Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › NORTH HOLLYWOOD › VALLEY COMMUNITY HEALTHCARE

VALLEY COMMUNITY HEALTHCARE

NPI: 1588740989 · NORTH HOLLYWOOD, CA 91605 · Case Manager/Care Coordinator · NPI assigned 10/27/2006

$37.66M
Total Medicaid Paid
1,299,429
Total Claims
943,878
Beneficiaries
193
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZAMORA, ANITA (PRESIDENT/CEO)
NPI Enumeration Date10/27/2006

Related Entities

Other providers sharing the same authorized official: ZAMORA, ANITA

ProviderCityStateTotal Paid
VALLEY COMMUNITY HEALTHCARE NORTH HILLS CA $16.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 235,184 $6.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 257,128 215,176 $31.74M
00003 Internal/system code - not a standard HCPCS code 14,212 12,109 $2.50M
G9012 Other specified case management service not elsewhere classified 16,216 8,668 $675K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 199,774 132,644 $437K
90832 Psychotherapy, 30 minutes with patient 37,404 12,300 $413K
G0467 Federally 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 8,225 7,454 $379K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 135,896 85,928 $307K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12,492 10,052 $226K
V2020 Frames, purchases 17,099 12,814 $117K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,630 1,460 $102K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,206 4,653 $89K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,426 40,357 $72K
92340 Fitting of spectacles, except for aphakia; monofocal 13,037 9,669 $63K
92015 Determination of refractive state 23,937 18,510 $56K
G9008 Coordinated care fee, physician coordinated care oversight services 3,486 1,588 $41K
90791 Psychiatric diagnostic evaluation 1,256 877 $35K
J3490 Unclassified drugs 1,077 812 $27K
92341 3,491 2,667 $26K
92002 2,189 1,602 $24K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,333 1,660 $22K
92133 1,562 1,208 $22K
92250 1,362 1,150 $21K
90686 25,643 18,550 $19K
0124A 732 532 $17K
0011A 345 190 $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 1,574 1,534 $13K
99000 101,702 80,577 $13K
0012A 292 172 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,105 915 $12K
0134A 519 383 $10K
81025 7,011 5,895 $9K
S4993 Contraceptive pills for birth control 368 368 $7K
0054A 255 249 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 507 507 $6K
92083 693 532 $6K
90670 2,594 1,759 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,750 4,015 $6K
99385 2,257 1,801 $5K
90734 3,161 2,051 $5K
86703 360 359 $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 90 64 $4K
90651 4,692 3,126 $4K
0519 48 40 $4K
0064A 212 212 $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 41 36 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 10,989 8,180 $4K
91320 877 658 $4K
90480 1,606 1,212 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,773 25,802 $3K
90715 4,702 3,615 $3K
90620 2,831 1,686 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 351 307 $3K
90688 168 168 $3K
99386 1,522 1,319 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,377 4,047 $2K
90846 Family psychotherapy without the patient present, 50 minutes 142 96 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,288 4,082 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,602 3,569 $2K
D1206 Topical application of fluoride varnish 1,397 1,126 $2K
92551 18,436 11,935 $2K
91322 354 295 $2K
90633 2,636 1,737 $2K
A4267 Contraceptive supply, condom, male, each 893 888 $1K
G0466 Federally 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 12 12 $1K
0071A 23 23 $1K
D0210 Intraoral - complete series of radiographic images 523 433 $1K
90716 839 566 $1K
0074A 21 21 $1K
D1310 1,753 1,509 $966.00
83036 Hemoglobin; glycosylated (A1C) 13,776 10,236 $896.01
76514 236 205 $874.81
D4341 579 282 $840.00
