Valley Community Healthcare
Valley Community Healthcare was paid $37.66M by Medicaid between Jan 2018 and Dec 2024, across 193 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoVALLEY COMMUNITY HEALTHCARE
NORTH HOLLYWOOD, CA 91605
NORTH HOLLYWOOD, CA 91605
33aNPI1588740989assigned 10/27/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$37.66M
24GClaims1,299,429
24DCodes billed193
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#55 of 435
Median peer was paid$2.89M
This provider vs. median13×
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 | 105,825 | $4.95M | |
| 2019 | 151,891 | $4.19M | |
| 2020 | 152,266 | $4.33M | |
| 2021 | 190,224 | $5.09M | |
| 2022 | 214,314 | $5.71M | |
| 2023 | 249,725 | $6.98M | |
| 2024incomplete | 235,184 | $6.42M |
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 | 84% | 257,128 | 215,176 | $31.74M |
| 00003 | Internal/system code - not a standard HCPCS code | 6.6% | 14,212 | 12,109 | $2.50M |
| G9012 | Other specified case management service not elsewhere classified | 1.8% | 16,216 | 8,668 | $675K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 199,774 | 132,644 | $437K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 37,404 | 12,300 | $413K |
| 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 | 1.0% | 8,225 | 7,454 | $379K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 135,896 | 85,928 | $307K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12,492 | 10,052 | $226K |
| V2020 | Frames, purchases | <1% | 17,099 | 12,814 | $117K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,630 | 1,460 | $102K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 6,206 | 4,653 | $89K |
| 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% | 53,426 | 40,357 | $72K |
181 more codes
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 13,037 | $63K |
| 92015 | Determination of refractive state | <1% | 23,937 | $56K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 3,486 | $41K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,256 | $35K |
| J3490 | Unclassified drugs | <1% | 1,077 | $27K |
| 92341 | <1% | 3,491 | $26K | |
| 92002 | <1% | 2,189 | $24K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 2,333 | $22K |
| 92133 | <1% | 1,562 | $22K | |
| 92250 | <1% | 1,362 | $21K | |
| 90686 | <1% | 25,643 | $19K | |
| 0124A | <1% | 732 | $17K | |
| 0011A | <1% | 345 | $14K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,574 | $13K |
| 99000 | <1% | 101,702 | $13K | |
| 0012A | <1% | 292 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,105 | $12K |
| 0134A | <1% | 519 | $10K | |
| 81025 | <1% | 7,011 | $9K | |
| S4993 | Contraceptive pills for birth control | <1% | 368 | $7K |
| 0054A | <1% | 255 | $7K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 507 | $6K |
| 92083 | <1% | 693 | $6K | |
| 90670 | <1% | 2,594 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 5,750 | $6K |
| 99385 | <1% | 2,257 | $5K | |
| 90734 | <1% | 3,161 | $5K | |
| 86703 | <1% | 360 | $4K | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 90 | $4K |
| 90651 | <1% | 4,692 | $4K | |
| 0519 | <1% | 48 | $4K | |
| 0064A | <1% | 212 | $4K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 41 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 10,989 | $4K |
| 91320 | <1% | 877 | $4K | |
| 90480 | <1% | 1,606 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31,773 | $3K |
| 90715 | <1% | 4,702 | $3K | |
| 90620 | <1% | 2,831 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 351 | $3K |
| 90688 | <1% | 168 | $3K | |
| 99386 | <1% | 1,522 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 6,377 | $2K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 142 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,288 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,602 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 1,397 | $2K |
| 92551 | <1% | 18,436 | $2K | |
| 91322 | <1% | 354 | $2K | |
| 90633 | <1% | 2,636 | $2K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 893 | $1K |
| G0466 | Community health center visit, new patient | <1% | 12 | $1K |
| 0071A | <1% | 23 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 523 | $1K |
| 90716 | <1% | 839 | $1K | |
| 0074A | <1% | 21 | $1K | |
| D1310 | <1% | 1,753 | $966.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13,776 | $896.01 |
| 76514 | <1% | 236 | $874.81 | |
| D4341 | <1% | 579 | $840.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 310 | $832.00 |
| 0081A | <1% | 17 | $800.00 | |
| 0072A | <1% | 29 | $750.00 | |
| 90698 | <1% | 730 | $738.88 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,680 | $680.46 |
