Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
COSHOCTON, OH 43812
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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 | 78,556 | $1.13M | |
| 2019 | 13,862 | $315K | |
| 2020 | 9,023 | $211K | |
| 2021 | 10,785 | $287K | |
| 2022 | 13,879 | $358K | |
| 2023 | 16,315 | $381K | |
| 2024incomplete | 5,813 | $171K |
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 | 68% | 26,805 | 21,394 | $1.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 10,896 | 7,463 | $188K |
| D0330 | Panoramic radiographic image | 2.8% | 4,165 | 2,872 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 8,249 | 5,746 | $70K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 9,383 | 6,416 | $68K |
| D1110 | Prophylaxis - adult | 2.2% | 4,549 | 3,183 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 5,521 | 3,748 | $55K |
| D1206 | Topical application of fluoride varnish | 1.8% | 7,883 | 5,346 | $51K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.2% | 1,283 | 1,181 | $36K |
| 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% | 1,108 | 810 | $28K |
| D0274 | Bitewings - four radiographic images | <1% | 4,256 | 3,204 | $26K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,402 | 798 | $24K |
77 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 3,219 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,012 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,506 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 570 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 990 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 532 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 743 | $12K |
| D2394 | <1% | 457 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 778 | $11K |
| D1351 | Sealant - per tooth | <1% | 1,009 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 2,445 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 238 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 382 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 250 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,548 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 809 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 159 | $4K |
| 90670 | <1% | 300 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 594 | $2K |
| 92551 | <1% | 646 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,025 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 49 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 927 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 429 | $1K |
| D2335 | <1% | 20 | $997.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 123 | $891.29 |
| 90716 | <1% | 134 | $828.45 | |
| 90715 | <1% | 105 | $731.56 | |
| 90633 | <1% | 166 | $613.37 | |
| 90686 | <1% | 109 | $600.45 | |
| 99173 | <1% | 627 | $592.93 | |
| 90707 | <1% | 119 | $498.12 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 29 | $465.42 |
| 90647 | <1% | 106 | $401.17 | |
| 90723 | <1% | 222 | $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 | <1% | 15 | $352.22 |
| 82962 | <1% | 374 | $288.07 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 56 | $256.91 |
| 85018 | <1% | 101 | $186.63 | |
| 90680 | <1% | 74 | $117.25 | |
| 90648 | <1% | 106 | $112.44 | |
| 90696 | <1% | 42 | $98.75 | |
| 96127 | <1% | 45 | $96.79 | |
| 90698 | <1% | 28 | $85.33 | |
| 90651 | <1% | 24 | $63.00 | |
| 90685 | <1% | 12 | $47.25 | |
| 90734 | <1% | 28 | $47.25 | |
| 90672 | <1% | 22 | $26.88 | |
| 90744 | <1% | 24 | $10.00 | |
| 90681 | <1% | 24 | $10.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 302 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,080 | $0.00 |
| 3017F | 0% | 1,982 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,452 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,219 | $0.00 |
| 1036F | 0% | 3,036 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 1,562 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 120 | $0.00 |
| 3014F | 0% | 548 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 136 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 134 | $0.00 |
| 82044 | 0% | 27 | $0.00 | |
| 3044F | 0% | 28 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,666 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,849 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,971 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 236 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,304 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 640 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 249 | $0.00 |
| 4004F | 0% | 3,582 | $0.00 | |
| 90461 | 0% | 636 | $0.00 | |
| 2022F | 0% | 376 | $0.00 | |
| 3046F | 0% | 54 | $0.00 | |
| 81003 | 0% | 28 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 124 | $0.00 |
| 3045F | 0% | 40 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.