Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Valley Women's Healthcare Medical Group, INC

Valley Women's Healthcare Medical Group, INC was paid $1.29M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is Z1034, — 23% of everything it billed.

33Billing provider infoVALLEY WOMEN'S HEALTHCARE MEDICAL GROUP, INC
FRESNO, CA 93710
33aNPI1154873230assigned 10/25/2016
28Total paid$1.29M
24GClaims283,029
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#101 of 791
Median peer was paid$67K
This provider vs. median19×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201842,863$338K
201950,196$216K
202046,115$193K
202139,631$143K
202234,210$105K
202334,009$128K
2024incomplete36,005$163K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Z1034 23% 4,920 3,168 $301K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 16% 3,315 3,297 $202K
59514 6.9% 1,887 1,799 $88K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.7% 14,534 13,315 $86K
59425 6.2% 16,520 10,789 $79K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 15,676 14,307 $74K
H1001 Prenatal care, at-risk enhanced service; antepartum management 4.5% 32,439 20,379 $58K
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 3.6% 7,951 7,550 $46K
Z1032 2.9% 248 248 $38K
Z6410 2.6% 4,161 2,916 $33K
59025 Fetal non-stress test 2.4% 28,676 19,118 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 10,751 9,843 $28K
40 more codes
81025 1.6% 40,102 $21K
99215 Doctor's office visit, returning patient (complex) 1.5% 1,219 $20K
Z6500 1.5% 154 $19K
J3490 Unclassified drugs 1.4% 2,691 $18K
H1003 Prenatal care, at-risk enhanced service; education 1.3% 21,693 $16K
99203 Doctor's office visit, new patient (routine) 1.2% 1,583 $16K
H1000 Prenatal care, at-risk assessment 1.1% 3,143 $15K
Z6406 <1% 1,590 $13K
H2000 Comprehensive multidisciplinary evaluation <1% 2,888 $11K
Z6400 <1% 816 $11K
59430 <1% 4,405 $9K
H1002 Prenatal care, at risk enhanced service; care coordination <1% 2,069 $8K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 27,739 $7K
Z6304 <1% 667 $6K
99401 <1% 13,212 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,614 $4K
99204 Doctor's office visit, new patient (more involved) <1% 633 $4K
76801 <1% 328 $4K
99232 Hospital visit by a doctor, follow-up day <1% 141 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,144 $3K
96156 <1% 7,749 $2K
96151 <1% 3,012 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 351 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 78 $1K
96152 <1% 727 $814.07
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 96 $779.40
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 69 $696.92
S9452 Nutrition classes, non-physician provider, per session <1% 1,041 $510.06
99222 Initial hospital care, per day, moderate complexity <1% 50 $478.52
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 13 $382.65
97803 <1% 565 $237.16
81002 <1% 66 $82.91
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 0% 27 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 49 $0.00
11981 0% 27 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 98 $0.00
99442 0% 17 $0.00
58300 0% 35 $0.00
57454 0% 26 $0.00
99235 0% 24 $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 officialFRIEDLINE, DEANNA (BILLING DIRECTOR)