Northeast Valley Health Corporation
Northeast Valley Health Corporation was paid $662K by Medicaid between Jan 2018 and Dec 2024, across 296 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 43% of everything it billed.
SAN FERNANDO, CA 91340
Next to other Case Manager/Care Coordinator 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 | 241,761 | $70K | |
| 2019 | 342,096 | $322K | |
| 2020 | 266,777 | $53K | |
| 2021 | 390,310 | $107K | |
| 2022 | 801,224 | $33K | |
| 2023 | 1,066,846 | $39K | |
| 2024incomplete | 1,274,904 | $37K |
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 | 43% | 2,044 | 1,669 | $286K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 491,806 | 453,771 | $101K |
| 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 | 8.3% | 239,016 | 228,409 | $55K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 4.5% | 5,248 | 5,137 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 35,741 | 35,656 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 100,940 | 95,049 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 36,257 | 36,186 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 27,776 | 27,741 | $18K |
| 92551 | 1.4% | 60,087 | 59,921 | $10K | |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 132,997 | 129,957 | $8K |
| 99460 | <1% | 373 | 373 | $6K | |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 71,377 | 67,232 | $6K |
284 more codes
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 36,392 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16,427 | $5K |
| 99403 | <1% | 4,815 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 112,845 | $4K |
| 99404 | <1% | 1,979 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,074 | $3K |
| 97802 | <1% | 13,501 | $3K | |
| 97803 | <1% | 14,670 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 843 | $2K |
| 99402 | <1% | 9,569 | $2K | |
| 99462 | <1% | 161 | $2K | |
| T1002 | Rn services, up to 15 minutes | <1% | 13,742 | $2K |
| 76801 | <1% | 3,194 | $2K | |
| T1004 | Services of a qualified nursing aide, up to 15 minutes | <1% | 21,555 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,960 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 276 | $2K |
| 99401 | <1% | 19,865 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,447 | $1K |
| 94010 | <1% | 1,684 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 31,498 | $1K |
| 87536 | <1% | 1,000 | $1K | |
| 90670 | <1% | 12,223 | $1K | |
| 96151 | <1% | 1,831 | $1K | |
| 90734 | <1% | 8,542 | $1K | |
| G9920 | Screening performed and negative | <1% | 8,388 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 9,309 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27,328 | $1K |
| 85018 | <1% | 22,714 | $969.82 | |
| 57454 | <1% | 613 | $922.24 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15,517 | $883.70 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 31,445 | $844.11 |
| 90715 | <1% | 6,812 | $836.62 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 18,912 | $832.37 |
| 80061 | Lipid panel | <1% | 23,340 | $828.55 |
| 99381 | <1% | 956 | $764.31 | |
| 81002 | <1% | 63,206 | $754.10 | |
| 80053 | Comprehensive metabolic panel | <1% | 23,841 | $749.92 |
