Clinic
Golden Valley Health Center
Golden Valley Health Center was paid $1.05M by Medicaid between Jan 2018 and Oct 2024, across 87 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 15% of everything it billed.
33Billing provider infoGOLDEN VALLEY HEALTH CENTER
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1033193610assigned 12/06/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.05M
24GClaims147,285
24DCodes billed87
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#539 of 826
Median peer was paid$4.05M
This provider vs. median0.3×
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 WEBER, TONY 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 | 63,872 | $891K | |
| 2019 | 36,689 | $37K | |
| 2020 | 34,852 | $57K | |
| 2021 | 9,701 | $18K | |
| 2022 | 755 | $11K | |
| 2023 | 974 | $9K | |
| 2024incomplete | 442 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 15% | 246 | 245 | $154K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 28,983 | 27,447 | $110K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.3% | 15,802 | 15,688 | $97K |
| 99460 | 8.2% | 1,803 | 1,755 | $86K | |
| 59425 | 7.9% | 2,004 | 1,617 | $83K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.4% | 1,635 | 1,606 | $67K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.2% | 14,549 | 14,106 | $54K |
| 99462 | 5.1% | 2,197 | 1,651 | $54K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.9% | 1,335 | 1,294 | $52K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.6% | 4,189 | 3,927 | $37K |
| 59514 | 3.1% | 68 | 68 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 13,093 | 11,657 | $22K |
75 more codes
| 99381 | 1.9% | 411 | $20K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 1,522 | $19K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 224 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 2,510 | $13K |
| J3490 | Unclassified drugs | 1.2% | 161 | $12K |
| H1003 | Prenatal care, at-risk enhanced service; education | 1.1% | 1,156 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,650 | $10K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 2,989 | $9K |
| 90715 | <1% | 423 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,935 | $7K |
| 99173 | <1% | 4,284 | $5K | |
| 85018 | <1% | 6,451 | $5K | |
| 92551 | <1% | 4,792 | $5K | |
| 81003 | <1% | 7,782 | $5K | |
| 99401 | <1% | 797 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 241 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 216 | $4K |
| 59025 | Fetal non-stress test | <1% | 133 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 98 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 68 | $3K |
| 81025 | <1% | 2,288 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 32 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 282 | $2K |
| 11721 | <1% | 91 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 55 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 48 | $2K |
| 90651 | <1% | 492 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 81 | $2K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 541 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 635 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 110 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 43 | $1K |
| 97802 | <1% | 92 | $1K | |
| 90670 | <1% | 2,216 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 87 | $963.14 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 141 | $797.77 |
| 90686 | <1% | 2,076 | $756.25 | |
| 97803 | <1% | 66 | $659.35 | |
| 96150 | <1% | 38 | $639.54 | |
| 96151 | <1% | 51 | $440.69 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 71 | $414.44 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 85 | $372.56 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 576 | $272.70 |
| 90656 | <1% | 3,069 | $215.40 | |
| 82962 | <1% | 127 | $196.00 | |
| 90647 | <1% | 1,237 | $165.60 | |
| 90723 | <1% | 1,244 | $163.80 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $154.44 |
| 94760 | <1% | 25 | $139.75 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 41 | $128.27 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 16 | $124.01 |
| 90734 | <1% | 86 | $123.00 | |
| 99385 | <1% | 13 | $114.10 | |
| 86580 | <1% | 33 | $110.88 | |
| 90680 | <1% | 706 | $104.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,017 | $60.24 |
| 90633 | <1% | 895 | $30.60 | |
| 96156 | <1% | 58 | $16.82 | |
| 86703 | <1% | 81 | $10.76 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $0.61 |
| 99000 | 0% | 76 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 261 | $0.00 |
| 90716 | 0% | 126 | $0.00 | |
| 90688 | 0% | 209 | $0.00 | |
| 90696 | 0% | 58 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 49 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 18 | $0.00 |
| 0011A | 0% | 48 | $0.00 | |
| 0012A | 0% | 44 | $0.00 | |
| 91301 | 0% | 17 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 504 | $0.00 |
| 90700 | 0% | 59 | $0.00 | |
| 90707 | 0% | 115 | $0.00 | |
| 90685 | 0% | 37 | $0.00 | |
| 90710 | 0% | 47 | $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 officialWEBER, TONY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Golden Valley Health Center | Merced, CA | $79.92M |
| Golden Valley Health Center | Riverbank, CA | $49.20M |
| Golden Valley Health Center | Modesto, CA | $23.38M |
| Golden Valley Health Center | Modesto, CA | $20.58M |
| Golden Valley Health Center | Turlock, CA | $14.68M |
| Golden Valley Health Center | Ceres, CA | $14.42M |
| Golden Valley Health Center | Manteca, CA | $13.60M |
| Golden Valley Health Center | Manteca, CA | $6.63M |
| Golden Valley Health Center | Modesto, CA | $6.19M |
| Golden Valley Health Center | Empire, CA | $5.08M |
| Golden Valley Health Center | Merced, CA | $899K |
| Golden Valley Health Center | Merced, CA | $366K |
| Golden Valley Health Center | Los Banos, CA | $152K |
| Golden Valley Health Center | Planada, CA | $146K |
| Golden Valley Health Center | Merced, CA | $130K |
| Golden Valley Health Center | Modesto, CA | $122K |
| Golden Valley Health Center | Turlock, CA | $89K |
| Golden Valley Health Centers | Turlock, CA | $73K |
| Golden Valley Health Center | Ceres, CA | $63K |
| Golden Valley Health Center | Patterson, CA | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.