Clinic
Muskingum Valley Health Centers
Muskingum Valley Health Centers was paid $5.99M by Medicaid between May 2021 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoMUSKINGUM VALLEY HEALTH CENTERS
ZANESVILLE, OH 43701
ZANESVILLE, OH 43701
33aNPI1942828959assigned 07/07/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.99M
24GClaims455,730
24DCodes billed45
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#51 of 348
Median peer was paid$1.33M
This provider vs. median4.5×
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.
Entity ProliferationAuthorized official ATKINSON, DANIEL controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 83,470 | $1.01M | |
| 2022 | 129,903 | $1.64M | |
| 2023 | 160,114 | $2.09M | |
| 2024incomplete | 82,243 | $1.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 61% | 49,239 | 37,683 | $3.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 68,464 | 34,934 | $1.49M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 9,683 | 3,805 | $208K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 13,209 | 6,435 | $172K |
| 80305 | 1.7% | 19,714 | 8,190 | $100K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 5,509 | 2,948 | $91K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 10,927 | 6,009 | $73K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 3,817 | 1,949 | $67K |
| 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 | <1% | 1,369 | 722 | $42K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,362 | 2,036 | $41K |
| 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% | 1,549 | 817 | $39K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 817 | 611 | $16K |
33 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 819 | $5K |
| 81003 | <1% | 2,603 | $2K | |
| 81025 | <1% | 165 | $561.96 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 43 | $367.85 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | $278.46 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $94.02 |
| 36415 | Collection of venous blood by venipuncture | <1% | 80 | $86.04 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 71 | $61.60 |
| 82962 | <1% | 22 | $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) | 0% | 30,768 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 8,501 | $0.00 |
| 1036F | 0% | 16,405 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,790 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 32,434 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,819 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16,408 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,062 | $0.00 |
| 3017F | 0% | 3,835 | $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) | 0% | 90 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 234 | $0.00 |
| 3074F | 0% | 23 | $0.00 | |
| G8405 | Lower extremity neurological exam not performed | 0% | 56 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 45,162 | $0.00 |
| 4004F | 0% | 32,692 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 24,200 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 2,349 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 38,515 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,942 | $0.00 |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 97 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 577 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 199 | $0.00 |
| 3078F | 0% | 48 | $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) | 0% | 23 | $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 officialATKINSON, DANIEL (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.