Kaweah Delta Health Care District
Kaweah Delta Health Care District was paid $68.84M by Medicaid between Jan 2018 and Dec 2024, across 232 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
EXETER, CA 93221
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Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 153,049 | $7.89M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 84% | 296,767 | 250,387 | $58.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 210,953 | 163,938 | $2.73M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.3% | 71,167 | 55,437 | $1.59M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.8% | 5,514 | 3,559 | $1.24M |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.1% | 11,484 | 7,363 | $756K |
| 87428 | <1% | 14,740 | 13,110 | $525K | |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 13,166 | 9,479 | $498K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47,975 | 37,934 | $492K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14,651 | 12,083 | $317K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14,767 | 11,419 | $270K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,933 | 7,596 | $223K |
| 90677 | <1% | 1,446 | 1,156 | $164K |
220 more codes
| 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 | <1% | 3,393 | $139K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,180 | $138K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,385 | $103K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 8,601 | $103K |
| 92551 | <1% | 18,289 | $97K | |
| 85018 | <1% | 35,738 | $88K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33,997 | $81K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,070 | $74K |
| 0760 | <1% | 1,783 | $63K | |
| 59425 | <1% | 3,521 | $59K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 7,165 | $57K |
| 59430 | <1% | 899 | $47K | |
| 97139 | <1% | 2,028 | $46K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 323 | $44K |
| J3490 | Unclassified drugs | <1% | 2,908 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,092 | $37K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 3,728 | $34K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,342 | $33K |
| 90686 | <1% | 11,405 | $30K | |
| 90670 | <1% | 8,804 | $29K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 480 | $28K |
| 81003 | <1% | 21,494 | $28K | |
| 90734 | <1% | 1,784 | $27K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 153 | $27K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,182 | $26K |
| 99173 | <1% | 19,177 | $25K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,703 | $24K |
| 87634 | <1% | 890 | $24K | |
| 83655 | <1% | 2,357 | $24K | |
| 97799 | <1% | 953 | $23K | |
| 90647 | <1% | 8,650 | $22K | |
| 81025 | <1% | 4,830 | $21K | |
| 0160 | <1% | 629 | $21K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,020 | $21K |
| 90680 | <1% | 6,664 | $20K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 566 | $18K |
| 90723 | <1% | 6,491 | $17K | |
| 90688 | <1% | 2,111 | $17K | |
| 90633 | <1% | 5,235 | $16K | |
| 95811 | <1% | 119 | $15K | |
| 97750 | <1% | 691 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 396 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,022 | $10K |
| 90474 | <1% | 2,039 | $9K | |
| 76641 | <1% | 198 | $9K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 127 | $9K |
| 90716 | <1% | 2,349 | $9K | |
| 90651 | <1% | 2,186 | $9K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 480 | $7K |
| 90710 | <1% | 1,849 | $7K | |
| 90700 | <1% | 2,066 | $7K | |
| 90696 | <1% | 1,761 | $6K | |
| 87430 | <1% | 1,400 | $6K | |
| 90380 | <1% | 35 | $6K | |
| 99348 | <1% | 515 | $5K | |
| 81002 | <1% | 5,917 | $5K | |
| 86580 | <1% | 2,997 | $5K | |
| 90756 | <1% | 328 | $5K | |
| 99188 | <1% | 270 | $5K | |
| 90715 | <1% | 1,977 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 139 | $3K |
| 90707 | <1% | 2,019 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 78 | $3K |
| 93325 | <1% | 103 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,504 | $3K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 78 | $3K |
| 88720 | <1% | 1,094 | $3K | |
| 73130 | <1% | 237 | $2K | |
| 90381 | <1% | 32 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 489 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 44 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 585 | $2K |
| 90658 | <1% | 268 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 5,096 | $2K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 29 | $2K |
| 83037 | <1% | 523 | $2K | |
| 84703 | <1% | 940 | $2K | |
| 3074F | <1% | 45,304 | $2K | |
| 97161 | <1% | 29 | $2K | |
| 0761 | <1% | 44 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 43 | $1K |
| 93320 | <1% | 78 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,582 | $1K |
| 90620 | <1% | 318 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 385 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 348 | $1K |
| 73562 | <1% | 112 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 856 | $1K |
| 11721 | <1% | 52 | $1K | |
| 73630 | <1% | 189 | $1K | |
| 73110 | <1% | 118 | $991.06 | |
| 77065 | Tomosynthesis, mammo | <1% | 17 | $984.08 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 43 | $824.20 |
| 76801 | <1% | 13 | $814.95 | |
