Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Golden Valley Health Center (NPI 1962680421)

Field	Value
Entity Type	Organization
Organization	Golden Valley Health Center
Address	2101 Tenaya Dr
City	Modesto
State	CA
ZIP	95354
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 7, 2008

Payer Source	Total Paid
Medicaid	$23.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	107,580	$220	$23.2M
G0467	Federally 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…	1,040	$50	$48.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	20,420	$1	$20.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	3,400	$1	$10.2K
00003	N/A	40	$270	$9.6K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	140	$70	$9.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,780	$1	$4.8K
0011A	N/A	90	$40	$3.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	$120	$2.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,390	$1	$2.8K

Showing 1–10 of 74

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Golden Valley Health Center — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	354	1,550	38,050	$190	$14.1M
00003	N/A	679	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	671	720	1,110	$110	$651.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,180	4,290	780	$140	$400.1K
G0467	Federally 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…	520	1,030	1,050	$70	$219.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	628	13,300	640	$40	$169.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,174	4,230	210	$110	$135K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	692	14,520	760	$10	$122.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	238	1,430	640	$30	$93.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	221	770	190	$130	$93.2K

Showing 1–10 of 74

Related Providers

Other providers that share a Tax Identification Number (TIN) with Golden Valley Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Valley Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$79.8M
Golden Valley Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$49.1M
Louisiana State University School Of Med In New Orleans Faculty Grou	LA	Pediatrics Physician	$0	$43M
Vikram Lakireddy	CA	Cardiovascular Disease Physician	$4.8M	$0
Alfred Patino	CA	Podiatrist	$234.3K	$300
William Pistel	CA	Orthopaedic Surgery Physician	$178.1K	$0
Mohan Reddy	CA	Allergy & Immunology Physician	$88.1K	$0
Canaan Mekonnen	MD	Physician Assistant	$69.3K	$0
Kenichi Miyata	CA	Surgery Physician	$57.1K	$0
Gregory Renck	NC	Psychiatry Physician	$20.1K	$360

Nearby Providers

Other providers in the same ZIP code as Golden Valley Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stanislaus County Bhrs	CA	Community/Behavioral Health Agency	$0	$163.6M
Central Valley Specialty Hospital Inc	CA	General Acute Care Hospital	$0	$130.7M
County Of Stanislaus	CA	Community/Behavioral Health Agency	$0	$63.5M
Phi Health, LLC	CA	Air Ambulance	$2.3M	$9M
Manjit Dhillon	CA	Infectious Disease Physician	$887.1K	$0

Golden Valley Health Center — Billing Profile & Reimbursement Data

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Golden Valley Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References