Golden Valley Health Centers
Golden Valley Health Centers was paid $79.23M by Medicaid between Jan 2018 and Dec 2024, across 115 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
MODESTO, CA 95350
Next to other Obstetrics & Gynecology Physician 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 | 87,821 | $11.10M | |
| 2019 | 149,187 | $11.73M | |
| 2020 | 224,289 | $16.51M | |
| 2021 | 116,622 | $12.11M | |
| 2022 | 88,234 | $8.77M | |
| 2023 | 113,568 | $10.89M | |
| 2024incomplete | 83,022 | $8.13M |
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 | 100% | 517,334 | 421,538 | $78.96M |
| 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% | 5,092 | 3,737 | $202K |
| 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% | 701 | 648 | $46K |
| 0012A | <1% | 128 | 127 | $8K | |
| 0011A | <1% | 110 | 109 | $6K | |
| 0124A | <1% | 69 | 69 | $5K | |
| 0064A | <1% | 63 | 63 | $4K | |
| 0054A | <1% | 55 | 55 | $4K | |
| 0134A | <1% | 29 | 29 | $2K | |
| 0004A | <1% | 13 | 13 | $871.00 | |
| 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% | 96,830 | 92,245 | $24.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51,633 | 47,327 | $23.46 |
103 more codes
| 92551 | 0% | 4,898 | $0.00 | |
| 99460 | 0% | 8,863 | $0.00 | |
| 99462 | 0% | 11,006 | $0.00 | |
| 85018 | 0% | 6,403 | $0.00 | |
| 90686 | 0% | 246 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 1,455 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15,114 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 16,610 | $0.00 |
| 90651 | 0% | 747 | $0.00 | |
| 90723 | 0% | 3,469 | $0.00 | |
| 90474 | 0% | 1,982 | $0.00 | |
| Z1032 | 0% | 873 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 1,197 | $0.00 |
| Z6410 | 0% | 461 | $0.00 | |
| 90656 | 0% | 6,195 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 708 | $0.00 |
| Z6402 | 0% | 369 | $0.00 | |
| 99381 | 0% | 872 | $0.00 | |
| 90647 | 0% | 3,042 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 42 | $0.00 |
| 82962 | 0% | 299 | $0.00 | |
| Z1034 | 0% | 10,640 | $0.00 | |
| 99000 | 0% | 1,449 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 624 | $0.00 |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 36 | $0.00 |
| Z6204 | 0% | 402 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 176 | $0.00 |
| Z6406 | 0% | 485 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 572 | $0.00 |
| J3490 | Unclassified drugs | 0% | 447 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 191 | $0.00 |
| Z1038 | 0% | 531 | $0.00 | |
| 58300 | 0% | 47 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 355 | $0.00 |
| 90716 | 0% | 258 | $0.00 | |
| 90680 | 0% | 58 | $0.00 | |
| 11055 | 0% | 29 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 117 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 97 | $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% | 790 | $0.00 |
| 99024 | 0% | 26 | $0.00 | |
| 90696 | 0% | 96 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 157 | $0.00 |
| 99385 | 0% | 72 | $0.00 | |
| 90677 | 0% | 27 | $0.00 | |
| 59514 | 0% | 13 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 15 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12,277 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 7,124 | $0.00 |
| 99173 | 0% | 4,645 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 5,163 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 3,297 | $0.00 |
| Z6400 | 0% | 1,335 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 1,138 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 5,780 | $0.00 |
| 81003 | 0% | 8,851 | $0.00 | |
| 81025 | 0% | 1,936 | $0.00 | |
| 90700 | 0% | 115 | $0.00 | |
| 90681 | 0% | 1,713 | $0.00 | |
| 90633 | 0% | 1,643 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,067 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 2,869 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12,719 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,633 | $0.00 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 49 | $0.00 |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 1,904 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 511 | $0.00 |
| 90734 | 0% | 134 | $0.00 | |
| 90715 | 0% | 423 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,890 | $0.00 |
| Z6200 | 0% | 326 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 103 | $0.00 |
| 86703 | 0% | 88 | $0.00 | |
| 90707 | 0% | 216 | $0.00 | |
| 90670 | 0% | 4,211 | $0.00 | |
| 11721 | 0% | 660 | $0.00 | |
| 69209 | 0% | 12 | $0.00 | |
| 11720 | 0% | 189 | $0.00 | |
| Z6414 | 0% | 68 | $0.00 | |
| 11057 | 0% | 47 | $0.00 | |
| 11056 | 0% | 293 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,419 | $0.00 |
| 90710 | 0% | 127 | $0.00 | |
| Z6304 | 0% | 194 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 122 | $0.00 |
| Z6300 | 0% | 149 | $0.00 | |
| 11981 | 0% | 25 | $0.00 | |
| 97803 | 0% | 38 | $0.00 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 47 | $0.00 |
| 90662 | 0% | 60 | $0.00 | |
| 99201 | 0% | 32 | $0.00 | |
| A4550 | Surgical trays | 0% | 15 | $0.00 |
| 2028F | 0% | 35 | $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% | 265 | $0.00 |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 0% | 15 | $0.00 |
| 99382 | 0% | 15 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 31 | $0.00 |
| 99221 | 0% | 16 | $0.00 | |
| 11750 | 0% | 39 | $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 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 | Modesto, CA | $7.25M |
| 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.