Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Valley Children's Hospital

Valley Children's Hospital was paid $22.84M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 24% of everything it billed.

33Billing provider infoVALLEY CHILDREN'S HOSPITAL
MADERA, CA 93636
33aNPI1952312043assigned 08/11/2006
33bProvider typeChildren's Hospital
28Total paid$22.84M
24GClaims681,140
24DCodes billed299
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in California

Rank by total paid#3 of 17
Median peer was paid$1.44M
This provider vs. median16×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2018104,229$2.93M
2019123,954$3.73M
202073,556$2.38M
202182,846$3.16M
202298,297$3.62M
202397,288$3.64M
2024incomplete100,970$3.39M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 24% 77,624 70,864 $5.45M
0450 Emergency room services 18% 60,951 56,711 $4.02M
0510 7.4% 32,186 30,640 $1.68M
0760 4.7% 26,911 25,912 $1.08M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 4.3% 13,165 12,635 $971K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2.3% 2,584 2,564 $522K
0202U Oncology (prostate), multianalyte, gene expression profiling 1.9% 1,336 1,315 $426K
93975 1.7% 1,721 1,643 $381K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.4% 4,946 4,735 $324K
70450 Computed tomography, head or brain; without contrast material 1.4% 1,425 1,389 $319K
0360 1.4% 1,637 1,321 $309K
96361 Intravenous infusion, hydration; each additional hour 1.3% 5,132 4,332 $291K
287 more codes
80053 Comprehensive metabolic panel 1.2% 18,856 $268K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.1% 3,348 $261K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 3,673 $255K
71046 Radiologic examination, chest; 2 views 1.1% 9,068 $254K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 28,811 $226K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,221 $213K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,775 $194K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,863 $184K
99221 <1% 6,284 $180K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 18,690 $178K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 601 $167K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 540 $166K
93325 <1% 3,518 $137K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,248 $136K
0761 <1% 5,735 $127K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,613 $127K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,632 $123K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,917 $119K
99203 Doctor's office visit, new patient (routine) <1% 3,533 $114K
81001 <1% 20,113 $112K
76770 <1% 3,463 $98K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 5,988 $98K
99213 Doctor's office visit, returning patient (routine) <1% 9,300 $94K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,493 $87K
87505 <1% 594 $87K
70551 Magnetic resonance imaging, brain; without contrast material <1% 797 $86K
87088 <1% 12,061 $84K
99214 Doctor's office visit, returning patient (more involved) <1% 7,769 $81K
86140 <1% 9,422 $73K
G0378 Hospital observation service, per hour <1% 1,329 $70K
0700 <1% 4,132 $69K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 10,965 $69K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 801 $64K
96375 Therapeutic injection; each additional sequential IV push <1% 1,625 $63K
87631 <1% 662 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,526 $57K
74019 <1% 1,433 $55K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 984 $55K
83690 <1% 4,383 $54K
92557 <1% 1,809 $51K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,763 $51K
87081 <1% 4,155 $50K
74018 <1% 3,414 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,755 $48K
73610 <1% 2,354 $47K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 690 $46K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 524 $43K
76870 <1% 1,104 $42K
T1014 Telehealth transmission, per minute, professional services bill separately <1% 4,456 $41K
73090 <1% 2,669 $38K
Q3014 Telehealth originating site facility fee <1% 4,303 $37K
