Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KAWEAH DELTA HEALTH CARE DISTRICT

NPI: 1043272172 · EXETER, CA 93221 · Supports Brokerage Agency · NPI assigned 04/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TUPPER, MALINDA controls 20+ related entities in our dataset. Read more

$68.84M
Total Medicaid Paid
1,232,021
Total Claims
995,044
Beneficiaries
232
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTUPPER, MALINDA (SRVP/CHIEF FINANCIAL OFFICER)
Parent OrganizationKAWEAH DELTA HEALTH CARE DISTRICT
NPI Enumeration Date04/04/2006

Related Entities

Other providers sharing the same authorized official: TUPPER, MALINDA

ProviderCityStateTotal Paid
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $83.04M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $15.37M
KAWEAH DELTA HEALTH CARE DISTRICT LINDSAY CA $12.83M
KAWEAH DELTA HEALTH CARE DISTRICT DINUBA CA $10.04M
KAWEAH DELTA HEALTH CARE DISTRICT WOODLAKE CA $8.03M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $5.60M
KAWEAH DELTA HEALTH CARE DISTRICT TULARE CA $4.95M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2.71M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2.30M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $1.01M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $809K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $587K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $388K
KAWEAH DELTA HEALTH CARE INC VISALIA CA $353K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $70K
KAWEAH DELTA HEALTH CARE DISTRICT TULARE CA $54K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $10K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $3K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $3K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87,898 $9.34M
2019 154,346 $10.03M
2020 186,633 $10.66M
2021 236,733 $11.25M
2022 196,965 $9.11M
2023 216,397 $10.57M
2024 153,049 $7.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 296,767 250,387 $58.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 210,953 163,938 $2.73M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71,167 55,437 $1.59M
G9008 Coordinated care fee, physician coordinated care oversight services 5,514 3,559 $1.24M
H1001 Prenatal care, at-risk enhanced service; antepartum management 11,484 7,363 $756K
87428 14,740 13,110 $525K
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 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 13,166 9,479 $498K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47,975 37,934 $492K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,651 12,083 $317K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,767 11,419 $270K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,933 7,596 $223K
90677 1,446 1,156 $164K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 3,393 2,878 $139K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,180 3,590 $138K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,385 1,135 $103K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,601 6,714 $103K
92551 18,289 15,977 $97K
85018 35,738 30,525 $88K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33,997 29,141 $81K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,070 872 $74K
0760 1,783 1,455 $63K
59425 3,521 2,342 $59K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 7,165 6,099 $57K
59430 899 836 $47K
97139 2,028 784 $46K
H1000 Prenatal care, at-risk assessment 323 321 $44K
J3490 Unclassified drugs 2,908 2,739 $40K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,092 7,208 $37K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,728 3,364 $34K
90472 Immunization administration, each additional vaccine (list separately) 7,342 6,207 $33K
90686 11,405 9,744 $30K
90670 8,804 7,385 $29K
77067 Screening mammography, bilateral, including computer-aided detection 480 456 $28K
81003 21,494 16,333 $28K
90734 1,784 1,567 $27K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 153 151 $27K
90834 Psychotherapy, 45 minutes with patient 5,182 3,851 $26K
99173 19,177 16,487 $25K
90837 Psychotherapy, 53 minutes with patient 1,703 1,160 $24K
87634 890 738 $24K
83655 2,357 1,916 $24K
97799 953 366 $23K
90647 8,650 7,317 $22K
81025 4,830 4,172 $21K
0160 629 464 $21K
H1003 Prenatal care, at-risk enhanced service; education 1,020 1,016 $21K
90680 6,664 5,505 $20K
J1050 Injection, medroxyprogesterone acetate, 1 mg 566 387 $18K
90723 6,491 5,462 $17K
90688 2,111 1,782 $17K
90633 5,235 4,241 $16K
95811 119 118 $15K
97750 691 359 $13K
99215 Prolong outpt/office vis 396 352 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,022 1,411 $10K
90474 2,039 1,590 $9K
76641 198 184 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 127 80 $9K
90716 2,349 1,857 $9K
90651 2,186 1,927 $9K
77063 Screening digital breast tomosynthesis, bilateral 480 456 $7K
90710 1,849 1,604 $7K
90700 2,066 1,694 $7K
90696 1,761 1,528 $6K
87430 1,400 1,286 $6K
90380 35 28 $6K
99348 515 392 $5K
81002 5,917 5,348 $5K
86580 2,997 2,776 $5K
90756 328 288 $5K
99188 270 264 $5K
90715 1,977 1,702 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 139 127 $3K
90707 2,019 1,601 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 78 71 $3K
93325 103 99 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,504 1,331 $3K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 78 74 $3K
88720 1,094 574 $3K
73130 237 223 $2K
90381 32 23 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 489 416 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 44 26 $2K
