Physician
Valley Professionals Community Health Center INC
Valley Professionals Community Health Center INC was paid $5.07M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoVALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC
TERRE HAUTE, IN 47807
TERRE HAUTE, IN 47807
33aNPI1952795957assigned 03/27/2015
33bProvider typeFamily Medicine Physician
28Total paid$5.07M
24GClaims151,732
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#12 of 408
Median peer was paid$81K
This provider vs. median63×
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 | 12,327 | $241K | |
| 2019 | 15,936 | $720K | |
| 2020 | 13,811 | $629K | |
| 2021 | 27,536 | $1.00M | |
| 2022 | 33,338 | $891K | |
| 2023 | 27,859 | $873K | |
| 2024incomplete | 20,925 | $714K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 55,907 | 43,567 | $2.82M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 19% | 61,999 | 44,783 | $956K |
| 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 | 10% | 6,899 | 5,646 | $511K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.8% | 4,970 | 3,272 | $241K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 1,894 | 1,185 | $147K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.8% | 5,435 | 1,212 | $93K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 1,888 | 1,357 | $71K |
| 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 | 1.2% | 2,418 | 2,078 | $60K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 657 | 566 | $55K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,782 | 2,742 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,269 | 787 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 263 | 199 | $19K |
19 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 142 | $12K |
| 80305 | <1% | 520 | $5K | |
| 87428 | <1% | 200 | $5K | |
| 81002 | <1% | 1,876 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 34 | $3K |
| 59425 | <1% | 24 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 176 | $2K |
| 90686 | <1% | 562 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 67 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 161 | $1K |
| 90688 | <1% | 93 | $161.21 | |
| 90670 | <1% | 153 | $130.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 48 | $102.30 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 35 | $22.00 |
| 90648 | 0% | 146 | $0.00 | |
| 90633 | 0% | 18 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 19 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 64 | $0.00 |
| 90723 | 0% | 13 | $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 officialWARREN, TERRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Professionals Community Health Center, INC. | Clinton, IN | $6.49M |
| Valley Professionals Community Health Center INC | Crawfordsville, IN | $1.55M |
| Valley Professionals Community Health Center, INC. | Cayuga, IN | $1.33M |
| Valley Professionals Community Health Center INC | Terre Haute, IN | $980K |
| Valley Professionals Community Health Center INC | Rockville, IN | $938K |
| Valley Professionals Community Health Center, INC. | Bloomingdale, IN | $724K |
| Valley Professionals Community Health Center INC | West Terre Haute, IN | $249K |
| JR Pharmacy Rockville LLC 4 | Rockville, IN | $0.00 |
| JR Pharmacy LLC 2 | Terre Haute, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.