73630 <1% 2,037 $36K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 880 $36K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 724 $35K
87581 <1% 560 $33K
82803 <1% 817 $33K
84443 Thyroid stimulating hormone (TSH) <1% 4,553 $32K
87486 <1% 541 $31K
99244 Office or other outpatient consultation, moderate to high complexity <1% 956 $31K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 343 $31K
J3490 Unclassified drugs <1% 7,334 $30K
92567 <1% 3,848 $30K
76825 <1% 543 $29K
76827 <1% 543 $28K
87430 <1% 1,880 $27K
84145 <1% 803 $26K
92570 <1% 1,177 $26K
0710 <1% 2,152 $25K
73590 <1% 1,650 $25K
82330 <1% 848 $25K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 576 $24K
73130 <1% 1,333 $24K
73070 <1% 2,458 $24K
87040 <1% 1,336 $23K
97139 <1% 7,343 $22K
92523 <1% 1,302 $22K
73140 <1% 2,126 $20K
93304 <1% 1,375 $20K
97750 <1% 2,243 $20K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 428 $20K
73100 <1% 3,309 $19K
94760 <1% 7,702 $18K
72170 <1% 1,265 $18K
92587 <1% 1,186 $17K
95782 <1% 39 $16K
83605 <1% 765 $16K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,463 $15K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 3,644 $14K
94060 <1% 1,092 $14K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 52 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 61 $13K
73000 <1% 1,055 $13K
85651 <1% 4,191 $13K
29075 <1% 820 $13K
76536 <1% 373 $13K
76819 Fetal biophysical profile; without non-stress testing <1% 661 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 171 $12K
85730 <1% 1,567 $12K
76801 <1% 319 $11K
94010 <1% 1,692 $11K
94644 <1% 490 $11K
92700 <1% 1,163 $11K
85007 <1% 2,750 $10K
73110 <1% 589 $10K
97802 <1% 830 $10K
92552 <1% 955 $10K
84439 <1% 2,562 $10K
0270 <1% 1,880 $10K
95819 <1% 887 $10K
73562 <1% 471 $9K
76813 <1% 238 $9K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,280 $9K
93321 <1% 1,391 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 2,559 $9K
77077 <1% 958 $8K
92522 <1% 375 $8K
85610 <1% 2,078 $8K
70360 <1% 1,343 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 837 $8K
82728 <1% 1,928 $8K
84703 <1% 4,294 $8K
97799 <1% 4,279 $8K
71045 Radiologic examination, chest; single view <1% 339 $8K
72082 <1% 628 $8K
99204 Doctor's office visit, new patient (more involved) <1% 131 $8K
82947 <1% 1,535 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,421 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 784 $7K
0369 <1% 15 $7K
97165 <1% 838 $7K
87507 <1% 14 $7K
J2270 Injection, morphine sulfate, up to 10 mg <1% 834 $7K
97803 <1% 668 $7K
73080 <1% 280 $7K
73560 <1% 406 $6K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 841 $6K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 245 $6K
82784 <1% 2,200 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 2,546 $5K
94664 <1% 1,379 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 571 $5K
80048 Basic metabolic panel (calcium, ionized) <1% 469 $5K
99215 Doctor's office visit, returning patient (complex) <1% 989 $5K
86635 <1% 334 $4K
92555 <1% 1,120 $4K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,177 $4K
70220 <1% 351 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 172 $4K
84132 <1% 839 $4K
84295 <1% 800 $4K
J2704 Injection, propofol, 10 mg <1% 1,400 $4K
83735 <1% 473 $4K
94375 <1% 640 $4K
80069 <1% 1,109 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,490 $3K
80061 Lipid panel <1% 1,466 $3K
76821 <1% 370 $3K
73620 <1% 171 $3K
76820 <1% 629 $3K
84466 <1% 511 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 155 $3K
82785 <1% 405 $3K
76010 <1% 68 $3K
73564 <1% 150 $3K
85014 <1% 835 $2K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 2,362 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 266 $2K
97010 <1% 207 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 800 $2K
A4217 Sterile water/saline, 500 ml <1% 306 $2K
87077 <1% 1,861 $2K
82550 <1% 288 $2K
83615 <1% 439 $2K
82570 <1% 1,234 $2K
87186 <1% 1,807 $2K
82977 <1% 526 $2K
85246 <1% 146 $2K
84484 <1% 107 $2K
85397 <1% 146 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 70 $2K
