Valley Community Healthcare
Valley Community Healthcare was paid $16.34M by Medicaid between Jan 2018 and Dec 2024, across 114 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoVALLEY COMMUNITY HEALTHCARE
NORTH HILLS, CA 91343
NORTH HILLS, CA 91343
33aNPI1932501996assigned 09/22/2014
33bProvider typeCase Manager/Care Coordinator
28Total paid$16.34M
24GClaims215,390
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#110 of 435
Median peer was paid$2.89M
This provider vs. median5.7×
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 | 8,307 | $1.18M | |
| 2019 | 16,850 | $1.56M | |
| 2020 | 33,338 | $2.54M | |
| 2021 | 40,051 | $2.83M | |
| 2022 | 33,824 | $2.33M | |
| 2023 | 41,089 | $2.90M | |
| 2024incomplete | 41,931 | $3.00M |
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 | 87% | 88,038 | 73,107 | $14.24M |
| 00003 | Internal/system code - not a standard HCPCS code | 10% | 8,109 | 6,099 | $1.71M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 15,464 | 5,519 | $163K |
| 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% | 22,973 | 21,440 | $76K |
| 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% | 414 | 358 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,143 | 2,001 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 259 | 259 | $20K |
| 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% | 10,993 | 10,637 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,168 | 13,441 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 512 | 404 | $12K |
| J3490 | Unclassified drugs | <1% | 363 | 270 | $10K |
| 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 | <1% | 65 | 42 | $7K |
102 more codes
| 0012A | <1% | 118 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 673 | $4K |
| 0519 | <1% | 36 | $3K | |
| 0124A | <1% | 61 | $3K | |
| 0011A | <1% | 61 | $2K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 135 | $2K |
| 81025 | <1% | 575 | $2K | |
| 99000 | <1% | 1,726 | $1K | |
| S4993 | Contraceptive pills for birth control | <1% | 83 | $1K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 56 | $847.98 |
| D4341 | <1% | 98 | $760.00 | |
| 0054A | <1% | 15 | $750.00 | |
| D1120 | Dental cleaning, child | <1% | 312 | $616.50 |
| 90480 | <1% | 82 | $600.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 585 | $599.50 |
| D1310 | <1% | 1,700 | $598.00 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 372 | $456.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 301 | $347.00 |
| D1110 | Prophylaxis - adult | <1% | 99 | $319.50 |
| D0120 | Dental checkup, returning patient | <1% | 234 | $267.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 54 | $264.70 |
| 91320 | <1% | 15 | $262.20 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 238 | $259.20 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 45 | $233.60 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 282 | $143.00 |
| D0274 | Bitewings - four radiographic images | <1% | 96 | $104.40 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 54 | $84.24 |
| D0603 | <1% | 98 | $30.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,571 | $9.90 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 292 | $0.00 |
| 94729 | 0% | 16 | $0.00 | |
| 1159F | 0% | 1,392 | $0.00 | |
| 99173 | 0% | 5,393 | $0.00 | |
| D9993 | 0% | 1,695 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 518 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 254 | $0.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 2,211 | $0.00 |
| 90670 | 0% | 121 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 110 | $0.00 |
| 92015 | Determination of refractive state | 0% | 3,891 | $0.00 |
| 90734 | 0% | 235 | $0.00 | |
| 90715 | 0% | 297 | $0.00 | |
| 92341 | 0% | 247 | $0.00 | |
| V2020 | Frames, purchases | 0% | 2,838 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 440 | $0.00 |
| 3078F | 0% | 442 | $0.00 | |
| 99442 | 0% | 258 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 186 | $0.00 |
| D4381 | 0% | 63 | $0.00 | |
| 90461 | 0% | 784 | $0.00 | |
| 99201 | 0% | 138 | $0.00 | |
| 2022F | 0% | 27 | $0.00 | |
| 1160F | 0% | 271 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 250 | $0.00 |
| 96152 | 0% | 276 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 589 | $0.00 |
| 82948 | 0% | 90 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 129 | $0.00 |
| 81002 | 0% | 15 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 39 | $0.00 |
| 90746 | 0% | 123 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 111 | $0.00 |
| 99382 | 0% | 13 | $0.00 | |
| 90681 | 0% | 32 | $0.00 | |
| 92133 | 0% | 83 | $0.00 | |
| 90633 | 0% | 35 | $0.00 | |
| 92083 | 0% | 15 | $0.00 | |
| 90750 | 0% | 27 | $0.00 | |
| 76514 | 0% | 31 | $0.00 | |
| 3077F | 0% | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,754 | $0.00 |
| 85018 | 0% | 658 | $0.00 | |
| 92002 | 0% | 218 | $0.00 | |
| 90686 | 0% | 2,410 | $0.00 | |
| D1330 | 0% | 1,791 | $0.00 | |
| 90677 | 0% | 142 | $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% | 983 | $0.00 |
| 3074F | 0% | 395 | $0.00 | |
| D0002 | 0% | 4,601 | $0.00 | |
| D0001 | 0% | 248 | $0.00 | |
| 90656 | 0% | 325 | $0.00 | |
| 92250 | 0% | 52 | $0.00 | |
| 99441 | 0% | 146 | $0.00 | |
| 99384 | 0% | 31 | $0.00 | |
| 90651 | 0% | 360 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 249 | $0.00 |
| 92551 | 0% | 1,308 | $0.00 | |
| 2023F | 0% | 16 | $0.00 | |
| 99385 | 0% | 31 | $0.00 | |
| 90697 | 0% | 41 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| D3120 | 0% | 39 | $0.00 | |
| 99383 | 0% | 42 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 31 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 91 | $0.00 |
| 99381 | 0% | 14 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 69 | $0.00 |
| 90680 | 0% | 14 | $0.00 | |
| 92082 | 0% | 12 | $0.00 | |
| 90620 | 0% | 18 | $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 officialZAMORA, ANITA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Valley Community Healthcare | North Hollywood, CA | $37.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.