Golden Valley Health Center
Golden Valley Health Center was paid $18K by Medicaid between Jan 2018 and Nov 2021, across 28 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 50% of everything it billed.
MODESTO, CA 95358
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 | 4,558 | $18K | |
| 2019 | 2,366 | $95.72 | |
| 2020 | 2,531 | $90.43 | |
| 2021 | 573 | $67.93 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 50% | 1,375 | 1,370 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 21% | 43 | 43 | $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 | 7.7% | 1,300 | 1,232 | $1K |
| 99173 | 5.2% | 648 | 648 | $937.69 | |
| 85018 | 4.6% | 770 | 769 | $837.16 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 2,626 | 2,539 | $735.95 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 116 | 116 | $416.28 |
| 90686 | 1.6% | 205 | 205 | $286.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 199 | 199 | $175.40 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 133 | 133 | $112.17 |
| 92551 | <1% | 667 | 666 | $101.68 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $83.88 |
16 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 950 | $55.95 |
| 90647 | <1% | 92 | $21.60 | |
| 90656 | <1% | 332 | $10.80 | |
| 90723 | 0% | 48 | $0.00 | |
| 90680 | 0% | 29 | $0.00 | |
| 91301 | 0% | 14 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 15 | $0.00 |
| 0011A | 0% | 14 | $0.00 | |
| 0012A | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 188 | $0.00 |
| 90670 | 0% | 68 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 73 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 52 | $0.00 |
| 90734 | 0% | 16 | $0.00 | |
| 92552 | 0% | 18 | $0.00 | |
| 90715 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Golden Valley Health Center | Merced, CA | $79.92M |
| Golden Valley Health Center | Riverbank, CA | $49.20M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.