| 80055 | <1% | 3,347 | $733.75 | |
| T1016 | Case management, each 15 minutes | <1% | 2,047 | $704.23 |
| 90837 | Psychotherapy session, about an hour | <1% | 282 | $686.14 |
| 90686 | <1% | 60,292 | $666.13 | |
| 96150 | <1% | 899 | $605.71 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,641 | $543.80 |
| 92250 | <1% | 11,524 | $523.35 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 84 | $451.22 |
| 90698 | <1% | 4,654 | $450.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 11,550 | $445.82 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 13,149 | $439.49 |
| 81025 | <1% | 31,167 | $437.81 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 379 | $413.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 6,663 | $410.70 |
| H1000 | Prenatal care, at-risk assessment | <1% | 1,144 | $383.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,721 | $360.42 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 41,527 | $356.47 |
| 88304 | <1% | 490 | $344.76 | |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 743 | $341.39 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 252 | $335.80 |
| 90710 | <1% | 3,408 | $333.00 | |
| 90744 | <1% | 2,494 | $333.00 | |
| 90696 | <1% | 3,243 | $315.00 | |
| 82274 | <1% | 3,455 | $299.31 | |
| 90716 | <1% | 3,521 | $288.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 35,822 | $284.56 |
| 83655 | <1% | 4,620 | $269.11 | |
| 86803 | <1% | 2,307 | $256.31 | |
| 93000 | <1% | 1,281 | $255.69 | |
| 97804 | <1% | 48 | $247.86 | |
| 83718 | <1% | 4,425 | $212.00 | |
| 90707 | <1% | 2,797 | $207.00 | |
| 99173 | <1% | 53,765 | $206.62 | |
| 87081 | <1% | 3,172 | $174.22 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,258 | $172.77 |
| 82948 | <1% | 889 | $170.32 | |
| 86592 | <1% | 22,115 | $169.09 | |
| 76810 | <1% | 119 | $167.68 | |
| 90750 | <1% | 896 | $164.81 | |
| 86580 | <1% | 3,759 | $163.12 | |
| 82043 | <1% | 7,594 | $161.01 | |
| 86361 | <1% | 321 | $157.43 | |
| J3490 | Unclassified drugs | <1% | 356 | $156.44 |
| 90700 | <1% | 2,359 | $153.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 80 | $151.15 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,177 | $137.11 |
| 81001 | <1% | 16,939 | $119.14 | |
| 82465 | <1% | 4,905 | $110.00 | |
| G0467 | Community health center visit, returning patient | <1% | 1,670 | $108.77 |
| 99383 | <1% | 125 | $108.56 | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 3,754 | $105.00 |
| 90688 | <1% | 6,514 | $103.31 | |
| 90674 | <1% | 799 | $103.31 | |
| 86765 | <1% | 75 | $102.06 | |
| 87070 | <1% | 1,408 | $88.13 | |
| 80076 | <1% | 895 | $76.50 | |
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | <1% | 27 | $73.56 |
| 73562 | <1% | 188 | $69.44 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 464 | $67.92 |
| 84999 | <1% | 21,392 | $66.84 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 874 | $66.50 |
| 90713 | <1% | 113 | $54.00 | |
| 85027 | <1% | 5,892 | $34.61 | |
| 87400 | <1% | 664 | $34.38 | |
| 82105 | <1% | 101 | $34.29 | |
| 96156 | <1% | 10,098 | $33.49 | |
| 96127 | <1% | 8,251 | $28.66 | |
| 87210 | <1% | 138 | $27.90 | |
| 90680 | <1% | 140 | $27.00 | |
