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

    NPI 1881054476 · 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 14 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
    Address540 10th St
    CityHuntington
    StateWV
    ZIP25701
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedFebruary 25, 2016

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive6,930$170$1.2M
    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…2,510$20$45.2K
    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…2,520$10$15.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…50$20$880
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan10$50$610
    90656This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.30$20$480
    99204The provider sees a new 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 provider…40$10$190
    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…10$1$30
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$1$10
    3008FNo Summary found for this code80$0$0

    Showing 1–10 of 14

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1673904,610$130$2.2M
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan32301,020$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…4891,2701,240$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…3101,030890$50$221K
    99204The provider sees a new 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 provider…249340140$90$97.5K
    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,…263540320$20$43.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…251310490$20$42K
    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 code103130480$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…328360120$10$6.5K

    Showing 1–10 of 14

    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
    Cabell Huntington Hospital IncWVGeneral Acute Care Hospital$0$94.1M
    Autism Service CenterWVDevelopmental Disabilities Clinic/Center$0$59M
    University Physicians & Surgeons, IncWVInternal Medicine Physician$0$58.3M
    Tri-state Addiction Recovery ResourcesWVCommunity/Behavioral Health Agency$0$29.6M
    County Of CabellWVLand Ambulance$2.6M$23.3M
    Ohio Valley Physicians IncWVCommunity/Behavioral Health Agency$0$22.8M
    Huntington Treatment Center, LLCWVMethadone Clinic$0$21M
    Cabell Huntington Hospital IncWVGeneral Acute Care Hospital$0$9.3M
    Recovery Point West Virginia Behavioral Health IncWVMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Huntington Treatment Center, LLCWVMental Health Clinic/Center (Including Community Mental Health Center)$0$3.4M

    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 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia