Physician
Valley Mission Medical
Valley Mission Medical was paid $1.44M by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoVALLEY MISSION MEDICAL
SAN FERNANDO, CA 91340
SAN FERNANDO, CA 91340
33aNPI1942343785assigned 02/14/2007
33bProvider typePediatrics Physician
28Total paid$1.44M
24GClaims56,086
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#94 of 1,490
Median peer was paid$15K
This provider vs. median96×
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 | 5,111 | $177K | |
| 2019 | 4,543 | $107K | |
| 2020 | 3,731 | $85K | |
| 2021 | 3,560 | $173K | |
| 2022 | 13,145 | $274K | |
| 2023 | 16,427 | $441K | |
| 2024incomplete | 9,569 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 12,403 | 10,379 | $719K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 897 | 879 | $266K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 2,026 | 1,529 | $159K |
| 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 | 3.9% | 287 | 283 | $57K |
| G9920 | Screening performed and negative | 3.1% | 3,477 | 3,383 | $45K |
| 96156 | 2.2% | 2,839 | 2,770 | $32K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 784 | 766 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 686 | 673 | $15K |
| 92552 | 1.0% | 1,782 | 1,772 | $15K | |
| 99000 | <1% | 4,673 | 4,598 | $12K | |
| 3074F | <1% | 1,970 | 1,926 | $11K | |
| 3078F | <1% | 1,949 | 1,905 | $10K |
57 more codes
| 99384 | <1% | 103 | $7K | |
| 99383 | <1% | 114 | $7K | |
| J3490 | Unclassified drugs | <1% | 124 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $5K |
| 92551 | <1% | 1,571 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 226 | $4K |
| 3008F | <1% | 1,680 | $3K | |
| 96127 | <1% | 2,111 | $3K | |
| 99173 | <1% | 2,347 | $2K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 180 | $2K |
| 90734 | <1% | 230 | $2K | |
| 84478 | <1% | 1,375 | $2K | |
| 90716 | <1% | 308 | $2K | |
| 90713 | <1% | 383 | $2K | |
| 85018 | <1% | 2,267 | $2K | |
| 96151 | <1% | 230 | $1K | |
| 90633 | <1% | 291 | $1K | |
| 90651 | <1% | 287 | $1K | |
| 90700 | <1% | 347 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 394 | $1K |
| 99381 | <1% | 13 | $1K | |
| 87110 | <1% | 237 | $788.98 | |
| 90707 | <1% | 119 | $688.70 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $636.70 |
| 90715 | <1% | 109 | $594.00 | |
| 90744 | <1% | 143 | $594.00 | |
| 80061 | Lipid panel | <1% | 126 | $591.70 |
| 83026 | <1% | 252 | $567.66 | |
| 82465 | <1% | 1,425 | $555.27 | |
| 86703 | <1% | 351 | $543.14 | |
| 90686 | <1% | 50 | $516.55 | |
| 90655 | <1% | 65 | $490.11 | |
| 0124A | <1% | 12 | $480.00 | |
| 0134A | <1% | 12 | $480.00 | |
| 90620 | <1% | 95 | $456.00 | |
| 90660 | <1% | 106 | $441.00 | |
| 99201 | <1% | 13 | $404.11 | |
| 90647 | <1% | 126 | $378.00 | |
| 86580 | <1% | 111 | $366.30 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $355.52 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 29 | $349.08 |
| 90657 | <1% | 240 | $315.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 37 | $208.87 |
| 81025 | <1% | 67 | $201.62 | |
| 86592 | <1% | 332 | $156.06 | |
| 90670 | <1% | 40 | $153.00 | |
| 96160 | <1% | 865 | $140.00 | |
| 90732 | <1% | 77 | $108.00 | |
| 96150 | <1% | 113 | $107.10 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 54 | $74.07 |
| 87070 | <1% | 252 | $67.59 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 111 | $35.49 |
| 3044F | <1% | 37 | $35.00 | |
| 82947 | <1% | 13 | $2.56 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 558 | $0.00 |
| 80360 | 0% | 20 | $0.00 | |
| 3072F | 0% | 1,441 | $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 officialSHIEH, MARILYN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Mission Medical | Van Nuys, CA | $380K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.