95816 <1% 25 $2K
74455 <1% 96 $2K
83540 <1% 576 $2K
85240 <1% 160 $2K
83516 <1% 1,256 $1K
88304 <1% 80 $1K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 226 $1K
95012 <1% 224 $1K
86171 <1% 294 $1K
94645 <1% 78 $1K
85045 <1% 636 $1K
87420 <1% 87 $1K
91065 <1% 362 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 44 $1K
92579 <1% 78 $1K
86308 <1% 109 $1K
84100 <1% 261 $1K
86850 <1% 72 $1K
73030 <1% 42 $1K
92521 <1% 55 $1K
85027 <1% 627 $1K
86160 <1% 176 $902.39
84156 <1% 898 $868.95
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 828 $856.85
93320 <1% 57 $813.99
73060 <1% 52 $783.06
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 918 $757.75
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 161 $747.34
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 530 $706.32
86003 <1% 557 $681.83
87046 <1% 209 $679.12
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,078 $667.56
A9585 Injection, gadobutrol, 0.1 ml <1% 117 $662.82
84550 <1% 205 $657.81
73600 <1% 19 $628.87
J7050 Infusion, normal saline solution, 250 cc <1% 117 $618.02
73552 <1% 31 $591.72
69210 <1% 206 $569.48
86038 <1% 334 $556.22
86901 <1% 136 $554.84
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml <1% 70 $499.29
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,715 $435.09
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 76 $433.27
93308 <1% 13 $403.68
77072 <1% 96 $392.74
96379 <1% 965 $385.56
Q9960 High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml <1% 62 $372.88
86900 <1% 136 $364.10
59025 Fetal non-stress test <1% 32 $342.50
80076 <1% 175 $316.34
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 25 $293.20
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 26 $293.20
85390 <1% 96 $291.87
83993 <1% 56 $289.85
97166 <1% 71 $275.44
J0780 Injection, prochlorperazine, up to 10 mg <1% 26 $259.08
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 12 $254.00
82150 <1% 31 $231.54
73660 <1% 15 $209.20
82248 <1% 53 $182.30
87070 <1% 27 $173.66
99205 Prolong outpt/office vis <1% 32 $171.20
86331 <1% 24 $164.15
87660 <1% 13 $150.72
84520 <1% 27 $136.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 $132.43
84702 <1% 64 $121.23
84436 <1% 41 $114.31
86376 <1% 69 $113.10
82247 <1% 17 $92.24
93226 <1% 12 $91.41
86800 <1% 49 $85.75
86255 <1% 70 $81.66
82565 <1% 12 $70.64
93225 <1% 12 $69.89
99201 <1% 12 $60.00
92550 <1% 16 $56.37
V5008 Hearing screening <1% 26 $50.60
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) <1% 162 $45.58
96127 <1% 520 $43.39
92556 <1% 24 $41.24
99173 <1% 665 $25.80
J0690 Injection, cefazolin sodium, 500 mg <1% 14 $19.52
83655 <1% 65 $17.50
86225 <1% 12 $16.00
0636 <1% 1,649 $15.08
A4322 Irrigation syringe, bulb or piston, each <1% 109 $9.12
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,555 $2.24
A4649 Surgical supply; miscellaneous 0% 3,160 $0.00
29799 0% 99 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 12 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 248 $0.00
84305 0% 15 $0.00
0272 0% 41 $0.00
29065 0% 225 $0.00
94762 0% 637 $0.00
0271 0% 611 $0.00
96040 0% 104 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 292 $0.00
90686 0% 208 $0.00
99070 0% 251 $0.00
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 0% 40 $0.00
B9998 Noc for enteral supplies 0% 45 $0.00
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes 0% 14 $0.00
97804 0% 17 $0.00
0370 0% 13 $0.00
80349 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.

From NPPES

Who's on the registration

Authorized officialMYCROFT, TINA (SENIOR VP & CFO)
Same official

Other billing entities under MYCROFT, TINA

Full network →
ProviderLocationPaid
Valley Children's HospitalMadera, CA$107.11M
Valley Children's HospitalFresno, CA$20.85M
Valley Children's HospitalMadera, CA$14.28M
ST Jude Hospital Yorba LindaSanta Rosa, CA$10.59M
Valley Children's HospitalMadera, CA$262K
Valley Children's HospitalFresno, CA$53K
King County Public Hospital District No. 2Kirkland, WA$10K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.