North Valley Family Physicians

North Valley Family Physicians was paid $653K by Medicaid between Jan 2018 and Apr 2019, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.

33Billing provider infoNORTH VALLEY FAMILY PHYSICIANS
COLUSA, CA 95932

33aNPI1982654604assigned 05/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$653K

24GClaims17,336

24DCodes billed22

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#222 of 2,511

Median peer was paid$13K

This provider vs. median51×

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	10,753	$490K
2019	6,583	$163K

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	84%	9,049	7,246	$551K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.8%	3,757	2,652	$51K
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	5.6%	1,507	1,243	$36K
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%	159	139	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	179	120	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	159	134	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	64	64	$1K
92551		<1%	412	333	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	97	82	$1K
90686		<1%	181	181	$874.38
85018		<1%	581	482	$499.27
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	12	$411.60

10 more codes

81003		<1%	546	$400.09
99173		<1%	395	$341.90
90651		<1%	53	$280.58
99203	Doctor's office visit, new patient (routine)	<1%	14	$187.23
90670		<1%	26	$153.00
90685		<1%	16	$144.00
90734		<1%	15	$45.00
81002		<1%	73	$38.70
86580		<1%	13	$23.52
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	28	$6.99

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 officialDELGADO, JULIAN (OWNER/PARTNER)