Golden Valley Health Center
Golden Valley Health Center was paid $5.08M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 54% of everything it billed.
EMPIRE, CA 95319
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 | 6,509 | $923K | |
| 2019 | 7,392 | $872K | |
| 2020 | 9,002 | $670K | |
| 2021 | 7,662 | $789K | |
| 2022 | 5,010 | $459K | |
| 2023 | 6,639 | $757K | |
| 2024incomplete | 5,575 | $612K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 54% | 15,450 | 12,116 | $2.77M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 45% | 19,176 | 17,311 | $2.31M |
| 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% | 154 | 102 | $2K |
| 0011A | <1% | 32 | 29 | $1K | |
| 0012A | <1% | 31 | 28 | $1K | |
| 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% | 1,267 | 1,146 | $550.96 |
| 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% | 5,662 | 4,698 | $535.12 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,063 | 3,761 | $450.29 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | 25 | $244.69 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 61 | 60 | $111.13 |
| 90715 | <1% | 36 | 27 | $40.78 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 43 | 42 | $30.89 |
19 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | $30.87 |
| 90656 | <1% | 214 | $10.80 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 67 | $0.00 |
| 99173 | 0% | 133 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 19 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $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% | 33 | $0.00 |
| 81003 | 0% | 18 | $0.00 | |
| 81025 | 0% | 16 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 30 | $0.00 |
| 85018 | 0% | 184 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 29 | $0.00 |
| 92551 | 0% | 144 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 595 | $0.00 |
| 90651 | 0% | 15 | $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% | 111 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 109 | $0.00 |
| 90686 | 0% | 19 | $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 | Ceres, CA | $14.42M |
| 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 | 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.