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

    NPI 1659769776 · 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 11 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.
    Address1100 Hospital Dr
    CityHurricane
    StateWV
    ZIP25526
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedDecember 23, 2014

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

    Payer SourceTotal Paid
    Medicaid$894.9K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive5,910$150$868.9K
    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…3,430$10$20.6K
    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…430$10$3.9K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$50$670
    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$40$670
    G0511Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…220$1$220
    3008FNo Summary found for this code30$0$0
    3074FNo Summary found for this code30$0$0
    99203The provider sees a new 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 provider…30$0$0
    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,…210$0$0

    Showing 1–10 of 11

    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

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1763904,610$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…4211,2701,240$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…6391,030890$50$221K
    99203The provider sees a new 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 provider…332440110$60$57.2K
    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,…308540320$20$43.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.400430200$10$18.3K
    3008FNo Summary found for this code114130480$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…311360120$10$6.5K
    G0511Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…3750650$1$3K
    3074FNo Summary found for this code148160360$1$2.7K

    Showing 1–10 of 11

    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
    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
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$838.1K
    James ToothmanWVInternal Medicine Physician$528.3K$19.8K
    M HaffarWVCardiovascular Disease Physician$358.4K$0
    Jonathan ZunigaWVNephrology Physician$283.6K$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 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia