Golden Valley Health Center
Golden Valley Health Center was paid $79.92M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
MERCED, CA 95341
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 | 74,631 | $10.03M | |
| 2019 | 104,198 | $9.75M | |
| 2020 | 154,306 | $13.12M | |
| 2021 | 137,800 | $13.98M | |
| 2022 | 95,552 | $10.73M | |
| 2023 | 99,712 | $10.89M | |
| 2024incomplete | 102,282 | $11.41M |
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 | 74% | 386,156 | 336,741 | $58.83M |
| 00003 | Internal/system code - not a standard HCPCS code | 26% | 96,795 | 59,516 | $20.96M |
| 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% | 7,145 | 5,858 | $24K |
| 0011A | <1% | 379 | 377 | $24K | |
| 0012A | <1% | 296 | 296 | $20K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,437 | 2,418 | $11K |
| 0002A | <1% | 152 | 149 | $10K | |
| 0072A | <1% | 114 | 114 | $8K | |
| 0001A | <1% | 120 | 119 | $7K | |
| 0064A | <1% | 94 | 93 | $6K | |
| 0071A | <1% | 120 | 120 | $6K | |
| 0004A | <1% | 90 | 90 | $6K |
87 more codes
| 0124A | <1% | 85 | $6K | |
| 0054A | <1% | 71 | $5K | |
| G0466 | Community health center visit, new patient | <1% | 142 | $4K |
| 0052A | <1% | 13 | $871.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 2,833 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,094 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 6,793 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,917 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 8,370 | $0.00 |
| 90681 | 0% | 823 | $0.00 | |
| 99173 | 0% | 3,190 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 4,358 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,323 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 211 | $0.00 |
| 98940 | 0% | 9,158 | $0.00 | |
| 90670 | 0% | 2,122 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 699 | $0.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 411 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 36,112 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 6,610 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 772 | $0.00 |
| 90633 | 0% | 647 | $0.00 | |
| 11721 | 0% | 929 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 5,184 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,255 | $0.00 |
| 81003 | 0% | 1,950 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 2,426 | $0.00 |
| 81025 | 0% | 642 | $0.00 | |
| 90734 | 0% | 242 | $0.00 | |
| 92133 | 0% | 159 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 15 | $0.00 |
| 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 | 0% | 208 | $0.00 |
| 2028F | 0% | 411 | $0.00 | |
| 90715 | 0% | 166 | $0.00 | |
| 99201 | 0% | 109 | $0.00 | |
| 90662 | 0% | 133 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 927 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 180 | $0.00 |
| 90700 | 0% | 56 | $0.00 | |
| 92552 | 0% | 16 | $0.00 | |
| 90707 | 0% | 44 | $0.00 | |
| 99382 | 0% | 13 | $0.00 | |
| Z6400 | 0% | 30 | $0.00 | |
| 86703 | 0% | 22 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 40,264 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 97,821 | $0.00 |
| 85018 | 0% | 2,082 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 7,181 | $0.00 |
| 90656 | 0% | 3,156 | $0.00 | |
| 99460 | 0% | 645 | $0.00 | |
| 90647 | 0% | 1,518 | $0.00 | |
| 90723 | 0% | 1,677 | $0.00 | |
| 92551 | 0% | 3,344 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 30 | $0.00 |
| Z1034 | 0% | 295 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 1,999 | $0.00 |
| 90677 | 0% | 113 | $0.00 | |
| 99385 | 0% | 374 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 494 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 263 | $0.00 |
| 90474 | 0% | 546 | $0.00 | |
| 99381 | 0% | 687 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 111 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 146 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 2,838 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 495 | $0.00 |
| 11730 | 0% | 66 | $0.00 | |
| 88720 | 0% | 29 | $0.00 | |
| 99462 | 0% | 500 | $0.00 | |
| 99384 | 0% | 107 | $0.00 | |
| 90651 | 0% | 393 | $0.00 | |
| 9213 | 0% | 12 | $0.00 | |
| 99386 | 0% | 44 | $0.00 | |
| 92250 | 0% | 512 | $0.00 | |
| 99383 | 0% | 138 | $0.00 | |
| 90686 | 0% | 116 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 72 | $0.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 245 | $0.00 |
| 82962 | 0% | 61 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 32 | $0.00 |
| EEXAM | 0% | 15 | $0.00 | |
| 90620 | 0% | 99 | $0.00 | |
| 90716 | 0% | 47 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 81 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 26 | $0.00 |
| 93000 | 0% | 26 | $0.00 | |
| 90696 | 0% | 12 | $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 | 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 |
| Golden Valley Health Center | Patterson, CA | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.