Medicaid Provider Spending

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

VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC

NPI: 1952795957 · TERRE HAUTE, IN 47807 · Family Medicine Physician · NPI assigned 03/27/2015

$5.07M
Total Medicaid Paid
151,732
Total Claims
110,366
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWARREN, TERRY (CEO)
NPI Enumeration Date03/27/2015

Related Entities

Other providers sharing the same authorized official: WARREN, TERRY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 20,925 $714K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55,907 43,567 $2.82M
T1015 Clinic visit/encounter, all-inclusive 61,999 44,783 $956K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,899 5,646 $511K
90834 Psychotherapy, 45 minutes with patient 4,970 3,272 $241K
90837 Psychotherapy, 53 minutes with patient 1,894 1,185 $147K
90853 Group psychotherapy (other than of a multiple-family group) 5,435 1,212 $93K
90832 Psychotherapy, 30 minutes with patient 1,888 1,357 $71K
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 2,418 2,078 $60K
90791 Psychiatric diagnostic evaluation 657 566 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,782 2,742 $41K
90472 Immunization administration, each additional vaccine (list separately) 1,269 787 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 263 199 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 142 119 $12K
80305 520 298 $5K
87428 200 173 $5K
81002 1,876 1,168 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 34 25 $3K
59425 24 14 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 176 143 $2K
90686 562 392 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 59 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 161 136 $1K
90688 93 86 $161.21
90670 153 115 $130.00
99308 Subsequent nursing facility care, per day, straightforward 48 25 $102.30
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 35 12 $22.00
90648 146 118 $0.00
90633 18 12 $0.00
D9999 Unspecified adjunctive procedure, by report 19 15 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 64 50 $0.00
90723 13 12 $0.00