Medicaid Provider Spending

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

MUSKINGUM VALLEY HEALTH CENTERS

NPI: 1942828959 · ZANESVILLE, OH 43701 · Federally Qualified Health Center (FQHC) · NPI assigned 07/07/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more

$5.99M
Total Medicaid Paid
455,730
Total Claims
233,948
Beneficiaries
45
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialATKINSON, DANIEL (CEO)
NPI Enumeration Date07/07/2020

Related Entities

Other providers sharing the same authorized official: ATKINSON, DANIEL

ProviderCityStateTotal Paid
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $28.59M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $16.13M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $9.67M
MUSKINGUM VALLEY HEALTH CENTERS MALTA OH $6.92M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $5.49M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $2.86M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $1.37M
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $1.17M
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $1.09M
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $328K
MUSKINGUM VALLEY HEALTH CENTERS BYESVILLE OH $228K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $158K
MUSKINGUM VALLEY HEALTH CENTERS WEST LAFAYETTE OH $120K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $71K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $59K
MUSKINGUM VALLEY HEALTH CENTERS CAMBRIDGE OH $32K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $13K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS ZANESVILLE OH $4K
MUSKINGUM VALLEY HEALTH CENTERS COSHOCTON OH $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 83,470 $1.01M
2022 129,903 $1.64M
2023 160,114 $2.09M
2024 82,243 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 49,239 37,683 $3.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68,464 34,934 $1.49M
90832 Psychotherapy, 30 minutes with patient 9,683 3,805 $208K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,209 6,435 $172K
80305 19,714 8,190 $100K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,509 2,948 $91K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,927 6,009 $73K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,817 1,949 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,369 722 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,362 2,036 $41K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,549 817 $39K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 817 611 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 819 439 $5K
81003 2,603 1,460 $2K
81025 165 91 $561.96
J1040 Injection, methylprednisolone acetate, 80 mg 43 25 $367.85
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 14 $278.46
83036 Hemoglobin; glycosylated (A1C) 25 14 $94.02
36415 Collection of venous blood by venipuncture 80 46 $86.04
J1885 Injection, ketorolac tromethamine, per 15 mg 71 38 $61.60
82962 22 13 $28.14
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 30,768 14,134 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 8,501 3,771 $0.00
1036F 16,405 8,694 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,790 831 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 32,434 15,006 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,819 729 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 16,408 8,695 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,062 1,536 $0.00
3017F 3,835 1,939 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 90 51 $0.00
G8756 No documentation of blood pressure measurement, reason not given 234 125 $0.00
3074F 23 12 $0.00
G8405 Lower extremity neurological exam not performed 56 33 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 45,162 21,419 $0.00
4004F 32,692 15,131 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 24,200 11,660 $0.00
G8482 Influenza immunization administered or previously received 2,349 1,223 $0.00
G8484 Influenza immunization was not administered, reason not given 38,515 19,234 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,942 949 $0.00
J2315 Injection, naltrexone, depot form, 1 mg 97 48 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 577 308 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 199 103 $0.00
3078F 48 26 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 23 12 $0.00