Physician
Valley Oak Pediatric Associates
Valley Oak Pediatric Associates was paid $310K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 40% of everything it billed.
33Billing provider infoVALLEY OAK PEDIATRIC ASSOCIATES
MODESTO, CA 95356
MODESTO, CA 95356
33aNPI1407843345assigned 10/05/2005
33bProvider typePediatrics Physician
28Total paid$310K
24GClaims62,760
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#307 of 1,490
Median peer was paid$15K
This provider vs. median21×
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 | 9,891 | $39K | |
| 2019 | 10,714 | $40K | |
| 2020 | 7,613 | $30K | |
| 2021 | 9,849 | $43K | |
| 2022 | 7,892 | $36K | |
| 2023 | 9,324 | $39K | |
| 2024incomplete | 7,477 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 40% | 6,613 | 6,480 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 21,349 | 20,000 | $83K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.7% | 300 | 300 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 1,410 | 1,381 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 2,181 | 2,176 | $11K |
| 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 | 3.3% | 704 | 693 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.2% | 2,161 | 2,129 | $10K |
| 92552 | 2.9% | 6,466 | 6,443 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 2,640 | 2,611 | $7K |
| 99173 | 2.2% | 4,434 | 4,423 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,689 | 1,683 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 75 | 74 | $1K |
29 more codes
| 81003 | <1% | 1,083 | $970.59 | |
| 99381 | <1% | 29 | $847.16 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 75 | $805.20 |
| 90686 | <1% | 1,967 | $648.00 | |
| 0071A | <1% | 14 | $560.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 29 | $510.00 |
| 96127 | <1% | 79 | $500.01 | |
| 17110 | <1% | 12 | $487.91 | |
| 90670 | <1% | 1,294 | $423.00 | |
| 90651 | <1% | 557 | $396.00 | |
| 85018 | <1% | 2,552 | $297.48 | |
| 90715 | <1% | 224 | $270.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | $247.80 |
| 90647 | <1% | 933 | $234.00 | |
| 90734 | <1% | 524 | $225.00 | |
| 90723 | <1% | 833 | $217.00 | |
| 90680 | <1% | 448 | $117.00 | |
| 90633 | <1% | 554 | $99.00 | |
| 99382 | <1% | 29 | $94.26 | |
| 94760 | <1% | 583 | $36.35 | |
| 90710 | <1% | 236 | $36.00 | |
| 90696 | <1% | 244 | $36.00 | |
| 90700 | <1% | 51 | $27.00 | |
| 90671 | <1% | 97 | $27.00 | |
| 90716 | <1% | 51 | $27.00 | |
| 90707 | <1% | 28 | $18.00 | |
| 90685 | 0% | 26 | $0.00 | |
| 90674 | 0% | 122 | $0.00 | |
| 99383 | 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.
From NPPES
Who's on the registration
Authorized officialKOCH, SARAH (PRESIDENT)