Clinic
The Valley Foundation
The Valley Foundation was paid $11.33M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoTHE VALLEY FOUNDATION
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
33aNPI1952315681assigned 07/28/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$11.33M
24GClaims260,604
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Alabama
Rank by total paid#2 of 35
Median peer was paid$110K
This provider vs. median103×
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 | 37,326 | $1.36M | |
| 2019 | 59,984 | $1.55M | |
| 2020 | 44,099 | $1.33M | |
| 2021 | 36,183 | $1.82M | |
| 2022 | 29,840 | $1.92M | |
| 2023 | 30,762 | $1.92M | |
| 2024incomplete | 22,410 | $1.44M |
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 | 53% | 54,228 | 48,012 | $5.99M |
| 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% | 38,101 | 32,937 | $2.84M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 9,165 | 8,260 | $573K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 7,007 | 6,499 | $444K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 11,592 | 10,901 | $198K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 2,201 | 1,963 | $132K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 2,671 | 966 | $132K |
| 87428 | 1.0% | 2,660 | 2,424 | $119K | |
| 90686 | <1% | 5,745 | 5,388 | $95K | |
| 90670 | <1% | 4,801 | 4,533 | $78K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 532 | 347 | $67K |
| 99223 | Prolong inpt eval add15 m | <1% | 416 | 373 | $64K |
67 more codes
| 90697 | <1% | 2,609 | $53K | |
| 90671 | <1% | 1,988 | $47K | |
| 90461 | <1% | 508 | $45K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 718 | $41K |
| 90681 | <1% | 2,166 | $38K | |
| 90698 | <1% | 2,350 | $35K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,509 | $34K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 576 | $31K |
| 90633 | <1% | 1,768 | $30K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,075 | $29K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 331 | $25K |
| 99173 | <1% | 5,867 | $22K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 121 | $18K |
| 90744 | <1% | 1,167 | $17K | |
| 92551 | <1% | 3,731 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 643 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $12K |
| 90656 | <1% | 619 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 381 | $10K |
| 81002 | <1% | 5,330 | $10K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 112 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $4K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 201 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 404 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 296 | $4K |
| 90734 | <1% | 83 | $3K | |
| 90677 | <1% | 132 | $3K | |
| 90707 | <1% | 141 | $2K | |
| 90716 | <1% | 130 | $2K | |
| 90700 | <1% | 133 | $2K | |
| 96161 | <1% | 1,104 | $2K | |
| 90651 | <1% | 97 | $2K | |
| 90648 | <1% | 123 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 85 | $2K |
| 96127 | <1% | 516 | $2K | |
| 99383 | <1% | 26 | $1K | |
| 90381 | <1% | 55 | $1K | |
| 99382 | <1% | 16 | $720.00 | |
| 90696 | <1% | 38 | $672.86 | |
| 81025 | <1% | 257 | $553.40 | |
| 36416 | <1% | 264 | $552.50 | |
| 90688 | <1% | 33 | $514.54 | |
| 90710 | <1% | 24 | $455.17 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $345.67 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $316.80 |
| D1206 | Topical application of fluoride varnish | <1% | 28 | $228.00 |
| 99490 | Ccm add 20min | <1% | 147 | $192.58 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 21 | $182.07 |
| 96160 | <1% | 49 | $94.28 | |
| 3008F | 0% | 13,374 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15,236 | $0.00 |
| 3074F | 0% | 17,494 | $0.00 | |
| 3079F | 0% | 4,385 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,133 | $0.00 |
| 1036F | 0% | 6,142 | $0.00 | |
| 3080F | 0% | 461 | $0.00 | |
| 3075F | 0% | 1,007 | $0.00 | |
| 1034F | 0% | 692 | $0.00 | |
| 96380 | 0% | 16 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 18 | $0.00 |
| 3078F | 0% | 15,450 | $0.00 | |
| 3077F | 0% | 1,453 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 233 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 2,021 | $0.00 |
| 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) | 0% | 93 | $0.00 |
| 99072 | 0% | 61 | $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 officialBENCE, WILLIAM (ASSISTANT DEAN OF FINANCE)