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

    NPI 1700446929 · Scott Depot, WV · Federally Qualified Health Center (FQHC)

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    Valley Health Systems, Inc. is a federally qualified health center (fqhc) provider located in Scott Depot, West Virginia. This profile covers 0 Medicare and 31 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.
    Address111 Great Teays Blvd
    CityScott Depot
    StateWV
    ZIP25560
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 19, 2019

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

    Payer SourceTotal Paid
    Medicaid$6.3M
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive32,140$190$6.2M
    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…14,310$1$14.3K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.4,080$1$4.1K
    3008FNo Summary found for this code230$0$0
    3074FNo Summary found for this code940$0$0
    3078FNo Summary found for this code870$0$0
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.2,050$0$0
    90473In this procedure, the provider administers a live attenuated vaccine through intranasal or oral route.100$0$0
    90474In this procedure, the provider administers an additional live attenuated vaccine either via oral or intranasal route after the administration of the first vaccine.40$0$0
    90633This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.240$0$0

    Showing 1–10 of 31

    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

    31 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive663904,610$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…1581,2701,240$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…4941,030890$50$221K
    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…33150520$50$76.2K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…41100120$100$69.6K
    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…46140550$50$67.2K
    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…91200490$30$57.7K
    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,…48540320$20$43.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.37190220$50$42.7K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…67120440$10$28.2K

    Showing 1–10 of 31

    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
    Women Care IncWVFederally Qualified Health Center (FQHC)$0$20.5M
    Teays Valley Volunteer Fire Department IncWVAmbulance$235.1K$657.5K
    Lydia SmithWVFamily Nurse Practitioner$54.2K$0
    Nicole ClendeninWVFamily Nurse Practitioner$50.8K$0
    Christopher KennedyWVPhysician Assistant$19.1K$0
    Lisa BurkeWVObstetrics & Gynecology Physician$11.2K$0
    James NottinghamWVNurse Practitioner$10.7K$0
    Kara CiprianiWVFamily Nurse Practitioner$8.3K$0
    Mary JenkinsWVFamily Medicine Physician$7.2K$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 6 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 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia