Northeast Valley Health Corporation
Northeast Valley Health Corporation was paid $46.82M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoNORTHEAST VALLEY HEALTH CORPORATION
SUN VALLEY, CA 91352
SUN VALLEY, CA 91352
33aNPI1013199264assigned 11/29/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$46.82M
24GClaims322,367
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#42 of 435
Median peer was paid$2.89M
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WYARD, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 33,297 | $4.72M | |
| 2019 | 36,314 | $5.11M | |
| 2020 | 44,564 | $6.24M | |
| 2021 | 64,949 | $8.69M | |
| 2022 | 45,984 | $6.50M | |
| 2023 | 56,355 | $8.86M | |
| 2024incomplete | 40,904 | $6.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 236,076 | 207,847 | $37.03M |
| 00003 | Internal/system code - not a standard HCPCS code | 18% | 41,673 | 36,234 | $8.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 4,652 | 4,260 | $589K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,881 | 2,875 | $108K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,165 | 2,160 | $94K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,384 | 1,380 | $77K |
| 0001A | <1% | 1,203 | 1,012 | $74K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,340 | 1,337 | $72K |
| 0002A | <1% | 1,148 | 937 | $70K | |
| 0012A | <1% | 1,010 | 961 | $66K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,702 | 1,699 | $60K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 889 | 562 | $52K |
81 more codes
| 0011A | <1% | 672 | $44K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 360 | $28K |
| 92551 | <1% | 2,819 | $28K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 854 | $24K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 579 | $17K |
| 0124A | <1% | 250 | $17K | |
| G9920 | Screening performed and negative | <1% | 600 | $17K |
| 0064A | <1% | 226 | $14K | |
| 0071A | <1% | 195 | $12K | |
| 0072A | <1% | 200 | $11K | |
| 0134A | <1% | 129 | $9K | |
| 0054A | <1% | 126 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $7K |
| 0004A | <1% | 78 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $4K |
| 81025 | <1% | 903 | $2K | |
| D1120 | Dental cleaning, child | <1% | 371 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 17 | $2K |
| 83655 | <1% | 412 | $2K | |
| 90480 | <1% | 50 | $2K | |
| 0112A | <1% | 28 | $2K | |
| 0052A | <1% | 34 | $2K | |
| 85018 | <1% | 830 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $1K |
| 99000 | <1% | 403 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 112 | $1K |
| 0013A | <1% | 12 | $804.00 | |
| 0051A | <1% | 12 | $787.25 | |
| D1206 | Topical application of fluoride varnish | <1% | 113 | $765.50 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 15 | $723.59 |
| 0111A | <1% | 12 | $653.25 | |
| J3490 | Unclassified drugs | <1% | 13 | $538.07 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,604 | $400.07 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 46 | $371.68 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $305.60 |
| D0120 | Dental checkup, returning patient | <1% | 141 | $266.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 24 | $207.90 |
| 80061 | Lipid panel | <1% | 45 | $180.65 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,581 | $161.52 |
| 92552 | <1% | 12 | $124.92 | |
| 92081 | <1% | 432 | $80.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 46 | $70.00 |
| 82465 | <1% | 44 | $44.00 | |
| 81002 | <1% | 26 | $43.86 | |
| 99173 | <1% | 12 | $36.32 | |
| 90473 | <1% | 59 | $26.03 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 107 | $22.00 |
| 86592 | <1% | 12 | $17.13 | |
| 90670 | 0% | 1,162 | $0.00 | |
| 90734 | 0% | 288 | $0.00 | |
| 90700 | 0% | 116 | $0.00 | |
| 3078F | 0% | 218 | $0.00 | |
| 90633 | 0% | 451 | $0.00 | |
| 90707 | 0% | 168 | $0.00 | |
| D1000 | D5w infusion | 0% | 30 | $0.00 |
| 90710 | 0% | 70 | $0.00 | |
| 1159F | 0% | 393 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 1160F | 0% | 159 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 26 | $0.00 |
| 90681 | 0% | 110 | $0.00 | |
| 99401 | 0% | 49 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 1126F | 0% | 675 | $0.00 | |
| 90651 | 0% | 310 | $0.00 | |
| D1330 | 0% | 670 | $0.00 | |
| 90696 | 0% | 71 | $0.00 | |
| 90686 | 0% | 1,057 | $0.00 | |
| 90716 | 0% | 172 | $0.00 | |
| 90698 | 0% | 566 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 96 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 112 | $0.00 |
| 90744 | 0% | 226 | $0.00 | |
| 97802 | 0% | 49 | $0.00 | |
| 85032 | 0% | 27 | $0.00 | |
| 90688 | 0% | 26 | $0.00 | |
| 90657 | 0% | 21 | $0.00 | |
| 99172 | 0% | 26 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | $0.00 |
| 3074F | 0% | 111 | $0.00 | |
| D0603 | 0% | 31 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWYARD, KIMBERLY (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.