Golden Valley Health Center
Golden Valley Health Center was paid $14.42M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
CERES, CA 95307
Next to other Federally Qualified Health Center (FQHC) 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 | 33,483 | $3.88M | |
| 2019 | 28,382 | $2.74M | |
| 2020 | 28,722 | $2.09M | |
| 2021 | 18,408 | $1.72M | |
| 2022 | 12,787 | $1.21M | |
| 2023 | 15,211 | $1.19M | |
| 2024incomplete | 20,822 | $1.59M |
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 | 62% | 67,282 | 60,631 | $8.91M |
| 00003 | Internal/system code - not a standard HCPCS code | 37% | 28,806 | 22,818 | $5.37M |
| 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% | 26,046 | 22,555 | $39K |
| 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% | 908 | 679 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,870 | 3,345 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,997 | 1,851 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,119 | 1,991 | $10K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 210 | 179 | $8K |
| 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% | 4,176 | 3,694 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,921 | 6,651 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,315 | 1,217 | $5K |
| 92551 | <1% | 1,230 | 1,038 | $4K |
44 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 638 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,081 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 730 | $1K |
| 99173 | <1% | 1,236 | $1K | |
| 59425 | <1% | 16 | $967.68 | |
| G0466 | Community health center visit, new patient | <1% | 16 | $756.16 |
| 90715 | <1% | 70 | $611.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 293 | $547.02 |
| 99385 | <1% | 16 | $390.56 | |
| 99201 | <1% | 12 | $371.04 | |
| 81003 | <1% | 273 | $292.19 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 127 | $282.31 |
| 85018 | <1% | 1,024 | $277.77 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 65 | $165.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 19 | $132.81 |
| 90670 | <1% | 792 | $86.40 | |
| 90723 | <1% | 688 | $84.60 | |
| 81025 | <1% | 42 | $84.00 | |
| 90686 | <1% | 277 | $82.48 | |
| 90647 | <1% | 608 | $64.80 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $61.78 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 728 | $36.63 |
| 82962 | <1% | 14 | $28.00 | |
| 90681 | <1% | 202 | $21.60 | |
| 90680 | <1% | 172 | $21.60 | |
| 90633 | <1% | 252 | $10.80 | |
| 90656 | <1% | 1,281 | $10.80 | |
| 90707 | 0% | 61 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 27 | $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% | 70 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 16 | $0.00 |
| 90700 | 0% | 12 | $0.00 | |
| 90474 | 0% | 301 | $0.00 | |
| 90716 | 0% | 73 | $0.00 | |
| Z1034 | 0% | 18 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | $0.00 |
| 90651 | 0% | 40 | $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% | 228 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 14 | $0.00 |
| 99381 | 0% | 25 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 125 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 133 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 35 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $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 Center | Merced, CA | $79.92M |
| Golden Valley Health Center | Riverbank, CA | $49.20M |
| Golden Valley Health Center | Modesto, CA | $23.38M |
| Golden Valley Health Center | Modesto, CA | $20.58M |
| Golden Valley Health Center | Turlock, CA | $14.68M |
| Golden Valley Health Center | Manteca, CA | $13.60M |
| Golden Valley Health Center | Manteca, CA | $6.63M |
| Golden Valley Health Center | Modesto, CA | $6.19M |
| Golden Valley Health Center | Empire, CA | $5.08M |
| Golden Valley Health Center | Modesto, CA | $1.05M |
| Golden Valley Health Center | Merced, CA | $899K |
| Golden Valley Health Center | Merced, CA | $366K |
| Golden Valley Health Center | Los Banos, CA | $152K |
| Golden Valley Health Center | Planada, CA | $146K |
| Golden Valley Health Center | Merced, CA | $130K |
| Golden Valley Health Center | Modesto, CA | $122K |
| Golden Valley Health Center | Turlock, CA | $89K |
| Golden Valley Health Centers | Turlock, CA | $73K |
| Golden Valley Health Center | Ceres, CA | $63K |
| Golden Valley Health Center | Patterson, CA | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.