Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

GOLDEN VALLEY HEALTH CENTERS

Internal Medicine·MODESTO, CA·NPI: 1326252693Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $79.2M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$79.2M

$79,234,838

Total Claims

863K

Beneficiaries

748K

1.2 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$11.1M
+6%
2019
$11.7M
+41%
2020
$16.5M
-27%
2021
$12.1M
-28%
2022
$8.8M
+24%
2023
$10.9M
-25%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 100% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$79.0M

517K claims · 99.6%

Your Cost: $152.62/claim|Median: $121.16
1.3× median
G0467Top 25%

Federally qualified health center visit, mental health

$202K

5,092 claims · 0.3%

Your Cost: $39.70/claim|Median: $21.91
1.8× median
G0466Normal range

$46K

701 claims · 0.1%

Your Cost: $65.47/claim|Median: $63.31
1.0× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$8K

128 claims · 0.0%

Your Cost: $66.27/claim|Median: $33.85
2.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$6K

110 claims · 0.0%

Your Cost: $58.73/claim|Median: $25.93
2.3× median
0124ATop 5%

$5K

69 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.32
2.0× median
0064ATop 10%

$4K

63 claims · 0.0%

Your Cost: $65.94/claim|Median: $34.17
1.9× median
0054ATop 5%

$4K

55 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.83
1.9× median
0134ATop 5%

$2K

29 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
0004ATop 5%

$871

13 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.62
1.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$24

97K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$23

52K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
0.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$0

8,863 claims · 0.0%

Your Cost: $0.00/claim|Median: $62.48
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

572 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

708 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

157 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
90474Normal range

$0

1,982 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.42
Z6410Normal range

$0

461 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.08
J3490Normal range

Unclassified drugs

$0

447 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.70
90656Normal range

$0

6,195 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.13
90734Normal range

$0

134 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
H0049Normal range

$0

355 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.27
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.89
Z1038Normal range

$0

531 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.47
G2025Normal range

$0

790 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.63
90651Normal range

HPV vaccine, 9-valent

$0

747 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
D1206Normal range

Topical application of fluoride varnish

$0

1,197 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
90677Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.96
99395Normal range

Preventive medicine, established patient, age 18-39

$0

1,067 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
11057Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.10
G0008Normal range

$0

97 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
99221Normal range

Initial hospital care, straightforward/low

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.96
11750Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $82.40
A4550Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.85
Z6304Normal range

$0

194 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.43
11721Normal range

$0

660 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.56
59514Normal range

Cesarean delivery only

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $452.80
99173Normal range

$0

4,645 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
90832Normal range

Psychotherapy, 30 minutes

$0

5,163 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
90633Normal range

$0

1,643 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
90710Normal range

MMRV vaccine

$0

127 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
90700Normal range

$0

115 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.56
90837Normal range

Psychotherapy, 60 minutes

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$0

3,297 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
90834Normal range

Psychotherapy, 45 minutes

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65
90662Normal range

$0

60 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
J7307Normal range

Etonogestrel implant system, including implant and supplies

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $786.43
Z6402Normal range

$0

369 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.21
96110Normal range

Developmental screening, per standardized instrument

$0

191 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.10

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in Internal Medicine

New York City Health and Hospitals Corporation

Bronx, NY

$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

New York City Health and Hospitals Corporation

New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

← All providersAll providers in California →How we detect fraud →