Managed care
Coalinga Valley Health Clinics, INC
Coalinga Valley Health Clinics, INC was paid $1.44M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoCOALINGA VALLEY HEALTH CLINICS, INC
COALINGA, CA 93210
COALINGA, CA 93210
33aNPI1396874558assigned 03/05/2007
33bProvider typePoint of Service
28Total paid$1.44M
24GClaims85,566
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#7 of 45
Median peer was paid$42K
This provider vs. median35×
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 | 10,592 | $255K | |
| 2019 | 9,714 | $192K | |
| 2020 | 7,433 | $159K | |
| 2021 | 13,143 | $236K | |
| 2022 | 16,805 | $221K | |
| 2023 | 16,767 | $209K | |
| 2024incomplete | 11,112 | $168K |
Box 24 · Service lines
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 | 92% | 27,963 | 22,036 | $1.33M |
| 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 | 3.4% | 3,024 | 2,319 | $48K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.8% | 4,577 | 3,515 | $26K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 4,285 | 3,322 | $20K |
| 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% | 18,638 | 15,392 | $9K |
| 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% | 715 | 638 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 8,041 | 6,847 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,011 | 925 | $490.21 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 186 | 182 | $284.45 |
| 87428 | <1% | 260 | 198 | $100.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 446 | 434 | $82.12 |
| 81002 | <1% | 1,078 | 1,061 | $40.94 |
38 more codes
| 0013A | <1% | 21 | $40.00 | |
| 85013 | <1% | 990 | $39.20 | |
| 99072 | <1% | 1,051 | $29.10 | |
| 90688 | <1% | 546 | $25.34 | |
| 99173 | <1% | 863 | $9.81 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 261 | $8.16 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,031 | $6.99 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,840 | $4.46 |
| 3078F | 0% | 1,497 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 3077F | 0% | 884 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 203 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 162 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 30 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 91300 | 0% | 122 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 52 | $0.00 |
| 90715 | 0% | 29 | $0.00 | |
| 90658 | 0% | 14 | $0.00 | |
| 81025 | 0% | 13 | $0.00 | |
| 92551 | 0% | 876 | $0.00 | |
| 90686 | 0% | 437 | $0.00 | |
| 3074F | 0% | 1,332 | $0.00 | |
| 3079F | 0% | 898 | $0.00 | |
| 3080F | 0% | 484 | $0.00 | |
| 85018 | 0% | 486 | $0.00 | |
| 3075F | 0% | 644 | $0.00 | |
| 91307 | 0% | 21 | $0.00 | |
| 91301 | 0% | 274 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 65 | $0.00 |
| 90651 | 0% | 55 | $0.00 | |
| 88142 | 0% | 38 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 86580 | 0% | 25 | $0.00 | |
| 96127 | 0% | 12 | $0.00 | |
| 0011A | 0% | 17 | $0.00 | |
| 0012A | 0% | 17 | $0.00 | |
| 90619 | 0% | 12 | $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 officialAPDACA, LEONEL (ADMINISTRATOR)