Clinic
Mountain Valleys Health Centers
Mountain Valleys Health Centers was paid $737K by Medicaid between Jan 2018 and Jan 2022, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoMOUNTAIN VALLEYS HEALTH CENTERS
TULELAKE, CA 96134
TULELAKE, CA 96134
33aNPI1679645121assigned 11/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$737K
24GClaims17,135
24DCodes billed38
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#554 of 826
Median peer was paid$4.05M
This provider vs. median0.2×
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 | 6,812 | $332K | |
| 2019 | 4,859 | $204K | |
| 2020 | 4,821 | $182K | |
| 2021 | 608 | $18K | |
| 2022 | 35 | $0.00 |
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 | 95% | 7,593 | 6,382 | $702K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 4,439 | 3,257 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 187 | 144 | $4K |
| 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% | 1,172 | 846 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 273 | 247 | $2K |
| 87430 | <1% | 202 | 198 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 127 | 110 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 32 | 26 | $1K |
| 90688 | <1% | 138 | 94 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 47 | 47 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 60 | 58 | $1K |
| 92552 | <1% | 105 | 103 | $890.14 |
26 more codes
| 92551 | <1% | 153 | $853.17 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 44 | $563.94 |
| 90686 | <1% | 57 | $556.47 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 100 | $500.00 |
| H0049 | Alcohol and/or drug screening | <1% | 99 | $430.00 |
| 85018 | <1% | 545 | $429.54 | |
| 94010 | <1% | 14 | $344.40 | |
| 90651 | <1% | 30 | $270.00 | |
| 90734 | <1% | 29 | $261.00 | |
| 90715 | <1% | 28 | $252.00 | |
| 90658 | <1% | 24 | $216.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $213.50 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 43 | $170.74 |
| 81025 | <1% | 38 | $106.40 | |
| 87400 | <1% | 23 | $63.69 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 12 | $60.00 |
| 81002 | <1% | 186 | $43.97 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 53 | $41.94 |
| 99283 | Emergency room visit (moderate) | <1% | 651 | $35.09 |
| 36415 | Collection of venous blood by venipuncture | 0% | 35 | $0.00 |
| 3074F | 0% | 213 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 31 | $0.00 |
| 3079F | 0% | 35 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 3078F | 0% | 263 | $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 officialWATKINS, BRANDON (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mountain Valleys Health Centers | Dorris, CA | $12.44M |
| Mountain Valleys Health Centers | Burney, CA | $3.58M |
| Mountain Valleys Health Centers | Fall River Mills, CA | $2.92M |
| Mountain Valleys Health Centers | Bieber, CA | $2.12M |
| Mountain Valleys Health Centers | Weed, CA | $208.27 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.