Physician
Valley Children's Medical Group
Valley Children's Medical Group was paid $64.87M by Medicaid between Jan 2018 and Dec 2024, across 171 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
33Billing provider infoVALLEY CHILDREN'S MEDICAL GROUP
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1437555265assigned 11/05/2014
33bProvider typePediatrics Physician
28Total paid$64.87M
24GClaims1,166,487
24DCodes billed171
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#4 of 1,490
Median peer was paid$15K
This provider vs. median4,327×
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 | 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 | |
| 2024incomplete | 219,537 | $12.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 16% | 148,297 | 143,254 | $10.61M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 82,702 | 77,584 | $10.05M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.1% | 88,250 | 36,481 | $5.26M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.4% | 56,798 | 56,414 | $4.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 80,773 | 77,710 | $3.46M |
| 99243 | 3.7% | 42,373 | 42,093 | $2.37M | |
| 93304 | 2.4% | 28,253 | 25,741 | $1.53M | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 25,670 | 24,955 | $1.31M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.9% | 16,768 | 16,146 | $1.20M |
| Z0102 | 1.7% | 5,744 | 1,625 | $1.11M | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.6% | 8,293 | 2,357 | $1.06M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.6% | 43,548 | 43,318 | $1.05M |
159 more codes
| 99283 | Emergency room visit (moderate) | 1.6% | 82,766 | $1.05M |
| 93325 | 1.6% | 50,993 | $1.04M | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 7,304 | $1.03M |
| 99204 | Doctor's office visit, new patient (more involved) | 1.5% | 16,977 | $981K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 12,340 | $861K |
| 99245 | 1.3% | 8,693 | $860K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 1.3% | 3,871 | $851K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 18,652 | $791K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.2% | 9,774 | $777K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 9,439 | $769K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.2% | 15,867 | $759K |
| 99285 | Emergency room visit (most serious) | 1.1% | 9,002 | $719K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.0% | 29,274 | $671K |
| Z4305 | <1% | 5,706 | $566K | |
| Z0104 | <1% | 3,507 | $497K | |
| 93321 | <1% | 23,391 | $470K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 3,537 | $470K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 6,473 | $439K |
| 93000 | <1% | 11,722 | $421K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12,003 | $385K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 44,938 | $374K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,328 | $339K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 3,465 | $321K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 1,279 | $279K |
| 99205 | Prolong outpt/office vis | <1% | 3,028 | $270K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 1,967 | $267K |
| 93320 | <1% | 7,026 | $258K | |
| Z4306 | <1% | 5,090 | $252K | |
| 99460 | <1% | 4,476 | $246K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 2,947 | $238K |
| 25600 | <1% | 2,641 | $236K | |
| 72082 | <1% | 6,130 | $222K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 6,769 | $176K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,108 | $161K |
| 95819 | <1% | 2,908 | $159K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,570 | $157K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 4,470 | $151K |
| 88304 | <1% | 9,314 | $146K | |
| 64642 | <1% | 1,213 | $141K | |
| 29450 | <1% | 1,817 | $123K | |
| 96450 | <1% | 603 | $103K | |
| 64643 | <1% | 993 | $101K | |
| 99242 | <1% | 2,413 | $96K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,875 | $93K |
| Z4303 | <1% | 3,130 | $93K | |
| 95782 | <1% | 1,035 | $82K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 8,624 | $73K |
| 76770 | <1% | 999 | $72K | |
| 99356 | <1% | 1,579 | $67K | |
| 93308 | <1% | 1,479 | $63K | |
| 99468 | <1% | 142 | $62K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,358 | $59K |
| 95251 | <1% | 1,380 | $57K | |
