Behavioral
Valley Medical Group, P.C.
Valley Medical Group, P.C. was paid $9.96M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoVALLEY MEDICAL GROUP, P.C.
GREENFIELD, MA 01301
GREENFIELD, MA 01301
33aNPI1912924705assigned 07/16/2006
33bProvider typePsychologist
28Total paid$9.96M
24GClaims396,773
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Massachusetts
Rank by total paid#2 of 91
Median peer was paid$38K
This provider vs. median261×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 41,804 | $513K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 112,918 | 105,448 | $5.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 59,479 | 56,153 | $2.38M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 3,980 | 2,922 | $315K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.9% | 6,146 | 4,983 | $192K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.0% | 3,540 | 3,040 | $100K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,493 | 2,481 | $96K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,460 | 5,407 | $89K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,379 | 1,378 | $76K |
| 90686 | <1% | 6,806 | 6,741 | $73K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,515 | 1,467 | $72K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 702 | 698 | $63K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,033 | 1,933 | $50K |
101 more codes
| 92341 | <1% | 1,429 | $50K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 5,323 | $49K |
| 92015 | Determination of refractive state | <1% | 3,761 | $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 | <1% | 724 | $44K |
| 80061 | Lipid panel | <1% | 18,776 | $38K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,636 | $37K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,457 | $37K |
| 96127 | <1% | 4,170 | $36K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 600 | $34K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 324 | $30K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 471 | $30K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 291 | $29K |
| 97803 | <1% | 570 | $26K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,375 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 664 | $24K |
| 20611 | <1% | 538 | $24K | |
| 99442 | <1% | 2,093 | $24K | |
| 90837 | Psychotherapy session, about an hour | <1% | 243 | $23K |
| 99490 | Ccm add 20min | <1% | 11,518 | $23K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 454 | $20K |
| 11720 | <1% | 2,049 | $18K | |
| ATP14 | <1% | 2,533 | $17K | |
| ATP11 | <1% | 3,234 | $15K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12,096 | $15K |
| ATP08 | <1% | 3,339 | $14K | |
| 99406 | <1% | 16,949 | $13K | |
| 80053 | Comprehensive metabolic panel | <1% | 6,449 | $13K |
| 99443 | <1% | 1,263 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 116 | $11K |
| 83721 | <1% | 5,179 | $11K | |
| 94250 | <1% | 1,145 | $10K | |
| ATP17 | <1% | 1,495 | $9K | |
| 11721 | <1% | 1,017 | $9K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 69 | $8K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 564 | $7K |
| 92370 | <1% | 549 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 430 | $6K |
| 11056 | <1% | 346 | $6K | |
| ATP03 | <1% | 1,050 | $4K | |
| 98927 | <1% | 115 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 45,384 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 259 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 237 | $2K |
| 95251 | <1% | 258 | $2K | |
| 77080 | <1% | 319 | $2K | |
| ATP15 | <1% | 398 | $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) | <1% | 695 | $2K |
| 86140 | <1% | 877 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 70 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 2,036 | $2K |
| 11719 | <1% | 511 | $2K | |
| 97161 | <1% | 24 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 146 | $2K |
| ATP18 | <1% | 252 | $2K | |
| ATP07 | <1% | 266 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 90656 | <1% | 81 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $1K |
| 99441 | <1% | 146 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 232 | $1K |
| 85651 | <1% | 618 | $1K | |
| 82607 | <1% | 132 | $1K | |
| 11055 | <1% | 52 | $1K | |
| 0001A | <1% | 28 | $952.00 | |
| 84439 | <1% | 174 | $906.00 | |
| 87428 | <1% | 14 | $826.67 | |
| 0002A | <1% | 18 | $825.66 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | $786.28 |
| 97802 | <1% | 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)). | <1% | 117 | $780.12 |
| ATP04 | <1% | 159 | $774.68 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 66 | $754.20 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 272 | $729.78 |
| 90662 | <1% | 209 | $728.52 | |
| 82728 | <1% | 93 | $700.26 | |
| 99051 | <1% | 38 | $511.68 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $352.24 |
| ATP10 | <1% | 71 | $295.68 | |
| 82043 | <1% | 113 | $250.31 | |
| 82570 | <1% | 113 | $227.04 | |
| 92134 | <1% | 12 | $226.68 | |
| 73562 | <1% | 16 | $204.22 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,368 | $199.91 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $198.30 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $175.96 |
| 73630 | <1% | 17 | $137.62 | |
| ATP09 | <1% | 31 | $116.48 | |
| 81003 | <1% | 75 | $99.33 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 86 | $59.38 |
| 80076 | <1% | 111 | $52.87 | |
| 85027 | <1% | 12 | $47.20 | |
| ATP12 | <1% | 14 | $46.50 | |
| 0011A | <1% | 12 | $33.88 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 13 | $15.76 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 223 | $11.32 |
| 82962 | <1% | 12 | $9.69 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 17 | $0.00 |
| 82565 | 0% | 14 | $0.00 | |
| 91300 | 0% | 46 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 184 | $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 officialCARLAN, PAUL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Medical Group, P.C. | Greenfield, MA | $313K |
| Valley Medical Group, P.C. | Easthampton, MA | $109K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.