Medicaid Provider Spending

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

VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER

NPI: 1912532888 · ALLENTOWN, PA 18104 · Family Medicine Physician · NPI assigned 03/11/2020

$11.90M
Total Medicaid Paid
78,244
Total Claims
72,543
Beneficiaries
45
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOMAN, PHILIP (CHIEF FINANCIAL ADVISOR)
Parent OrganizationVALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
NPI Enumeration Date03/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,170 $41K
2021 11,181 $1.02M
2022 20,565 $3.34M
2023 24,966 $3.91M
2024 20,362 $3.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 34,882 32,032 $11.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,638 13,474 $123K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,191 10,645 $60K
3078F 2,526 2,365 $6K
90686 1,808 1,394 $6K
3074F 2,668 2,515 $5K
90715 107 107 $5K
3079F 2,240 2,108 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 894 879 $4K
90732 40 40 $3K
3077F 1,285 1,195 $3K
90651 18 18 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 527 519 $2K
90620 13 13 $2K
3075F 818 789 $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 188 169 $1K
83036 Hemoglobin; glycosylated (A1C) 470 459 $807.88
3080F 362 344 $645.00
G0008 Administration of influenza virus vaccine 469 462 $459.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 38 38 $340.88
92551 372 367 $141.92
86580 16 13 $94.88
99215 Prolong outpt/office vis 65 61 $78.05
J1885 Injection, ketorolac tromethamine, per 15 mg 46 44 $38.30
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
91320 74 63 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $0.00
99173 234 232 $0.00
G9919 Screening performed and positive and provision of recommendations 88 86 $0.00
96160 96 96 $0.00
81003 37 37 $0.00
G9920 Screening performed and negative 44 42 $0.00
4040F 123 117 $0.00
80061 Lipid panel 44 43 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $0.00
1124F 12 12 $0.00
96127 1,091 1,071 $0.00
90480 57 57 $0.00
90656 247 246 $0.00
3048F 191 177 $0.00
85018 12 12 $0.00
3049F 13 13 $0.00
G0010 Administration of hepatitis b vaccine 32 29 $0.00
90677 92 85 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 26 $0.00