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    OpenPayerNPI Medicare & MedicaidMuskingum Valley Health Centers
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    Muskingum Valley Health Centers — Billing Profile & Reimbursement Data

    NPI 1841472982 · Zanesville, OH · Federally Qualified Health Center (FQHC)

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    Muskingum Valley Health Centers is a federally qualified health center (fqhc) provider located in Zanesville, Ohio. This profile covers 0 Medicare and 171 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
    OrganizationMuskingum Valley Health Centers
    Address716 Adair Ave
    CityZanesville
    StateOH
    ZIP43701
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedNovember 30, 2007

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

    Payer SourceTotal Paid
    Medicaid$28.7M
    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.

    171 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive228,250$70$15.7M
    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…203,270$20$4.3M
    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…45,530$30$1.3M
    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…46,100$20$922.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.41,190$10$576.6K
    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…13,440$30$457K
    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,…27,790$10$361.3K
    G0467Federally 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…15,960$20$335.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.10,700$30$331.7K
    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…11,290$30$327.3K

    Showing 1–10 of 171

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    171 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive45307,190$70$1.5M
    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…4932,640620$90$408.2K
    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…1054,510500$60$377.8K
    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…235,080560$40$323.9K
    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…33430560$60$303.2K
    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…27480450$70$292.9K
    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…5270420$90$276K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.139190430$70$258.6K
    94640The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…235250710$110$209K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.16480280$70$181.7K

    Showing 1–10 of 171

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$16.2M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$9.7M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$6.9M
    Stephanie OttOHRheumatology Physician$270.8K$0
    Macey DoddOHFamily Nurse Practitioner$126.2K$0
    Mark GogginOHInternal Medicine Physician$120.2K$0
    Douglas RushOHInternal Medicine Physician$104.7K$0
    Miranda LazarOHFamily Nurse Practitioner$11.1K$0
    Kelly WycinskiOHWomen's Health Nurse Practitioner$6.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Healthcare SystemOHGeneral Acute Care Hospital$0$101.8M
    Spero Health Of Ohio, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$46M
    Allwell Behavioral Health ServicesOHMental Health Clinic/Center (Including Community Mental Health Center)$0$35M
    Mid-ohio Behavioral Health LLCOHMental Health Counselor$0$28.6M
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Genesis Primary Care Physicians LLCOHFamily Medicine Physician$0$7.1M
    Coler Hospice, LtdOHCommunity Based Hospice Care Agency$0$6.7M
    Community Ambulance ServiceOHAmbulance$1.2M$3.7M
    Pinnacle Treatment Centers Oh-iv, LLCOHMethadone Clinic$123.4K$4.1M

    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. Ohio Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Muskingum Valley Health Centers — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio