Golden Valley Health Centers
Golden Valley Health Centers was paid $11.22M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
MODESTO, CA 95358
Next to other Clinical Social Worker providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,666 | $2.00M | |
| 2019 | 16,930 | $1.83M | |
| 2020 | 18,580 | $1.66M | |
| 2021 | 17,290 | $2.02M | |
| 2022 | 10,329 | $1.19M | |
| 2023 | 12,286 | $1.39M | |
| 2024incomplete | 10,626 | $1.14M |
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 | 50% | 38,057 | 34,638 | $5.64M |
| 00003 | Internal/system code - not a standard HCPCS code | 50% | 30,818 | 26,453 | $5.57M |
| 0011A | <1% | 21 | 21 | $1K | |
| 0012A | <1% | 19 | 19 | $1K | |
| 0001A | <1% | 15 | 15 | $1K | |
| 0002A | <1% | 13 | 13 | $871.00 | |
| G0467 | Community health center visit, returning patientFederally 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 time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 23 | 14 | $558.64 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,129 | 1,127 | $0.00 |
| 90670 | 0% | 262 | 260 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 10,710 | 9,886 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 108 | 108 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,538 | 1,536 | $0.00 |
33 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,021 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 245 | $0.00 |
| 99173 | 0% | 788 | $0.00 | |
| 81003 | 0% | 52 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 700 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 143 | $0.00 |
| 90633 | 0% | 145 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 15 | $0.00 |
| 90681 | 0% | 72 | $0.00 | |
| 90734 | 0% | 94 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 38 | $0.00 |
| 86703 | 0% | 12 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 5,739 | $0.00 |
| 92551 | 0% | 836 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,658 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,667 | $0.00 |
| 90656 | 0% | 785 | $0.00 | |
| 90647 | 0% | 146 | $0.00 | |
| 99381 | 0% | 54 | $0.00 | |
| 90723 | 0% | 159 | $0.00 | |
| 90474 | 0% | 53 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 146 | $0.00 |
| 90686 | 0% | 16 | $0.00 | |
| 90651 | 0% | 187 | $0.00 | |
| 85018 | 0% | 1,071 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 52 | $0.00 |
| 90620 | 0% | 24 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| 99383 | 0% | 14 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90716 | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Golden Valley Health Centers | Modesto, CA | $79.23M |
| Golden Valley Health Centers | Patterson, CA | $26.98M |
| Golden Valley Health Centers | Turlock, CA | $26.29M |
| Golden Valley Health Centers | Merced, CA | $25.72M |
| Golden Valley Health Centers | Planada, CA | $12.77M |
| Golden Valley Health Center | Merced, CA | $11.96M |
| Golden Valley Health Centers | Newman, CA | $8.98M |
| Golden Valley Health Centers | Los Banos, CA | $8.90M |
| Golden Valley Health Centers | Los Banos, CA | $8.38M |
| Golden Valley Health Centers | Modesto, CA | $7.25M |
| Golden Valley Health Centers | Le Grand, CA | $6.07M |
| Golden Valley Health Centers | Dos Palos, CA | $2.60M |
| Golden Valley Health Centers | Modesto, CA | $971K |
| Golden Valley Health Centers | Ceres, CA | $945K |
| Golden Valley Health Centers | Westley, CA | $867K |
| Golden Valley Health Centers | Merced, CA | $385K |
| Golden Valley Health Centers | Merced, CA | $247K |
| Golden Valley Health Centers | Modesto, CA | $137K |
| Golden Valley Health Centers | Patterson, CA | $60K |
| Golden Valley Health Centers | Patterson, CA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.