Behavioral
Golden Valley Health Centers
Golden Valley Health Centers was paid $7.25M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
33Billing provider infoGOLDEN VALLEY HEALTH CENTERS
MODESTO, CA 95351
MODESTO, CA 95351
33aNPI1124231865assigned 05/08/2007
33bProvider typeClinical Social Worker
28Total paid$7.25M
24GClaims57,268
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in California
Rank by total paid#14 of 591
Median peer was paid$50K
This provider vs. median146×
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 ROEHLK, HELEN 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 | 7,963 | $1.24M | |
| 2019 | 8,582 | $1.19M | |
| 2020 | 10,090 | $899K | |
| 2021 | 7,687 | $729K | |
| 2022 | 6,384 | $815K | |
| 2023 | 8,487 | $1.18M | |
| 2024incomplete | 8,075 | $1.20M |
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 | 58% | 27,067 | 24,301 | $4.21M |
| 00003 | Internal/system code - not a standard HCPCS code | 42% | 14,304 | 11,567 | $3.01M |
| 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% | 522 | 383 | $20K |
| 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% | 67 | 62 | $5K |
| 0011A | <1% | 41 | 41 | $3K | |
| 0012A | <1% | 18 | 18 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 6,349 | 6,132 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 549 | 545 | $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% | 257 | 224 | $0.00 |
| 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 | 0% | 3,021 | 2,958 | $0.00 |
| 85018 | 0% | 53 | 53 | $0.00 | |
| 90656 | 0% | 330 | 328 | $0.00 |
15 more codes
| Z1034 | 0% | 132 | $0.00 | |
| 99385 | 0% | 25 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 22 | $0.00 |
| 92551 | 0% | 24 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 3,755 | $0.00 |
| 90715 | 0% | 71 | $0.00 | |
| Z6400 | 0% | 70 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 114 | $0.00 |
| 81025 | 0% | 26 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 26 | $0.00 |
| 81003 | 0% | 153 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 145 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 41 | $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% | 71 | $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 officialROEHLK, HELEN (ADM. ASSIST. CREDENTIALING)
| 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 | 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 | 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.