Is NORTHEAST VALLEY HEALTH CORPORATION flagged for Medicaid fraud?

NORTHEAST VALLEY HEALTH CORPORATION (NPI: 1629079009) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does NORTHEAST VALLEY HEALTH CORPORATION bill Medicaid?

NORTHEAST VALLEY HEALTH CORPORATION received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Federally Qualified Health Center (FQHC) provider. Located in VAN NUYS, CA.

What is NPI 1629079009?

NPI 1629079009 is the National Provider Identifier for NORTHEAST VALLEY HEALTH CORPORATION. They are a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in VAN NUYS, CA. This NPI is registered with the CMS NPI Registry.

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NORTHEAST VALLEY HEALTH CORPORATION

Clinic/Center, Federally Qualified Health Center (FQHC)·VAN NUYS, CA·NPI: 1629079009Share

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 $66.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

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

Total Paid

$66.6M

$66,577,887

Total Claims

186K

Beneficiaries

159K

1.2 claims/patient

Avg Cost/Claim

$357

Monthly Spending Trend

Yearly Spending

2018

$5.6M

-15%

2019

$4.8M

+80%

2020

$8.7M

+16%

2021

$10.0M

-17%

2022

$8.3M

+65%

2023

$13.6M

+14%

2024

$15.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 85% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$56.7M

148K claims

$384.19

$121.16

3.2×

Top 5%

T1015Top 5%

Clinic visit/encounter, all-inclusive

$56.7M

148K claims · 85.2%

Your Cost: $384.19/claim|Median: $121.16

3.2× median

00003Anesthesia servicesSee all providers →

$9.1M

21K claims

$442.53

$223.77

2.0×

Top 10%

00003Top 10%

Anesthesia services

$9.1M

21K claims · 13.7%

Your Cost: $442.53/claim|Median: $223.77

2.0× median

90837Psychotherapy, 60 minutesSee all providers →

$193K

2,803 claims

$68.85

$85.66

0.8×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$193K

2,803 claims · 0.3%

Your Cost: $68.85/claim|Median: $85.66

0.8× median

90834Psychotherapy, 45 minutesSee all providers →

$103K

2,247 claims

$45.85

$63.65

0.7×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$103K

2,247 claims · 0.2%

Your Cost: $45.85/claim|Median: $63.65

0.7× median

G9012Other specified case management service, per 15 minutesSee all providers →

$95K

3,406 claims

$28.01

$137.85

0.2×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$95K

3,406 claims · 0.1%

Your Cost: $28.01/claim|Median: $137.85

0.2× median

G9008Coordination of long-term care services, per monthSee all providers →

$92K

4,113 claims

$22.34

$66.78

0.3×

Normal range

G9008Normal range

Coordination of long-term care services, per month

$92K

4,113 claims · 0.1%

Your Cost: $22.34/claim|Median: $66.78

0.3× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$61K

1,612 claims

$37.67

$53.41

0.7×

Normal range

99214Normal range

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

$61K

1,612 claims · 0.1%

Your Cost: $37.67/claim|Median: $53.41

0.7× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$47K

1,525 claims

$31.07

$37.81

0.8×

Normal range

99213Normal range

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

$47K

1,525 claims · 0.1%

Your Cost: $31.07/claim|Median: $37.81

0.8× median

90832Psychotherapy, 30 minutesSee all providers →

$37K

1,196 claims

$30.62

$41.28

0.7×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$37K

1,196 claims · 0.1%

Your Cost: $30.62/claim|Median: $41.28

0.7× median

90791Psychiatric diagnostic evaluationSee all providers →

$23K

193 claims

$119.07

$99.21

1.2×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$23K

193 claims · 0.0%

Your Cost: $119.07/claim|Median: $99.21

1.2× median

0012ACOVID-19 vaccine admin, Moderna, 2nd doseSee all providers →

$18K

287 claims

$62.56

$33.85

1.8×

Top 10%

0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$18K

287 claims · 0.0%

Your Cost: $62.56/claim|Median: $33.85

1.8× median

0011ACOVID-19 vaccine admin, Moderna, 1st doseSee all providers →

$14K

217 claims

$63.14

$25.93

2.4×

Top 5%

0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$14K

217 claims · 0.0%

Your Cost: $63.14/claim|Median: $25.93

2.4× median

G0467Federally qualified health center visit, mental healthSee all providers →

$9K

289 claims

$29.56

$21.91

1.3×

Normal range

G0467Normal range

Federally qualified health center visit, mental health

$9K

289 claims · 0.0%

Your Cost: $29.56/claim|Median: $21.91

1.3× median

0064A See all providers →

$3K

52 claims

$65.07

$34.17

1.9×

Top 10%

0064ATop 10%

$3K

52 claims · 0.0%

Your Cost: $65.07/claim|Median: $34.17

1.9× median

0013A See all providers →

$2K

35 claims

$60.96

$35.38

1.7×

Top 10%

0013ATop 10%

$2K

35 claims · 0.0%

Your Cost: $60.96/claim|Median: $35.38

1.7× median

0134A See all providers →

$804

12 claims

$67.00

$33.54

2.0×

Top 5%

0134ATop 5%

$804

12 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54

2.0× median

G2025 See all providers →

$552

46 claims

$12.01

$15.63

0.8×

Normal range

G2025Normal range

$552

46 claims · 0.0%

Your Cost: $12.01/claim|Median: $15.63

0.8× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$477

78 claims

$6.12

$24.24

0.3×

Normal range

T1003Normal range

LPN/LVN services, per 15 minutes

$477

78 claims · 0.0%

Your Cost: $6.12/claim|Median: $24.24

0.3× median

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

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