Hospital
Valley Children's Hospital
Valley Children's Hospital was paid $262K by Medicaid between May 2020 and Jun 2020, across 115 billing codes. Its largest line is 0360, — 33% of everything it billed.
33Billing provider infoVALLEY CHILDREN'S HOSPITAL
MADERA, CA 93636
MADERA, CA 93636
33aNPI1275694184assigned 12/13/2006
33bProvider typeChildren's Hospital
28Total paid$262K
24GClaims8,032
24DCodes billed115
24AFirst – last monthMay 2020 – Jun 2020
Compared with peers
Next to other Children's Hospital providers in California
Rank by total paid#11 of 17
Median peer was paid$1.44M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 8,032 | $262K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0360 | 33% | 75 | 66 | $86K | |
| 0450 | Emergency room services | 16% | 1,175 | 1,133 | $42K |
| 0510 | 7.3% | 284 | 276 | $19K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 5.4% | 260 | 241 | $14K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 5.4% | 341 | 338 | $14K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.5% | 24 | 24 | $12K |
| 0710 | 3.0% | 16 | 16 | $8K | |
| 0270 | 2.6% | 662 | 443 | $7K | |
| 70450 | Computed tomography, head or brain; without contrast material | 1.7% | 19 | 19 | $4K |
| 76770 | 1.6% | 52 | 50 | $4K | |
| 99199 | Unlisted special service, procedure or report | 1.1% | 32 | 28 | $3K |
| 93975 | 1.0% | 31 | 31 | $3K |
103 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 81 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 257 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 78 | $2K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 50 | $2K |
| 0760 | <1% | 587 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 232 | $2K |
| 95819 | <1% | 17 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 27 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 58 | $1K |
| 73070 | <1% | 24 | $1K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 174 | $1K |
| 87088 | <1% | 215 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 49 | $1K |
| 81001 | <1% | 329 | $1K | |
| J3490 | Unclassified drugs | <1% | 92 | $952.61 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 99 | $914.06 |
| 87505 | <1% | 18 | $804.70 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 84 | $793.87 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 26 | $728.87 |
| 0700 | <1% | 15 | $654.64 | |
| 73590 | <1% | 25 | $638.45 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 28 | $637.32 |
| 86140 | <1% | 128 | $606.86 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 23 | $576.26 |
| 82728 | <1% | 20 | $524.61 | |
| 73630 | <1% | 31 | $516.50 | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 24 | $512.56 |
| 97802 | <1% | 16 | $511.69 | |
| 84439 | <1% | 37 | $493.16 | |
| 85007 | <1% | 56 | $492.86 | |
| 73610 | <1% | 17 | $452.23 | |
| 74019 | <1% | 22 | $448.16 | |
| Q3014 | Telehealth originating site facility fee | <1% | 12 | $442.32 |
| 94664 | <1% | 15 | $421.57 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 22 | $413.68 |
| 72170 | <1% | 20 | $375.61 | |
| 73090 | <1% | 38 | $373.83 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 13 | $355.63 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 110 | $351.16 |
| 83690 | <1% | 67 | $348.83 | |
| 85397 | <1% | 12 | $337.83 | |
| 93325 | <1% | 42 | $315.51 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 40 | $296.01 |
| 85246 | <1% | 12 | $295.38 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 32 | $287.36 |
| 77077 | <1% | 15 | $285.74 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 63 | $282.50 |
| 70360 | <1% | 18 | $272.33 | |
| 84484 | <1% | 16 | $272.15 | |
| 86003 | <1% | 33 | $261.22 | |
| 73140 | <1% | 18 | $257.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 48 | $255.90 |
| 85240 | <1% | 14 | $249.69 | |
| 74018 | <1% | 40 | $246.71 | |
| 76870 | <1% | 12 | $239.76 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 61 | $231.96 |
| 87040 | <1% | 27 | $217.82 | |
| 85045 | <1% | 17 | $217.14 | |
| 86160 | <1% | 27 | $211.90 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $208.38 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 31 | $206.78 |
| 73110 | <1% | 15 | $206.37 | |
| 94010 | <1% | 13 | $200.41 | |
| 71045 | Radiologic examination, chest; single view | <1% | 12 | $187.19 |
| 82784 | <1% | 16 | $184.43 | |
| 80069 | <1% | 24 | $176.07 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 61 | $174.48 |
| 85730 | <1% | 22 | $171.81 | |
| 85651 | <1% | 49 | $170.79 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 57 | $157.30 |
| 87186 | <1% | 35 | $148.73 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 96 | $137.79 |
| 73100 | <1% | 16 | $136.53 | |
| 87081 | <1% | 43 | $135.00 | |
| 73000 | <1% | 14 | $134.15 | |
| 85610 | <1% | 29 | $130.38 | |
| 86635 | <1% | 14 | $125.89 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 15 | $124.09 |
| 84703 | <1% | 73 | $120.46 | |
| J2704 | Injection, propofol, 10 mg | <1% | 40 | $117.28 |
| 82570 | <1% | 30 | $103.68 | |
| 87077 | <1% | 36 | $96.95 | |
| 82947 | <1% | 16 | $88.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $62.50 |
| 83615 | <1% | 13 | $61.85 | |
| 84156 | <1% | 25 | $60.05 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 20 | $53.54 |
| 80061 | Lipid panel | <1% | 17 | $53.18 |
| 93321 | <1% | 19 | $49.61 | |
| 86038 | <1% | 15 | $48.85 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 13 | $45.14 |
| 84550 | <1% | 13 | $43.79 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 18 | $40.55 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 26 | $39.30 |
| 83516 | <1% | 17 | $36.33 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 20 | $35.72 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 18 | $31.50 |
| 88304 | <1% | 14 | $29.79 | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 169 | $13.15 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 17 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 18 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 93304 | 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 officialMYCROFT, TINA (SVP & CFO)
| Provider | Location | Paid |
|---|---|---|
| Valley Children's Hospital | Madera, CA | $107.11M |
| Valley Children's Hospital | Madera, CA | $22.84M |
| Valley Children's Hospital | Fresno, CA | $20.85M |
| Valley Children's Hospital | Madera, CA | $14.28M |
| ST Jude Hospital Yorba Linda | Santa Rosa, CA | $10.59M |
| Valley Children's Hospital | Fresno, CA | $53K |
| King County Public Hospital District No. 2 | Kirkland, WA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.