Valley Physician Enterprise INC
Valley Physician Enterprise INC was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
WINCHESTER, VA 22601
Next to other Clinical Social Worker providers in Virginia
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 | 1,444 | $50K | |
| 2019 | 5,205 | $256K | |
| 2020 | 4,997 | $300K | |
| 2021 | 7,764 | $222K | |
| 2022 | 9,738 | $283K | |
| 2023 | 8,933 | $266K | |
| 2024incomplete | 4,768 | $206K |
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 | 67% | 15,388 | 13,745 | $1.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 5,666 | 4,955 | $260K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 1,024 | 950 | $102K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 474 | 445 | $49K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 475 | 425 | $30K |
| 3074F | <1% | 5,405 | 4,981 | $13K | |
| 90686 | <1% | 832 | 738 | $12K | |
| 3078F | <1% | 5,238 | 4,829 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,357 | 1,229 | $8K |
| 3079F | <1% | 2,712 | 2,552 | $7K | |
| 99490 | Ccm add 20min | <1% | 382 | 348 | $5K |
| 3075F | <1% | 1,734 | 1,633 | $5K |
14 more codes
| 90715 | <1% | 83 | $3K | |
| 3077F | <1% | 1,110 | $2K | |
| 87428 | <1% | 60 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 35 | $2K |
| 3080F | <1% | 456 | $850.00 | |
| 90656 | <1% | 34 | $699.23 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $624.86 |
| 99406 | <1% | 85 | $515.52 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $409.44 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $363.40 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 17 | $307.11 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 73 | $235.59 |
| 81002 | <1% | 12 | $24.55 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 158 | $16.01 |
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.