| 90633 | <1% | 10,023 | $24.02 | |
| 1123F | <1% | 25,565 | $23.76 | |
| 80305 | <1% | 1,272 | $20.06 | |
| 92081 | <1% | 8,540 | $20.00 | |
| 84439 | <1% | 868 | $12.82 | |
| 1159F | <1% | 524,268 | $12.13 | |
| 3078F | <1% | 281,998 | $12.13 | |
| 3046F | <1% | 22,206 | $12.13 | |
| 3044F | <1% | 8,146 | $12.13 | |
| 99441 | <1% | 160 | $10.26 | |
| 82947 | <1% | 227 | $8.88 | |
| 85652 | <1% | 129 | $7.15 | |
| 83735 | <1% | 326 | $5.90 | |
| 87340 | <1% | 1,592 | $4.75 | |
| 84460 | <1% | 3,660 | $3.33 | |
| 84450 | <1% | 171 | $3.33 | |
| 84550 | <1% | 339 | $3.30 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 670 | $2.92 |
| 82950 | <1% | 129 | $2.46 | |
| 83540 | <1% | 838 | $2.14 | |
| 1160F | 0% | 249,289 | $0.00 | |
| 3077F | 0% | 21,711 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 7,519 | $0.00 |
| 99605 | 0% | 785 | $0.00 | |
| 90648 | 0% | 1,561 | $0.00 | |
| 80074 | 0% | 66 | $0.00 | |
| 1158F | 0% | 16,202 | $0.00 | |
| 90681 | 0% | 1,967 | $0.00 | |
| 84403 | 0% | 112 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 608 | $0.00 |
| 87481 | 0% | 2,519 | $0.00 | |
| 91300 | 0% | 6,004 | $0.00 | |
| 98966 | 0% | 6,529 | $0.00 | |
| 91313 | 0% | 654 | $0.00 | |
| 88164 | 0% | 965 | $0.00 | |
| 99453 | 0% | 245 | $0.00 | |
| 90687 | 0% | 650 | $0.00 | |
| 90461 | 0% | 1,545 | $0.00 | |
| 90671 | 0% | 615 | $0.00 | |
| 90473 | 0% | 1,209 | $0.00 | |
| 84702 | 0% | 456 | $0.00 | |
| 90746 | 0% | 244 | $0.00 | |
| 91312 | 0% | 986 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 344 | $0.00 |
| A4550 | Surgical trays | 0% | 264 | $0.00 |
| 0054A | 0% | 853 | $0.00 | |
| 3051F | 0% | 126 | $0.00 | |
| 92552 | 0% | 962 | $0.00 | |
| 0071A | 0% | 1,588 | $0.00 | |
| 86480 | 0% | 328 | $0.00 | |
| 0002A | 0% | 2,455 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 162 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 527 | $0.00 |
| 72100 | 0% | 25 | $0.00 | |
| 85610 | 0% | 396 | $0.00 | |
| 11721 | 0% | 533 | $0.00 | |
| 82397 | 0% | 234 | $0.00 | |
| 90672 | 0% | 469 | $0.00 | |
| 96158 | 0% | 915 | $0.00 | |
| 0124A | 0% | 658 | $0.00 | |
| 83525 | 0% | 122 | $0.00 | |
| 76813 | 0% | 132 | $0.00 | |
| 76802 | 0% | 13 | $0.00 | |
| 90685 | 0% | 112 | $0.00 | |
| 99382 | 0% | 12 | $0.00 | |
| 73630 | 0% | 289 | $0.00 | |
| 83721 | 0% | 14 | $0.00 | |
| 99201 | 0% | 67 | $0.00 | |
| 91322 | 0% | 176 | $0.00 | |
| 96152 | 0% | 158 | $0.00 | |
| 0004A | 0% | 370 | $0.00 | |
| 69210 | 0% | 12 | $0.00 | |
| 91321 | 0% | 45 | $0.00 | |
| 0013A | 0% | 97 | $0.00 | |
| 82565 | 0% | 88 | $0.00 | |
| 11981 | 0% | 24 | $0.00 | |
| H2015 | Community support for mental illness or disability, per 15 minutes | 0% | 13 | $0.00 |
| 99442 | 0% | 134 | $0.00 | |
| 81003 | 0% | 130 | $0.00 | |
| 0003A | 0% | 24 | $0.00 | |
| 91311 | 0% | 195 | $0.00 | |
| 84146 | 0% | 165 | $0.00 | |
| 90999 | Dialysis (unlisted procedure) | 0% | 24 | $0.00 |
| 86787 | 0% | 17 | $0.00 | |
| 98968 | 0% | 140 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 16 | $0.00 |
| 82627 | 0% | 51 | $0.00 | |
| 90611 | 0% | 25 | $0.00 | |
| 91320 | 0% | 103 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 12 | $0.00 |
| 86708 | 0% | 12 | $0.00 | |