| 90662 | <1% | 47 | $801.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 318 | $666.49 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 150 | $658.33 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | <1% | 12 | $630.07 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 46 | $627.96 |
| 90656 | <1% | 275 | $626.89 | |
| 73610 | <1% | 144 | $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 | <1% | 532 | $559.70 |
| 96156 | <1% | 63 | $507.77 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $482.20 |
| 97803 | <1% | 46 | $472.33 | |
| 72110 | <1% | 26 | $471.38 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 129 | $465.32 |
| 73030 | <1% | 52 | $447.74 | |
| 97165 | <1% | 49 | $436.38 | |
| 99401 | <1% | 305 | $424.95 | |
| 97802 | <1% | 13 | $353.43 | |
| 76770 | <1% | 13 | $341.42 | |
| 76830 | Ultrasound, transvaginal | <1% | 15 | $340.74 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 430 | $308.17 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | $253.24 |
| 82947 | <1% | 82 | $212.71 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 61 | $207.00 |
| 99242 | <1% | 22 | $188.80 | |
| 90697 | <1% | 704 | $187.95 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 16,079 | $184.89 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 446 | $179.02 |
| 74018 | <1% | 12 | $154.08 | |
| 3075F | <1% | 12,536 | $151.23 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 296 | $125.83 |
| 99243 | <1% | 29 | $119.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $103.06 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 123 | $92.77 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 629 | $90.27 |
| 85610 | <1% | 143 | $75.96 | |
| 3077F | <1% | 7,515 | $71.65 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 323 | $70.24 |
| 85730 | <1% | 65 | $70.08 | |
| 82948 | <1% | 131 | $60.56 | |
| 99349 | <1% | 58 | $56.30 | |
| 81001 | <1% | 170 | $55.44 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 209 | $51.20 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 210 | $51.20 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 309 | $45.77 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 5,490 | $37.65 |
| 96380 | <1% | 86 | $35.54 | |
| 84132 | <1% | 22 | $24.76 | |
| 90649 | <1% | 57 | $20.70 | |
| 82310 | <1% | 16 | $20.50 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 9,980 | $18.10 |
| 84100 | <1% | 62 | $11.16 | |
| 90473 | <1% | 1,809 | $8.08 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 365 | $5.19 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,776 | $3.19 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 4,189 | $0.13 |
| 0270 | <1% | 41 | $0.02 | |
| 3078F | <1% | 44,508 | $0.02 | |
| Z1038 | 0% | 1,060 | $0.00 | |
| Z1034 | 0% | 13,169 | $0.00 | |
| G9793 | Patient is currently on a daily aspirin or other antiplatelet | 0% | 14,644 | $0.00 |
| 3079F | 0% | 11,098 | $0.00 | |
| 3080F | 0% | 1,465 | $0.00 | |
| Z6204 | 0% | 46 | $0.00 | |
| Z1032 | 0% | 633 | $0.00 | |
| 84436 | 0% | 23 | $0.00 | |
| 84479 | 0% | 18 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 430 | $0.00 |
| 99443 | 0% | 12 | $0.00 | |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 0% | 66 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 13 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 387 | $0.00 |
| 82607 | 0% | 203 | $0.00 | |
| 80050 | General health panel | 0% | 48 | $0.00 |
| 86592 | 0% | 105 | $0.00 | |
| Z6402 | 0% | 12 | $0.00 | |
| 82728 | 0% | 17 | $0.00 | |
| 83520 | 0% | 66 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 299 | $0.00 |
| 86901 | 0% | 57 | $0.00 | |
| 85651 | 0% | 75 | $0.00 | |
| 96150 | 0% | 12 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 69 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 20 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 63 | $0.00 |
| 83789 | 0% | 35 | $0.00 | |
| 87070 | 0% | 85 | $0.00 | |
| 86140 | 0% | 47 | $0.00 | |
| Z6406 | 0% | 45 | $0.00 | |
| 86850 | 0% | 59 | $0.00 | |
| 83735 | 0% | 63 | $0.00 | |
| 87088 | 0% | 88 | $0.00 | |
| 96151 | 0% | 12 | $0.00 | |
| 87205 | 0% | 20 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 216 | $0.00 |
| 82746 | 0% | 13 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 57 | $0.00 |
| 80069 | 0% | 14 | $0.00 | |
| 82043 | 0% | 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) | 0% | 1,673 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 6,472 | $0.00 |
| 4013F | 0% | 4,626 | $0.00 | |
| 80074 | 0% | 55 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 178 | $0.00 |
| 84550 | 0% | 33 | $0.00 | |
| 84466 | 0% | 61 | $0.00 | |
| Z6400 | 0% | 1,048 | $0.00 | |
| Z6200 | 0% | 12 | $0.00 | |
| Z6304 | 0% | 46 | $0.00 | |
| 99442 | 0% | 187 | $0.00 | |
| 86900 | 0% | 57 | $0.00 | |
| 87186 | 0% | 189 | $0.00 | |
| 80061 | Lipid panel | 0% | 455 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 83540 | 0% | 67 | $0.00 | |
| 80076 | 0% | 14 | $0.00 | |
| 87481 | 0% | 177 | $0.00 | |
| 0900 | 0% | 17 | $0.00 | |
| G9724 | Patients who had documentation of use of anticoagulant medications overlapping the measurement year | 0% | 52 | $0.00 |
| 3015F | 0% | 28 | $0.00 | |
| 86038 | 0% | 37 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 60 | $0.00 |
| 87338 | 0% | 19 | $0.00 | |
| 84439 | 0% | 103 | $0.00 | |
| Z6300 | 0% | 12 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 30 | $0.00 |
| 82248 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.