71046 Radiologic examination, chest; 2 views 585 514 $2K
90658 268 248 $2K
99308 Subsequent nursing facility care, per day, straightforward 5,096 771 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 29 25 $2K
83037 523 498 $2K
84703 940 840 $2K
3074F 45,304 35,829 $2K
97161 29 16 $2K
0761 44 41 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 43 43 $1K
93320 78 74 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,582 1,497 $1K
90620 318 279 $1K
80048 Basic metabolic panel (calcium, ionized) 385 349 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 348 298 $1K
73562 112 106 $1K
80053 Comprehensive metabolic panel 856 745 $1K
11721 52 39 $1K
73630 189 166 $1K
73110 118 106 $991.06
77065 Tomosynthesis, mammo 17 13 $984.08
76700 Ultrasound, abdominal, real time with image documentation; complete 43 43 $824.20
76801 13 13 $814.95
90662 47 44 $801.40
J1885 Injection, ketorolac tromethamine, per 15 mg 318 182 $666.49
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 150 148 $658.33
A9577 Injection, gadobenate dimeglumine (multihance), per ml 12 12 $630.07
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 46 42 $627.96
90656 275 238 $626.89
73610 144 130 $584.48
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 532 532 $559.70
96156 63 63 $507.77
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $482.20
97803 46 46 $472.33
72110 26 26 $471.38
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 129 103 $465.32
73030 52 48 $447.74
97165 49 46 $436.38
99401 305 305 $424.95
97802 13 13 $353.43
76770 13 13 $341.42
76830 Ultrasound, transvaginal 15 15 $340.74
G0442 Annual alcohol misuse screening, 5 to 15 minutes 430 366 $308.17
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 63 63 $253.24
82947 82 71 $212.71
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 61 55 $207.00
99242 22 13 $188.80
90697 704 557 $187.95
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 16,079 11,667 $184.89
83036 Hemoglobin; glycosylated (A1C) 446 396 $179.02
74018 12 12 $154.08
3075F 12,536 10,462 $151.23
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 296 248 $125.83
99243 29 18 $119.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $103.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 123 102 $92.77
87086 Culture, bacterial; quantitative colony count, urine 629 530 $90.27
85610 143 125 $75.96
3077F 7,515 6,118 $71.65
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 323 270 $70.24
85730 65 58 $70.08
82948 131 115 $60.56
99349 58 56 $56.30
81001 170 152 $55.44
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 209 168 $51.20
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 210 169 $51.20
90832 Psychotherapy, 30 minutes with patient 309 253 $45.77
G9744 Patient not eligible due to active diagnosis of hypertension 5,490 4,554 $37.65
96380 86 71 $35.54
84132 22 12 $24.76
90649 57 57 $20.70
82310 16 12 $20.50
G8420 Bmi is documented within normal parameters and no follow-up plan is required 9,980 7,414 $18.10
84100 62 53 $11.16
90473 1,809 1,777 $8.08
G0444 Annual depression screening, 5 to 15 minutes 365 306 $5.19
36415 Collection of venous blood by venipuncture 2,776 2,180 $3.19
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 4,189 3,410 $0.13
0270 41 40 $0.02
3078F 44,508 34,971 $0.02
Z1038 1,060 952 $0.00
Z1034 13,169 8,612 $0.00
G9793 Patient is currently on a daily aspirin or other antiplatelet 14,644 10,965 $0.00
3079F 11,098 9,383 $0.00
3080F 1,465 1,174 $0.00
Z6204 46 46 $0.00
Z1032 633 629 $0.00
84436 23 22 $0.00
84479 18 18 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 430 298 $0.00
99443 12 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 66 33 $0.00
90792 Psychiatric diagnostic evaluation with medical services 13 13 $0.00
84443 Thyroid stimulating hormone (TSH) 387 330 $0.00
82607 203 175 $0.00
80050 General health panel 48 47 $0.00
86592 105 86 $0.00
Z6402 12 12 $0.00
82728 17 12 $0.00
83520 66 60 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 299 260 $0.00
86901 57 52 $0.00
85651 75 59 $0.00
96150 12 12 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 69 61 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20 20 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 63 31 $0.00
83789 35 34 $0.00
87070 85 70 $0.00
86140 47 39 $0.00
Z6406 45 45 $0.00
86850 59 54 $0.00
83735 63 50 $0.00
87088 88 76 $0.00
96151 12 12 $0.00
87205 20 19 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 216 112 $0.00
82746 13 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 57 27 $0.00
80069 14 14 $0.00
82043 21 21 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 1,673 1,423 $0.00
G8482 Influenza immunization administered or previously received 6,472 5,682 $0.00
4013F 4,626 3,827 $0.00
80074 55 46 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 178 154 $0.00
84550 33 33 $0.00
84466 61 50 $0.00
Z6400 1,048 1,047 $0.00
Z6200 12 12 $0.00
Z6304 46 46 $0.00
99442 187 176 $0.00
86900 57 52 $0.00
87186 189 156 $0.00
80061 Lipid panel 455 398 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12 12 $0.00
83540 67 55 $0.00
80076 14 12 $0.00
87481 177 153 $0.00
0900 17 14 $0.00
G9724 Patients who had documentation of use of anticoagulant medications overlapping the measurement year 52 36 $0.00
3015F 28 24 $0.00
86038 37 26 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 60 50 $0.00
87338 19 18 $0.00
84439 103 84 $0.00
Z6300 12 12 $0.00
90791 Psychiatric diagnostic evaluation 30 29 $0.00
82248 17 17 $0.00