Golden Valley Health Center
Golden Valley Health Center was paid $49.20M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
RIVERBANK, CA 95367
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 | 9,425 | $1.02M | |
| 2019 | 11,849 | $992K | |
| 2020 | 85,687 | $8.17M | |
| 2021 | 123,325 | $12.07M | |
| 2022 | 83,783 | $8.57M | |
| 2023 | 97,480 | $10.11M | |
| 2024incomplete | 77,765 | $8.28M |
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 | 99% | 253,107 | 221,778 | $48.93M |
| 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% | 2,447 | 1,807 | $62K |
| 0002A | <1% | 473 | 472 | $31K | |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 617 | 515 | $29K |
| 0011A | <1% | 385 | 367 | $22K | |
| 0001A | <1% | 345 | 345 | $18K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,172 | 2,119 | $18K |
| 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% | 84,078 | 77,501 | $18K |
| 0012A | <1% | 287 | 269 | $17K | |
| 0072A | <1% | 193 | 192 | $13K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,073 | 2,032 | $12K |
| 0071A | <1% | 201 | 201 | $10K |
78 more codes
| 0004A | <1% | 84 | $6K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,273 | $5K |
| 0064A | <1% | 47 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,952 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,179 | $2K |
| 0054A | <1% | 29 | $2K | |
| 0074A | <1% | 16 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15,777 | $829.34 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50,223 | $408.40 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 162 | $386.06 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,641 | $239.69 |
| 85018 | <1% | 909 | $180.09 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,175 | $98.43 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,501 | $92.61 |
| 99173 | <1% | 1,019 | $78.02 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,829 | $68.67 |
| 90656 | <1% | 965 | $24.23 | |
| 90686 | <1% | 323 | $15.22 | |
| 81003 | <1% | 1,380 | $1.80 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,597 | $0.00 |
| 98940 | 0% | 2,261 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,419 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,522 | $0.00 |
| Z6400 | 0% | 479 | $0.00 | |
| 86703 | 0% | 68 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 814 | $0.00 |
| 11721 | 0% | 292 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 1,646 | $0.00 |
| 81025 | 0% | 363 | $0.00 | |
| 11720 | 0% | 199 | $0.00 | |
| 90670 | 0% | 146 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 391 | $0.00 |
| 11056 | 0% | 480 | $0.00 | |
| 90715 | 0% | 134 | $0.00 | |
| 90681 | 0% | 25 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 243 | $0.00 |
| 11057 | 0% | 69 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 44 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 938 | $0.00 |
| 92134 | 0% | 42 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 66 | $0.00 |
| 99201 | 0% | 191 | $0.00 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 0% | 45 | $0.00 |
| 99382 | 0% | 12 | $0.00 | |
| 90633 | 0% | 17 | $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% | 109 | $0.00 |
| Z6200 | 0% | 13 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 92551 | 0% | 692 | $0.00 | |
| Z1034 | 0% | 1,961 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 23,255 | $0.00 |
| Z1032 | 0% | 379 | $0.00 | |
| 99385 | 0% | 473 | $0.00 | |
| 99383 | 0% | 40 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 99381 | 0% | 140 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90651 | 0% | 84 | $0.00 | |
| 99000 | 0% | 208 | $0.00 | |
| 82962 | 0% | 146 | $0.00 | |
| 90647 | 0% | 155 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 378 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 57 | $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% | 1,217 | $0.00 |
| Z6402 | 0% | 59 | $0.00 | |
| 90474 | 0% | 25 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 90723 | 0% | 159 | $0.00 | |
| 11055 | 0% | 12 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 57 | $0.00 |
| 99386 | 0% | 81 | $0.00 | |
| 98943 | 0% | 75 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 47 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 90620 | 0% | 13 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 16 | $0.00 |
| Z6406 | 0% | 25 | $0.00 | |
| 90696 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Golden Valley Health Center | Merced, CA | $79.92M |
| 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 | Empire, CA | $5.08M |
| 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.