Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MODESTO › VALLEY CHILDREN'S MEDICAL GROUP

VALLEY CHILDREN'S MEDICAL GROUP

NPI: 1437555265 · MODESTO, CA 95350 · Pediatrics Physician · NPI assigned 11/05/2014

$64.87M
Total Medicaid Paid
1,166,487
Total Claims
1,049,133
Beneficiaries
171
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOLDRING, MICHAEL (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date11/05/2014

Related Entities

Other providers sharing the same authorized official: GOLDRING, MICHAEL

ProviderCityStateTotal Paid
VALLEY CHILDREN'S MEDICAL GROUP BAKERSFIELD CA $2.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134,217 $7.74M
2019 132,877 $7.98M
2020 124,348 $7.48M
2021 152,092 $9.31M
2022 167,742 $8.90M
2023 235,674 $11.35M
2024 219,537 $12.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 148,297 143,254 $10.61M
99215 Prolong outpt/office vis 82,702 77,584 $10.05M
99233 Prolong inpt eval add15 m 88,250 36,481 $5.26M
99244 Office or other outpatient consultation, moderate to high complexity 56,798 56,414 $4.79M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,773 77,710 $3.46M
99243 42,373 42,093 $2.37M
93304 28,253 25,741 $1.53M
99239 Hospital discharge day management, more than 30 minutes 25,670 24,955 $1.31M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 16,768 16,146 $1.20M
Z0102 5,744 1,625 $1.11M
99480 Subsequent intensive care, per day, low birth weight infant 8,293 2,357 $1.06M
99284 Emergency department visit for the evaluation and management, high severity 43,548 43,318 $1.05M
99283 Emergency department visit for the evaluation and management, moderate severity 82,766 82,228 $1.05M
93325 50,993 46,899 $1.04M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,304 7,272 $1.03M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,977 16,816 $981K
99223 Prolong inpt eval add15 m 12,340 11,943 $861K
99245 8,693 8,624 $860K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3,871 1,131 $851K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18,652 18,216 $791K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 9,774 9,650 $777K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,439 8,589 $769K
99232 Subsequent hospital care, per day, moderate complexity 15,867 8,119 $759K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,002 8,933 $719K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 29,274 27,838 $671K
Z4305 5,706 5,657 $566K
Z0104 3,507 1,101 $497K
93321 23,391 21,284 $470K
42820 Tonsillectomy and adenoidectomy; younger than age 12 3,537 3,514 $470K
99222 Initial hospital care, per day, moderate complexity 6,473 6,341 $439K
93000 11,722 11,594 $421K
99238 Hospital discharge day management, 30 minutes or less 12,003 11,814 $385K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 44,938 42,366 $374K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,328 2,179 $339K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,465 3,457 $321K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,279 287 $279K
99205 Prolong outpt/office vis 3,028 2,972 $270K
99479 Subsequent intensive care, per day, very low birth weight infant 1,967 516 $267K
93320 7,026 6,934 $258K
Z4306 5,090 5,038 $252K
99460 4,476 4,447 $246K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,947 2,203 $238K
25600 2,641 2,609 $236K
72082 6,130 6,015 $222K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,769 6,492 $176K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,108 1,101 $161K
95819 2,908 2,875 $159K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,570 6,382 $157K
76819 Fetal biophysical profile; without non-stress testing 4,470 3,864 $151K
88304 9,314 9,138 $146K
64642 1,213 1,205 $141K
29450 1,817 932 $123K
96450 603 544 $103K
64643 993 897 $101K
99242 2,413 2,396 $96K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,875 1,857 $93K
Z4303 3,130 3,100 $93K
95782 1,035 1,035 $82K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,624 8,599 $73K
76770 999 999 $72K
99356 1,579 937 $67K
93308 1,479 1,418 $63K
99468 142 87 $62K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,358 2,339 $59K
95251 1,380 1,379 $57K
94010 6,789 6,698 $56K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,614 1,609 $56K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,103 1,022 $56K
44970 780 779 $52K
99255 477 473 $50K
99254 879 841 $48K
Z4304 861 861 $46K
76813 1,427 1,385 $41K
H1001 Prenatal care, at-risk enhanced service; antepartum management 4,818 3,392 $39K
23500 603 598 $38K
95720 179 123 $38K
54640 102 77 $37K
95816 474 472 $30K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 531 530 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,414 1,320 $25K
74018 1,368 1,331 $25K
45380 Colonoscopy, flexible; with biopsy, single or multiple 85 85 $25K
95812 113 112 $21K
T1014 Telehealth transmission, per minute, professional services bill separately 3,080 3,029 $21K
94060 2,013 1,973 $20K
99417 Prolong home eval add 15m 697 689 $20K
76801 628 625 $19K
99462 831 631 $18K
83036 Hemoglobin; glycosylated (A1C) 1,684 1,683 $15K
92587 206 204 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 634 574 $15K
Q3014 Telehealth originating site facility fee 444 438 $14K
88342 401 398 $13K
Z0106 166 66 $13K
99418 Prolong nursin fac eval 15m 331 158 $13K
95951 45 27 $11K
99253 497 481 $11K
92015 Determination of refractive state 1,489 1,486 $10K
73070 949 917 $9K
15740 13 12 $9K
73100 1,246 1,195 $9K
92567 277 268 $8K
26720 163 163 $8K
92557 61 57 $7K
72081 372 357 $7K
31575 97 93 $7K
99354 97 97 $7K
H1000 Prenatal care, at-risk assessment 241 239 $5K
X4530 182 182 $5K
Z0100 12 12 $5K
59430 616 537 $4K
X4540 198 197 $4K
93356 108 107 $4K
76536 89 89 $4K
99241 212 204 $4K
42821 29 29 $4K
59025 Fetal non-stress test 542 243 $4K
73090 401 387 $4K
77072 227 227 $4K
77077 304 304 $3K
92002 111 110 $3K
93227 184 183 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 309 297 $3K
76825 198 195 $2K
14040 12 12 $2K
93790 207 206 $2K
X4500 38 38 $2K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 25 25 $2K
H1002 Prenatal care, at risk enhanced service; care coordination 100 100 $2K
99221 88 86 $2K
24530 38 38 $2K
V5010 Assessment for hearing aid 40 40 $2K
76827 199 196 $2K
41520 12 12 $2K
73590 112 104 $1K
25560 39 39 $1K
V5264 Ear mold/insert, not disposable, any type 25 25 $1K
81025 2,175 2,069 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 39 39 $944.65
99252 26 26 $901.49
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 504 502 $901.05
71046 Radiologic examination, chest; 2 views 32 31 $846.77
73610 59 58 $816.42
92060 67 66 $776.45
H1003 Prenatal care, at-risk enhanced service; education 410 409 $734.08
Z5932 24 24 $730.08
73000 55 53 $569.77
92133 26 26 $538.24
88302 36 36 $529.75
42830 12 12 $517.29
99251 57 19 $468.23
X4501 12 12 $429.48
88312 12 12 $413.70
81002 654 627 $381.38
88311 27 25 $338.23
93248 24 24 $316.58
93016 14 14 $299.29
94621 12 12 $268.99
93288 13 12 $252.67
29125 12 12 $235.00
91200 43 43 $222.16
69210 13 12 $207.17
12011 14 13 $194.47
94729 31 31 $172.64
94726 16 16 $147.49
99051 1,050 1,042 $140.00
99401 55 53 $138.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 40 39 $56.28
99281 Emergency department visit for the evaluation and management, self-limited or minor 21 21 $53.04
93272 13 13 $21.75
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 99 98 $0.00