Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › GREENFIELD › VALLEY MEDICAL GROUP, P.C.

VALLEY MEDICAL GROUP, P.C.

NPI: 1912924705 · GREENFIELD, MA 01301 · Psychologist · NPI assigned 07/16/2006

$9.96M
Total Medicaid Paid
396,773
Total Claims
373,403
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARLAN, PAUL (PRESIDENT)
NPI Enumeration Date07/16/2006

Related Entities

Other providers sharing the same authorized official: CARLAN, PAUL

ProviderCityStateTotal Paid
VALLEY MEDICAL GROUP, P.C. GREENFIELD MA $313K
VALLEY MEDICAL GROUP, P.C. EASTHAMPTON MA $109K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78,246 $2.01M
2019 76,307 $1.79M
2020 50,843 $1.40M
2021 47,531 $1.63M
2022 45,399 $1.68M
2023 56,643 $937K
2024 41,804 $513K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 112,918 105,448 $5.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59,479 56,153 $2.38M
90834 Psychotherapy, 45 minutes with patient 3,980 2,922 $315K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,146 4,983 $192K
92340 Fitting of spectacles, except for aphakia; monofocal 3,540 3,040 $100K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,493 2,481 $96K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,460 5,407 $89K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,379 1,378 $76K
90686 6,806 6,741 $73K
99215 Prolong outpt/office vis 1,515 1,467 $72K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 702 698 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,033 1,933 $50K
92341 1,429 1,423 $50K
84443 Thyroid stimulating hormone (TSH) 5,323 5,123 $49K
92015 Determination of refractive state 3,761 3,749 $46K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 724 688 $44K
80061 Lipid panel 18,776 18,289 $38K
83036 Hemoglobin; glycosylated (A1C) 9,636 9,381 $37K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,457 8,939 $37K
96127 4,170 3,298 $36K
77067 Screening mammography, bilateral, including computer-aided detection 600 598 $34K
90792 Psychiatric diagnostic evaluation with medical services 324 324 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 471 470 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 291 289 $29K
97803 570 550 $26K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,375 1,330 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 664 657 $24K
20611 538 468 $24K
99442 2,093 1,955 $24K
90837 Psychotherapy, 53 minutes with patient 243 204 $23K
99490 Ccm add 20min 11,518 11,497 $23K
90832 Psychotherapy, 30 minutes with patient 454 391 $20K
11720 2,049 2,040 $18K
ATP14 2,533 2,503 $17K
ATP11 3,234 3,229 $15K
80048 Basic metabolic panel (calcium, ionized) 12,096 11,586 $15K
ATP08 3,339 3,208 $14K
99406 16,949 15,764 $13K
80053 Comprehensive metabolic panel 6,449 6,243 $13K
99443 1,263 1,210 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 116 116 $11K
83721 5,179 5,029 $11K
94250 1,145 682 $10K
ATP17 1,495 1,494 $9K
11721 1,017 1,001 $9K
90791 Psychiatric diagnostic evaluation 69 67 $8K
77063 Screening digital breast tomosynthesis, bilateral 564 561 $7K
92370 549 539 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 430 429 $6K
11056 346 343 $6K
ATP03 1,050 1,049 $4K
98927 115 66 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $3K
36415 Collection of venous blood by venipuncture 45,384 41,758 $3K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 259 259 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 237 237 $2K
95251 258 255 $2K
77080 319 251 $2K
ATP15 398 382 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 695 663 $2K
86140 877 843 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 70 68 $2K
G0008 Administration of influenza virus vaccine 2,036 2,007 $2K
11719 511 499 $2K
97161 24 24 $2K
71046 Radiologic examination, chest; 2 views 146 143 $2K
ATP18 252 251 $2K
ATP07 266 261 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $1K
90656 81 81 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 76 $1K
99441 146 140 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 232 228 $1K
85651 618 596 $1K
82607 132 123 $1K
11055 52 52 $1K
0001A 28 28 $952.00
84439 174 168 $906.00
87428 14 14 $826.67
0002A 18 18 $825.66
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $786.28
97802 13 13 $783.21
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 117 117 $780.12
ATP04 159 158 $774.68
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 66 63 $754.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 272 265 $729.78
90662 209 206 $728.52
82728 93 88 $700.26
99051 38 38 $511.68
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $352.24
ATP10 71 71 $295.68
82043 113 113 $250.31
82570 113 113 $227.04
92134 12 12 $226.68
73562 16 14 $204.22
G0444 Annual depression screening, 5 to 15 minutes 2,368 2,353 $199.91
90472 Immunization administration, each additional vaccine (list separately) 14 14 $198.30
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $175.96
73630 17 12 $137.62
ATP09 31 31 $116.48
81003 75 74 $99.33
G0442 Annual alcohol misuse screening, 5 to 15 minutes 86 85 $59.38
80076 111 108 $52.87
85027 12 12 $47.20
ATP12 14 14 $46.50
0011A 12 12 $33.88
S0020 Injection, bupivicaine hydrochloride, 30 ml 13 13 $15.76
J2795 Injection, ropivacaine hydrochloride, 1 mg 223 219 $11.32
82962 12 12 $9.69
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 15 $0.00
82565 14 12 $0.00
91300 46 46 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 184 180 $0.00