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

    NPI 1518680511 · Huntington, WV · Federally Qualified Health Center (FQHC)

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    Valley Health Systems, Inc. is a federally qualified health center (fqhc) provider located in Huntington, West Virginia. This profile covers 0 Medicare and 12 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.
    Address4270 Us Route 60
    CityHuntington
    StateWV
    ZIP25705
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedSeptember 23, 2022

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

    Payer SourceTotal Paid
    Medicaid$1.4M
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive7,220$180$1.3M
    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…4,350$10$26.1K
    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.590$30$19.3K
    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…2,130$10$10.6K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.310$20$7.2K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.90$60$5.3K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.90$20$1.5K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…50$20$980
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.40$1$110
    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…20$10$100

    Showing 1–10 of 12

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1633904,610$130$2.2M
    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…3671,2701,240$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…3471,030890$50$221K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.3650730$60$126.6K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…5570480$40$78.7K
    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.2980390$60$69.4K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.339430200$10$18.3K
    3008FNo Summary found for this code113130480$10$9.1K
    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…305360120$10$6.5K
    3074FNo Summary found for this code131160360$1$2.7K

    Showing 1–10 of 12

    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 IncWVFederally Qualified Health Center (FQHC)$0$8.6M
    Valley Health Systems IncWVClinical Medical Laboratory$299.4K$7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ncgcare Acquisition, LLCWVPsychiatry Physician$0$40.3M
    Prestera Center For Mental Health Services, IncWVCommunity/Behavioral Health Agency$0$18.7M
    Radiology IncWVDiagnostic Radiology Physician$0$15.2M
    Prestera Center For Mental Health Services, IncWVDevelopmental Disabilities Clinic/Center$0$13M
    St. Mary's Himg, LLCWVInternal Medicine Physician$0$2.6M
    Associates In Psychology And Therapy, Inc.WVPsychologist$0$1.5M
    Ultimate Health Services IncWVFamily Medicine Physician$0$908.1K
    Vishal VermaWVOphthalmology Physician$419.8K$0
    Ahmed AbdelgaberWVFamily Medicine Physician$377.5K$0
    Robert TurnerWVFamily Medicine Physician$293.4K$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 2 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 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia