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    OpenPayerNPI Medicare & MedicaidValley Health Systems Inc
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    Valley Health Systems Inc — Billing Profile & Reimbursement Data

    NPI 1225154206 · Hurricane, WV · Federally Qualified Health Center (FQHC)

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    Valley Health Systems Inc is a federally qualified health center (fqhc) provider located in Hurricane, West Virginia. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationValley Health Systems Inc
    Address3729 Teays Valley Rd
    CityHurricane
    StateWV
    ZIP25526
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMarch 22, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive45,190$180$8.1M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…15,730$10$220.2K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…9,310$10$55.9K
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan990$40$41.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…6,370$10$38.2K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…1,750$20$35K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…2,650$10$26.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.780$30$21K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…470$30$15.4K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…160$50$8.2K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive443904,610$130$2.2M
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan19301,020$50$438.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1441,2701,240$30$245K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1431,030890$50$221K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…127310740$80$178.2K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…113150520$50$76.2K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.6680390$60$69.4K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…92140550$50$67.2K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…38100940$20$62.4K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…93210280$40$59.2K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Valley Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$17.2M
    Valley Health Systems, IncWVFederally Qualified Health Center (FQHC)$0$14.1M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$13.4M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$13.2M
    Valley Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$11M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$10.2M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$10.1M
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$8.8M
    Valley Health Systems IncWVClinical Medical Laboratory$299.4K$7M
    Valley Health Systems, IncWVFederally Qualified Health Center (FQHC)$0$7.1M

    Nearby Providers

    Other providers in the same ZIP code as Valley Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Drs Martin & Kirk PLLCWVPediatric Dentistry$0$14.2M
    Active Medical LLCWVDurable Medical Equipment & Medical Supplies$0$5.2M
    Milestones Physical Therapy, Inc.WVPhysical Therapist$0$3.1M
    Wv Wellness And Recovery LLCWVMedical Specialty Clinic/Center$0$2.4M
    Cardiovascular Consultants PLLCWVCardiovascular Disease Physician$0$2.4M
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$1M
    Valley Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$894.9K
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$838.1K
    James ToothmanWVInternal Medicine Physician$528.3K$19.8K
    M HaffarWVCardiovascular Disease Physician$358.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Valley Health Systems Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia