Physician
Valley Health Partners Community Health Center
Valley Health Partners Community Health Center was paid $11.90M by Medicaid between Jul 2020 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
33aNPI1912532888assigned 03/11/2020
33bProvider typeFamily Medicine Physician
28Total paid$11.90M
24GClaims78,244
24DCodes billed45
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#6 of 2,756
Median peer was paid$19K
This provider vs. median620×
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 | |
|---|---|---|---|
| 2020 | 1,170 | $41K | |
| 2021 | 11,181 | $1.02M | |
| 2022 | 20,565 | $3.34M | |
| 2023 | 24,966 | $3.91M | |
| 2024incomplete | 20,362 | $3.59M |
Box 24 · Service lines
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 | 98% | 34,882 | 32,032 | $11.67M |
| 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 | 1.0% | 14,638 | 13,474 | $123K |
| 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% | 11,191 | 10,645 | $60K |
| 3078F | <1% | 2,526 | 2,365 | $6K | |
| 90686 | <1% | 1,808 | 1,394 | $6K | |
| 3074F | <1% | 2,668 | 2,515 | $5K | |
| 90715 | <1% | 107 | 107 | $5K | |
| 3079F | <1% | 2,240 | 2,108 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 894 | 879 | $4K |
| 90732 | <1% | 40 | 40 | $3K | |
| 3077F | <1% | 1,285 | 1,195 | $3K | |
| 90651 | <1% | 18 | 18 | $3K |
33 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 527 | $2K |
| 90620 | <1% | 13 | $2K | |
| 3075F | <1% | 818 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 188 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 470 | $807.88 |
| 3080F | <1% | 362 | $645.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 469 | $459.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $340.88 |
| 92551 | <1% | 372 | $141.92 | |
| 86580 | <1% | 16 | $94.88 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 65 | $78.05 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 46 | $38.30 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 91320 | 0% | 74 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 25 | $0.00 |
| 99173 | 0% | 234 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 88 | $0.00 |
| 96160 | 0% | 96 | $0.00 | |
| 81003 | 0% | 37 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 44 | $0.00 |
| 4040F | 0% | 123 | $0.00 | |
| 80061 | Lipid panel | 0% | 44 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| 1124F | 0% | 12 | $0.00 | |
| 96127 | 0% | 1,091 | $0.00 | |
| 90480 | 0% | 57 | $0.00 | |
| 90656 | 0% | 247 | $0.00 | |
| 3048F | 0% | 191 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 3049F | 0% | 13 | $0.00 | |
| G0010 | Administration of hepatitis b vaccine | 0% | 32 | $0.00 |
| 90677 | 0% | 92 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 27 | $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.
From NPPES
Who's on the registration
Authorized officialDOMAN, PHILIP (CHIEF FINANCIAL ADVISOR)
Parent organizationVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER