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

GOLDEN VALLEY HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·RIVERBANK, CA·NPI: 1548568421Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.2M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$49.2M

$49,202,836

Total Claims

489K

Beneficiaries

434K

1.1 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-2%
2019
$992K
+723%
2020
$8.2M
+48%
2021
$12.1M
-29%
2022
$8.6M
+18%
2023
$10.1M
-18%
2024
$8.3M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$48.9M

253K claims · 99.4%

Your Cost: $193.31/claim|Median: $121.16
1.6× median
G0467Normal range

Federally qualified health center visit, mental health

$62K

2,447 claims · 0.1%

Your Cost: $25.29/claim|Median: $21.91
1.2× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$31K

473 claims · 0.1%

Your Cost: $66.58/claim|Median: $36.70
1.8× median
G0466Normal range

$29K

617 claims · 0.1%

Your Cost: $47.34/claim|Median: $63.31
0.7× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$22K

385 claims · 0.0%

Your Cost: $57.46/claim|Median: $25.93
2.2× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$18K

345 claims · 0.0%

Your Cost: $53.55/claim|Median: $33.72
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$18K

2,172 claims · 0.0%

Your Cost: $8.39/claim|Median: $47.08
0.2× median
99213Normal range

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

$18K

84K claims · 0.0%

Your Cost: $0.21/claim|Median: $37.81
0.0× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$17K

287 claims · 0.0%

Your Cost: $58.36/claim|Median: $33.85
1.7× median
0072ATop 10%

$13K

193 claims · 0.0%

Your Cost: $66.65/claim|Median: $39.57
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$12K

2,073 claims · 0.0%

Your Cost: $5.58/claim|Median: $99.21
0.1× median
0071ATop 10%

$10K

201 claims · 0.0%

Your Cost: $51.95/claim|Median: $38.71
1.3× median
0004ATop 5%

$6K

84 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.62
1.9× median
90832Normal range

Psychotherapy, 30 minutes

$5K

6,273 claims · 0.0%

Your Cost: $0.84/claim|Median: $41.28
0.0× median
0064ATop 5%

$3K

47 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
99203Normal range

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

$3K

1,952 claims · 0.0%

Your Cost: $1.29/claim|Median: $57.85
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$2K

3,179 claims · 0.0%

Your Cost: $0.68/claim|Median: $9.80
0.1× median
0054ATop 5%

$2K

29 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.83
1.9× median
0074ATop 10%

$1K

16 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.19
1.7× median
99214Normal range

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

$829

16K claims · 0.0%

Your Cost: $0.05/claim|Median: $53.41
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$408

50K claims · 0.0%

Your Cost: $0.01/claim|Median: $25.06
0.0× median
99204Normal range

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

$386

162 claims · 0.0%

Your Cost: $2.38/claim|Median: $84.03
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$240

2,641 claims · 0.0%

Your Cost: $0.09/claim|Median: $40.11
0.0× median
85018Normal range

$180

909 claims · 0.0%

Your Cost: $0.20/claim|Median: $1.71
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$98

5,175 claims · 0.0%

Your Cost: $0.02/claim|Median: $75.18
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$93

2,501 claims · 0.0%

Your Cost: $0.04/claim|Median: $72.71
0.0× median
99173Normal range

$78

1,019 claims · 0.0%

Your Cost: $0.08/claim|Median: $2.16
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$69

4,829 claims · 0.0%

Your Cost: $0.01/claim|Median: $69.35
0.0× median
90656Normal range

$24

965 claims · 0.0%

Your Cost: $0.03/claim|Median: $8.67
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$15

323 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$2

1,380 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
0.0× median
90633Normal range

$0

17 claims · 0.0%

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

MMRV vaccine

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.00
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.13
11057Normal range

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.10
99385Normal range

Preventive visit, new patient, 18-39 yr

$0

473 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.22
Z6406Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.45
99215Normal range

Office/outpatient visit, high complexity

$0

243 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
G0071Normal range

$0

109 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.20
92015Normal range

Determination of refractive state

$0

814 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.36
99201Normal range

Office/outpatient visit, new patient, straightforward

$0

191 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.38
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$0

480 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.01
99394Normal range

Preventive medicine, established patient, age 12-17

$0

1,522 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
Z6400Normal range

$0

479 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.65
Z1034Normal range

$0

1,961 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.74
86703Normal range

$0

68 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.37
98940Normal range

$0

2,261 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.55
90472Normal range

Immunization administration, each additional vaccine

$0

391 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
Z6402Normal range

$0

59 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.21
90715Normal range

Tdap vaccine

$0

134 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32