218 $243.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 17 $213.70
82950 125 92 $204.60
82044 205 155 $167.35
90619 400 273 $158.06
99441 42 29 $140.56
90461 8,003 5,927 $130.00
90473 44 27 $93.90
87210 65 62 $54.12
90620 167 105 $25.75
94760 1,163 540 $9.59
91313 56 39 $0.22
3017F 36,912 20,348 $0.00
G8432 Depression screening not documented, reason not given 18,343 8,391 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 27,219 14,151 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 66,926 33,754 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 756 542 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 73,280 38,725 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 67,924 34,282 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 28,839 15,398 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 31,033 18,056 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 1,204 1,067 $0.00
G8405 Lower extremity neurological exam not performed 3,744 2,041 $0.00
1036F 89,990 49,279 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 3,790 2,293 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 31,504 19,334 $0.00
G8756 No documentation of blood pressure measurement, reason not given 3,746 1,998 $0.00
3014F 2,847 1,926 $0.00
3074F 5,717 3,073 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 4,839 2,626 $0.00
3044F 1,171 733 $0.00
3079F 1,768 948 $0.00
3080F 344 187 $0.00
3075F 555 292 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 79 71 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 205 135 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 13 $0.00
1111F 267 207 $0.00
93000 15 12 $0.00
G8599 Aspirin or another antiplatelet therapy not used, reason not given 29 27 $0.00
90647 33 26 $0.00
G8484 Influenza immunization was not administered, reason not given 79,310 40,358 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 107,519 57,951 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 8,741 4,644 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 165,509 87,565 $0.00
4004F 82,352 43,225 $0.00
2022F 3,432 2,127 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 26,847 15,716 $0.00
G8482 Influenza immunization administered or previously received 16,288 8,489 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 4,974 2,139 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 2,779 1,540 $0.00
3078F 5,282 2,876 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 448 350 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 2,572 1,645 $0.00
3046F 1,767 980 $0.00
G8598 Aspirin or another antiplatelet therapy used 1,510 1,060 $0.00
3077F 970 506 $0.00
81002 49 46 $0.00
3045F 544 402 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 138 71 $0.00
69209 13 12 $0.00