| D0120 | Dental checkup, returning patient | <1% | 533 | $680.00 |
| 97802 | <1% | 2,542 | $661.10 | |
| 90744 | <1% | 607 | $649.05 | |
| 92082 | <1% | 62 | $628.58 | |
| 82948 | <1% | 11,947 | $621.87 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,148 | $616.68 |
| 90710 | <1% | 579 | $616.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 57 | $606.60 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 13 | $582.01 |
| 99173 | <1% | 45,146 | $573.14 | |
| 93000 | <1% | 1,655 | $570.15 | |
| 90746 | <1% | 907 | $566.48 | |
| 92134 | <1% | 42 | $556.69 | |
| D1351 | Sealant - per tooth | <1% | 64 | $555.00 |
| 0521 | <1% | 15 | $552.15 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,022 | $533.40 |
| 99382 | <1% | 82 | $466.60 | |
| 90707 | <1% | 596 | $458.88 | |
| 85018 | <1% | 19,806 | $448.48 | |
| D4910 | <1% | 242 | $390.00 | |
| 94760 | <1% | 3,093 | $371.88 | |
| D1120 | Dental cleaning, child | <1% | 156 | $355.50 |
| 99383 | <1% | 192 | $325.68 | |
| D1110 | Prophylaxis - adult | <1% | 255 | $324.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 481 | $287.00 |
| 90677 | <1% | 660 | $269.20 | |
| 81002 | <1% | 7,786 | $257.69 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,401 | $242.90 |
| 3044F | <1% | 4,510 | $220.59 | |
| 90750 | <1% | 3,518 | $187.87 | |
| 87430 | <1% | 1,352 | $162.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 257 | $154.96 |
| 90700 | <1% | 488 | $152.74 | |
| 99384 | <1% | 127 | $130.24 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 17 | $124.00 |
| 90681 | <1% | 562 | $121.79 | |
| 90696 | <1% | 454 | $106.72 | |
| 90685 | <1% | 21 | $100.00 | |
| D0603 | <1% | 224 | $90.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 137 | $64.80 |
| 99201 | <1% | 177 | $60.92 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 112 | $46.20 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 23,289 | $40.40 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 99 | $33.30 |
| D0602 | <1% | 44 | $30.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 9,147 | $23.49 |
| 3045F | <1% | 631 | $23.49 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $10.00 |
| 86580 | <1% | 182 | $9.99 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 345 | $8.76 |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 82 | $0.27 |
| 3074F | 0% | 5,780 | $0.00 | |
| 90656 | 0% | 2,891 | $0.00 | |
| 90697 | 0% | 850 | $0.00 | |
| D0002 | 0% | 5,040 | $0.00 | |
| D1330 | 0% | 3,392 | $0.00 | |
| 3075F | 0% | 1,256 | $0.00 | |
| 99441 | 0% | 308 | $0.00 | |
| 96156 | 0% | 393 | $0.00 | |
| 2033F | 0% | 229 | $0.00 | |
| D0001 | 0% | 274 | $0.00 | |
| 90739 | 0% | 137 | $0.00 | |
| 1170F | 0% | 190 | $0.00 | |
| 3079F | 0% | 1,341 | $0.00 | |
| 1126F | 0% | 549 | $0.00 | |
| 90674 | 0% | 15 | $0.00 | |
| 1123F | 0% | 472 | $0.00 | |
| 3052F | 0% | 320 | $0.00 | |
| 90747 | 0% | 39 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 28 | $0.00 |
| 2023F | 0% | 234 | $0.00 | |
| 99381 | 0% | 90 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 28 | $0.00 |
| Z6204 | 0% | 28 | $0.00 | |
| 3080F | 0% | 31 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 47 | $0.00 |
| 1125F | 0% | 97 | $0.00 | |
| Z6406 | 0% | 28 | $0.00 | |
| 59430 | 0% | 31 | $0.00 | |
| 58100 | 0% | 16 | $0.00 | |
| 1111F | 0% | 20 | $0.00 | |
| 1159F | 0% | 4,278 | $0.00 | |
| 1158F | 0% | 474 | $0.00 | |
| 3051F | 0% | 1,253 | $0.00 | |
| D9993 | 0% | 1,803 | $0.00 | |
| 99401 | 0% | 83 | $0.00 | |
| 3077F | 0% | 972 | $0.00 | |
| 94729 | 0% | 43 | $0.00 | |
| 3078F | 0% | 7,093 | $0.00 | |
| 1160F | 0% | 2,003 | $0.00 | |
| 3046F | 0% | 1,550 | $0.00 | |
| 90461 | 0% | 7,154 | $0.00 | |
| 99442 | 0% | 338 | $0.00 | |
| 97803 | 0% | 2,062 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 492 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 322 | $0.00 |
| 96152 | 0% | 475 | $0.00 | |
| 90648 | 0% | 167 | $0.00 | |
| 0502F | 0% | 65 | $0.00 | |
| 96160 | 0% | 40 | $0.00 | |
| D4381 | 0% | 461 | $0.00 | |
| 90662 | 0% | 421 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 169 | $0.00 |
| Z6400 | 0% | 153 | $0.00 | |
| 90756 | 0% | 139 | $0.00 | |
| 87210 | 0% | 13 | $0.00 | |
| 99397 | 0% | 259 | $0.00 | |
| Z6500 | 0% | 28 | $0.00 | |
| 90713 | 0% | 17 | $0.00 | |
| Z6304 | 0% | 28 | $0.00 | |
| D0190 | 0% | 29 | $0.00 | |
| 2026F | 0% | 15 | $0.00 | |
| 2022F | 0% | 59 | $0.00 | |
| 90672 | 0% | 27 | $0.00 | |
| 0004A | 0% | 35 | $0.00 | |
| D0270 | 0% | 13 | $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 officialZAMORA, ANITA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Community Healthcare | North Hills, CA | $16.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.