D0150 Comprehensive oral evaluation - new or established patient 310 236 $832.00
0081A 17 17 $800.00
0072A 29 29 $750.00
90698 730 492 $738.88
90472 Immunization administration, each additional vaccine (list separately) 5,680 4,846 $680.46
D0120 Periodic oral evaluation - established patient 533 462 $680.00
97802 2,542 2,540 $661.10
90744 607 409 $649.05
92082 62 59 $628.58
82948 11,947 8,695 $621.87
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,148 1,459 $616.68
90710 579 381 $616.00
90834 Psychotherapy, 45 minutes with patient 57 29 $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 13 13 $582.01
99173 45,146 32,328 $573.14
93000 1,655 1,205 $570.15
90746 907 890 $566.48
92134 42 41 $556.69
D1351 Sealant - per tooth 64 14 $555.00
0521 15 15 $552.15
D1208 Topical application of fluoride, excluding varnish 1,022 885 $533.40
99382 82 55 $466.60
90707 596 430 $458.88
85018 19,806 12,545 $448.48
D4910 242 215 $390.00
94760 3,093 2,483 $371.88
D1120 Prophylaxis - child 156 141 $355.50
99383 192 137 $325.68
D1110 Prophylaxis - adult 255 218 $324.00
D0220 Intraoral - periapical first radiographic image 481 397 $287.00
90677 660 505 $269.20
81002 7,786 5,196 $257.69
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,401 873 $242.90
3044F 4,510 3,367 $220.59
90750 3,518 3,040 $187.87
87430 1,352 1,241 $162.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 257 244 $154.96
90700 488 306 $152.74
99384 127 102 $130.24
D0145 Oral evaluation for a patient under three years of age 17 15 $124.00
90681 562 415 $121.79
90696 454 291 $106.72
90685 21 17 $100.00
D0603 224 211 $90.00
D0274 Bitewings - four radiographic images 137 113 $64.80
99201 177 163 $60.92
D0140 Limited oral evaluation - problem focused 112 97 $46.20
90460 Immunization administration through 18 years of age via any route, first or only component 23,289 14,403 $40.40
H1002 Prenatal care, at risk enhanced service; care coordination 99 99 $33.30
D0602 44 39 $30.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 9,147 6,238 $23.49
3045F 631 605 $23.49
D2391 Resin-based composite - one surface, posterior, primary or permanent 17 12 $10.00
86580 182 180 $9.99
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 345 217 $8.76
G9007 Coordinated care fee, scheduled team conference 82 74 $0.27
3074F 5,780 4,207 $0.00
90656 2,891 2,136 $0.00
90697 850 583 $0.00
D0002 5,040 4,174 $0.00
D1330 3,392 2,816 $0.00
3075F 1,256 928 $0.00
99441 308 280 $0.00
96156 393 392 $0.00
2033F 229 200 $0.00
D0001 274 274 $0.00
90739 137 134 $0.00
1170F 190 108 $0.00
3079F 1,341 998 $0.00
1126F 549 331 $0.00
90674 15 15 $0.00
1123F 472 292 $0.00
3052F 320 240 $0.00
90747 39 39 $0.00
S9452 Nutrition classes, non-physician provider, per session 28 28 $0.00
2023F 234 215 $0.00
99381 90 71 $0.00
H2000 Comprehensive multidisciplinary evaluation 28 28 $0.00
Z6204 28 28 $0.00
3080F 31 25 $0.00
G0008 Administration of influenza virus vaccine 47 46 $0.00
1125F 97 63 $0.00
Z6406 28 28 $0.00
59430 31 17 $0.00
58100 16 13 $0.00
1111F 20 12 $0.00
1159F 4,278 3,141 $0.00
1158F 474 293 $0.00
3051F 1,253 928 $0.00
D9993 1,803 1,569 $0.00
99401 83 83 $0.00
3077F 972 744 $0.00
94729 43 42 $0.00
3078F 7,093 5,246 $0.00
1160F 2,003 1,558 $0.00
3046F 1,550 1,165 $0.00
90461 7,154 4,440 $0.00
99442 338 292 $0.00
97803 2,062 2,046 $0.00
H1003 Prenatal care, at-risk enhanced service; education 492 483 $0.00
99215 Prolong outpt/office vis 322 247 $0.00
96152 475 266 $0.00
90648 167 110 $0.00
0502F 65 31 $0.00
96160 40 40 $0.00
D4381 461 240 $0.00
90662 421 386 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 169 97 $0.00
Z6400 153 152 $0.00
90756 139 139 $0.00
87210 13 13 $0.00
99397 259 218 $0.00
Z6500 28 28 $0.00
90713 17 14 $0.00
Z6304 28 28 $0.00
D0190 29 29 $0.00
2026F 15 14 $0.00
2022F 59 47 $0.00
90672 27 17 $0.00
0004A 35 35 $0.00
D0270 13 13 $0.00