| 86003 | 0% | 12 | $0.00 | |
| 82785 | 0% | 25 | $0.00 | |
| 11720 | 0% | 12 | $0.00 | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 0% | 12 | $0.00 |
| 84481 | 0% | 12 | $0.00 | |
| 96159 | 0% | 19 | $0.00 | |
| 73030 | 0% | 17 | $0.00 | |
| 86705 | 0% | 25 | $0.00 | |
| 90651 | 0% | 13,856 | $0.00 | |
| 1126F | 0% | 319,768 | $0.00 | |
| 3075F | 0% | 31,917 | $0.00 | |
| 3074F | 0% | 257,060 | $0.00 | |
| 86706 | 0% | 409 | $0.00 | |
| 3079F | 0% | 50,947 | $0.00 | |
| 3080F | 0% | 4,628 | $0.00 | |
| 90656 | 0% | 4,650 | $0.00 | |
| 1125F | 0% | 60,033 | $0.00 | |
| 1170F | 0% | 91,052 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 2,417 | $0.00 |
| 36416 | 0% | 3,636 | $0.00 | |
| 0052A | 0% | 221 | $0.00 | |
| 82607 | 0% | 1,064 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 18,207 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 2,706 | $0.00 |
| 99606 | 0% | 6,614 | $0.00 | |
| 90697 | 0% | 3,504 | $0.00 | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 846 | $0.00 |
| 90677 | 0% | 2,608 | $0.00 | |
| 84153 | 0% | 439 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,267 | $0.00 |
| 59430 | 0% | 27 | $0.00 | |
| 83001 | 0% | 558 | $0.00 | |
| 91301 | 0% | 6,078 | $0.00 | |
| 84436 | 0% | 272 | $0.00 | |
| 91319 | 0% | 33 | $0.00 | |
| 91307 | 0% | 4,167 | $0.00 | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 0% | 140 | $0.00 |
| 90620 | 0% | 2,234 | $0.00 | |
| 99607 | 0% | 728 | $0.00 | |
| 11730 | 0% | 88 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 334 | $0.00 |
| 82670 | 0% | 463 | $0.00 | |
| 0011A | 0% | 2,075 | $0.00 | |
| 91315 | 0% | 58 | $0.00 | |
| 90480 | 0% | 248 | $0.00 | |
| 82728 | 0% | 346 | $0.00 | |
| 0064A | 0% | 1,532 | $0.00 | |
| 99412 | 0% | 2,679 | $0.00 | |
| 0112A | 0% | 70 | $0.00 | |
| 98967 | 0% | 569 | $0.00 | |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 13 | $0.00 |
| 88142 | 0% | 962 | $0.00 | |
| 58100 | 0% | 158 | $0.00 | |
| 94012 | 0% | 68 | $0.00 | |
| 91305 | 0% | 1,605 | $0.00 | |
| 0072A | 0% | 1,593 | $0.00 | |
| 0051A | 0% | 153 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 438 | $0.00 |
| 0134A | 0% | 602 | $0.00 | |
| 85730 | 0% | 56 | $0.00 | |
| 90619 | 0% | 185 | $0.00 | |
| 99454 | 0% | 729 | $0.00 | |
| 87490 | 0% | 31 | $0.00 | |
| 3052F | 0% | 15 | $0.00 | |
| 0012A | 0% | 2,077 | $0.00 | |
| 82951 | 0% | 24 | $0.00 | |
| 0001A | 0% | 2,765 | $0.00 | |
| 57455 | 0% | 112 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 69 | $0.00 |
| 86317 | 0% | 143 | $0.00 | |
| 0074A | 0% | 94 | $0.00 | |
| J0456 | Injection, azithromycin, 500 mg | 0% | 18 | $0.00 |
| 0154A | 0% | 12 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 90 | $0.00 |
| 84402 | 0% | 44 | $0.00 | |
| 20550 | 0% | 12 | $0.00 | |
| 0111A | 0% | 61 | $0.00 | |
| 80051 | 0% | 42 | $0.00 | |
| 83002 | 0% | 86 | $0.00 | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 0% | 77 | $0.00 |
| 81015 | 0% | 137 | $0.00 | |
| 99385 | 0% | 16 | $0.00 | |
| 86704 | 0% | 12 | $0.00 | |
| 82040 | 0% | 42 | $0.00 | |
| 80320 | 0% | 25 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 90660 | 0% | 61 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.