| 94010 | <1% | 6,789 | $56K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,614 | $56K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,103 | $56K |
| 44970 | <1% | 780 | $52K | |
| 99255 | <1% | 477 | $50K | |
| 99254 | <1% | 879 | $48K | |
| Z4304 | <1% | 861 | $46K | |
| 76813 | <1% | 1,427 | $41K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 4,818 | $39K |
| 23500 | <1% | 603 | $38K | |
| 95720 | <1% | 179 | $38K | |
| 54640 | <1% | 102 | $37K | |
| 95816 | <1% | 474 | $30K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 531 | $26K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,414 | $25K |
| 74018 | <1% | 1,368 | $25K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 85 | $25K |
| 95812 | <1% | 113 | $21K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 3,080 | $21K |
| 94060 | <1% | 2,013 | $20K | |
| 99417 | Prolong home eval add 15m | <1% | 697 | $20K |
| 76801 | <1% | 628 | $19K | |
| 99462 | <1% | 831 | $18K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,684 | $15K |
| 92587 | <1% | 206 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 634 | $15K |
| Q3014 | Telehealth originating site facility fee | <1% | 444 | $14K |
| 88342 | <1% | 401 | $13K | |
| Z0106 | <1% | 166 | $13K | |
| 99418 | Prolong nursin fac eval 15m | <1% | 331 | $13K |
| 95951 | <1% | 45 | $11K | |
| 99253 | <1% | 497 | $11K | |
| 92015 | Determination of refractive state | <1% | 1,489 | $10K |
| 73070 | <1% | 949 | $9K | |
| 15740 | <1% | 13 | $9K | |
| 73100 | <1% | 1,246 | $9K | |
| 92567 | <1% | 277 | $8K | |
| 26720 | <1% | 163 | $8K | |
| 92557 | <1% | 61 | $7K | |
| 72081 | <1% | 372 | $7K | |
| 31575 | <1% | 97 | $7K | |
| 99354 | <1% | 97 | $7K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 241 | $5K |
| X4530 | <1% | 182 | $5K | |
| Z0100 | <1% | 12 | $5K | |
| 59430 | <1% | 616 | $4K | |
| X4540 | <1% | 198 | $4K | |
| 93356 | <1% | 108 | $4K | |
| 76536 | <1% | 89 | $4K | |
| 99241 | <1% | 212 | $4K | |
| 42821 | <1% | 29 | $4K | |
| 59025 | Fetal non-stress test | <1% | 542 | $4K |
| 73090 | <1% | 401 | $4K | |
| 77072 | <1% | 227 | $4K | |
| 77077 | <1% | 304 | $3K | |
| 92002 | <1% | 111 | $3K | |
| 93227 | <1% | 184 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 309 | $3K |
| 76825 | <1% | 198 | $2K | |
| 14040 | <1% | 12 | $2K | |
| 93790 | <1% | 207 | $2K | |
| X4500 | <1% | 38 | $2K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 25 | $2K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 100 | $2K |
| 99221 | <1% | 88 | $2K | |
| 24530 | <1% | 38 | $2K | |
| V5010 | Assessment for hearing aid | <1% | 40 | $2K |
| 76827 | <1% | 199 | $2K | |
| 41520 | <1% | 12 | $2K | |
| 73590 | <1% | 112 | $1K | |
| 25560 | <1% | 39 | $1K | |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 25 | $1K |
| 81025 | <1% | 2,175 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 39 | $944.65 |
| 99252 | <1% | 26 | $901.49 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 504 | $901.05 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 32 | $846.77 |
| 73610 | <1% | 59 | $816.42 | |
| 92060 | <1% | 67 | $776.45 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 410 | $734.08 |
| Z5932 | <1% | 24 | $730.08 | |
| 73000 | <1% | 55 | $569.77 | |
| 92133 | <1% | 26 | $538.24 | |
| 88302 | <1% | 36 | $529.75 | |
| 42830 | <1% | 12 | $517.29 | |
| 99251 | <1% | 57 | $468.23 | |
| X4501 | <1% | 12 | $429.48 | |
| 88312 | <1% | 12 | $413.70 | |
| 81002 | <1% | 654 | $381.38 | |
| 88311 | <1% | 27 | $338.23 | |
| 93248 | <1% | 24 | $316.58 | |
| 93016 | <1% | 14 | $299.29 | |
| 94621 | <1% | 12 | $268.99 | |
| 93288 | <1% | 13 | $252.67 | |
| 29125 | <1% | 12 | $235.00 | |
| 91200 | <1% | 43 | $222.16 | |
| 69210 | <1% | 13 | $207.17 | |
| 12011 | <1% | 14 | $194.47 | |
| 94729 | <1% | 31 | $172.64 | |
| 94726 | <1% | 16 | $147.49 | |
| 99051 | <1% | 1,050 | $140.00 | |
| 99401 | <1% | 55 | $138.82 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $56.28 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 21 | $53.04 |
| 93272 | <1% | 13 | $21.75 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 99 | $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 officialGOLDRING, MICHAEL (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Valley Children's Medical Group | Bakersfield, CA | $2.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.