Clinic
Valley Children's Medical Group
Valley Children's Medical Group was paid $2.68M by Medicaid between Jan 2018 and Jan 2021, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoVALLEY CHILDREN'S MEDICAL GROUP
BAKERSFIELD, CA 93311
BAKERSFIELD, CA 93311
33aNPI1194276261assigned 10/24/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$2.68M
24GClaims56,345
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#44 of 284
Median peer was paid$147K
This provider vs. median18×
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
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 | 30,388 | $1.25M | |
| 2019 | 19,334 | $1.00M | |
| 2020 | 6,566 | $420K | |
| 2021 | 57 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 16,564 | 15,593 | $1.73M |
| 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 | 9.8% | 2,454 | 2,375 | $261K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 2,267 | 2,182 | $224K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.0% | 2,122 | 2,098 | $214K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 1,889 | 1,863 | $199K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 405 | 402 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 30 | 29 | $3K |
| 99051 | <1% | 12,309 | 11,684 | $700.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,137 | 5,948 | $9.58 |
| 99000 | 0% | 315 | 312 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 1,767 | 1,717 | $0.00 |
| A9150 | Non-prescription drugs | 0% | 165 | 165 | $0.00 |
16 more codes
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 1,744 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 303 | $0.00 |
| 94760 | 0% | 1,750 | $0.00 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 100 | $0.00 |
| J3490 | Unclassified drugs | 0% | 682 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 25 | $0.00 |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 0% | 12 | $0.00 |
| A6260 | Wound cleansers, any type, any size | 0% | 39 | $0.00 |
| 81002 | 0% | 2,006 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 1,191 | $0.00 |
| J7510 | Prednisolone oral, per 5 mg | 0% | 19 | $0.00 |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | 0% | 1,749 | $0.00 |
| Q0163 | Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen | 0% | 56 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 120 | $0.00 |
| 69210 | 0% | 112 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 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.
From NPPES
Who's on the registration
Authorized officialGOLDRING, MICHAEL (CHIEF ADMINISTRATIVE OFFICE)
Parent organizationVALLEY CHILDREN'S MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Valley Children's Medical Group | Modesto, CA | $64.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.