Golden Valley Health Centers
Golden Valley Health Centers was paid $25.72M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
MERCED, CA 95348
Next to other Family Medicine Physician 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 | 7,623 | $1.02M | |
| 2019 | 10,001 | $879K | |
| 2020 | 57,370 | $3.83M | |
| 2021 | 84,309 | $5.79M | |
| 2022 | 65,611 | $4.89M | |
| 2023 | 57,572 | $4.43M | |
| 2024incomplete | 63,641 | $4.89M |
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 | 100% | 181,633 | 153,783 | $25.61M |
| 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% | 57,271 | 53,042 | $61K |
| 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 | <1% | 18,645 | 17,627 | $14K |
| 0002A | <1% | 150 | 150 | $10K | |
| 0001A | <1% | 130 | 128 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,995 | 14,220 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,755 | 1,750 | $4K |
| 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% | 1,040 | 918 | $3K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 66 | 62 | $1K |
| 0072A | <1% | 15 | 15 | $1K | |
| 0004A | <1% | 14 | 14 | $938.00 | |
| 0064A | <1% | 13 | 13 | $871.00 |
69 more codes
| 0071A | <1% | 12 | $617.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,872 | $405.30 |
| 81025 | <1% | 1,598 | $28.00 | |
| 81003 | <1% | 9,374 | $3.92 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 2,188 | $0.00 |
| Z1034 | 0% | 26,266 | $0.00 | |
| Z1032 | 0% | 1,673 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 290 | $0.00 |
| Z6410 | 0% | 1,219 | $0.00 | |
| 90686 | 0% | 151 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 317 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,131 | $0.00 |
| Z6402 | 0% | 424 | $0.00 | |
| 99000 | 0% | 744 | $0.00 | |
| 90723 | 0% | 153 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 162 | $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% | 944 | $0.00 |
| Z6406 | 0% | 206 | $0.00 | |
| 85018 | 0% | 268 | $0.00 | |
| Z1038 | 0% | 1,022 | $0.00 | |
| 90656 | 0% | 232 | $0.00 | |
| 97802 | 0% | 171 | $0.00 | |
| 92551 | 0% | 292 | $0.00 | |
| 59514 | 0% | 110 | $0.00 | |
| Z6204 | 0% | 589 | $0.00 | |
| 99460 | 0% | 134 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 99381 | 0% | 38 | $0.00 | |
| 99462 | 0% | 174 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 58301 | 0% | 56 | $0.00 | |
| Z6404 | 0% | 151 | $0.00 | |
| 90474 | 0% | 61 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 59 | $0.00 |
| 90647 | 0% | 134 | $0.00 | |
| 99024 | 0% | 51 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 19 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 3,043 | $0.00 |
| 59025 | Fetal non-stress test | 0% | 3,659 | $0.00 |
| Z6400 | 0% | 1,962 | $0.00 | |
| 98940 | 0% | 743 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 743 | $0.00 |
| 11721 | 0% | 612 | $0.00 | |
| Z6304 | 0% | 56 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,167 | $0.00 |
| Z6200 | 0% | 281 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 279 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 986 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 639 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 277 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 285 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 144 | $0.00 |
| 90670 | 0% | 179 | $0.00 | |
| 90715 | 0% | 265 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 859 | $0.00 |
| 2028F | 0% | 51 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 294 | $0.00 |
| Z6300 | 0% | 200 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 318 | $0.00 |
| 99173 | 0% | 288 | $0.00 | |
| 99201 | 0% | 159 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 92 | $0.00 |
| 97803 | 0% | 218 | $0.00 | |
| Z6414 | 0% | 13 | $0.00 | |
| 90633 | 0% | 35 | $0.00 | |
| 90681 | 0% | 62 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90734 | 0% | 15 | $0.00 | |
| 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 | 0% | 153 | $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 | Planada, CA | $12.77M |
| Golden Valley Health Center | Merced, CA | $11.96M |
| Golden Valley Health Centers | Modesto, CA | $11.22M |
| 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.