Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1902237084 · COSHOCTON, OH 43812 · Federally Qualified Health Center (FQHC) · NPI assigned 11/27/2013

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

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

$2.86M
Total Medicaid Paid
148,233
Total Claims
105,173
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date11/27/2013

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $28.59M
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 $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 78,556 $1.13M
2019 13,862 $315K
2020 9,023 $211K
2021 10,785 $287K
2022 13,879 $358K
2023 16,315 $381K
2024 5,813 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 26,805 21,394 $1.94M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,896 7,463 $188K
D0330 Panoramic radiographic image 4,165 2,872 $80K
D1120 Prophylaxis - child 8,249 5,746 $70K
D0120 Periodic oral evaluation - established patient 9,383 6,416 $68K
D1110 Prophylaxis - adult 4,549 3,183 $64K
D0150 Comprehensive oral evaluation - new or established patient 5,521 3,748 $55K
D1206 Topical application of fluoride varnish 7,883 5,346 $51K
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 1,283 1,181 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,108 810 $28K
D0274 Bitewings - four radiographic images 4,256 3,204 $26K
90832 Psychotherapy, 30 minutes with patient 1,402 798 $24K
D0140 Limited oral evaluation - problem focused 3,219 2,150 $24K
90460 Immunization administration through 18 years of age via any route, first or only component 1,012 804 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,506 1,106 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 570 422 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 990 651 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 532 394 $15K
D7140 Extraction, erupted tooth or exposed root 743 415 $12K
D2394 457 232 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 778 524 $11K
D1351 Sealant - per tooth 1,009 210 $11K
D0272 Bitewings - two radiographic images 2,445 1,760 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 238 164 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 382 311 $7K
90834 Psychotherapy, 45 minutes with patient 250 152 $5K
D0220 Intraoral - periapical first radiographic image 2,548 1,871 $4K
D1208 Topical application of fluoride, excluding varnish 809 737 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 159 80 $4K
90670 300 250 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 594 366 $2K
92551 646 458 $2K
36415 Collection of venous blood by venipuncture 2,025 1,538 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 49 32 $2K
D0230 Intraoral - periapical each additional radiographic image 927 722 $1K
83036 Hemoglobin; glycosylated (A1C) 429 341 $1K
D2335 20 12 $997.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 123 92 $891.29
90716 134 106 $828.45
90715 105 79 $731.56
90633 166 120 $613.37
90686 109 78 $600.45
99173 627 451 $592.93
90707 119 94 $498.12
D0210 Intraoral - complete series of radiographic images 29 25 $465.42
90647 106 94 $401.17
90723 222 177 $372.00
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 15 12 $352.22
82962 374 299 $288.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 56 54 $256.91
85018 101 83 $186.63
90680 74 68 $117.25
90648 106 72 $112.44
90696 42 33 $98.75
96127 45 28 $96.79
90698 28 21 $85.33
90651 24 16 $63.00
90685 12 12 $47.25
90734 28 18 $47.25
90672 22 13 $26.88
90744 24 18 $10.00
90681 24 16 $10.00
G8432 Depression screening not documented, reason not given 302 257 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,080 733 $0.00
3017F 1,982 1,312 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,452 2,335 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,219 1,537 $0.00
1036F 3,036 2,026 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,562 946 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 120 92 $0.00
3014F 548 407 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 136 114 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 134 120 $0.00
82044 27 24 $0.00
3044F 28 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,666 3,815 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,849 4,687 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,971 1,388 $0.00
G8482 Influenza immunization administered or previously received 236 136 $0.00
G8484 Influenza immunization was not administered, reason not given 2,304 1,126 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 640 452 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 249 194 $0.00
4004F 3,582 2,500 $0.00
90461 636 527 $0.00
2022F 376 262 $0.00
3046F 54 51 $0.00
81003 28 28 $0.00
G8598 Aspirin or another antiplatelet therapy used 124 97 $0.00
3045F 40 39 $0.00