Clinic
Reedley Community Hospital
Reedley Community Hospital was paid $38.74M by Medicaid between Jan 2018 and Dec 2024, across 99 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.
33Billing provider infoREEDLEY COMMUNITY HOSPITAL
FOWLER, CA 93625
FOWLER, CA 93625
33aNPI1093732554assigned 07/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$38.74M
24GClaims588,305
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#8 of 215
Median peer was paid$3.62M
This provider vs. median11×
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.
Entity ProliferationAuthorized official KOFL, ANDREA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,719 | $2.60M | |
| 2019 | 32,816 | $2.96M | |
| 2020 | 63,009 | $5.34M | |
| 2021 | 124,386 | $7.60M | |
| 2022 | 116,489 | $5.83M | |
| 2023 | 126,221 | $7.52M | |
| 2024incomplete | 102,665 | $6.88M |
Box 24 · Service lines
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% | 133,002 | 115,143 | $32.51M |
| 00003 | Internal/system code - not a standard HCPCS code | 13% | 17,115 | 13,035 | $5.06M |
| 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 | 1.9% | 4,187 | 3,532 | $731K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 91,782 | 65,026 | $117K |
| 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 | <1% | 66,604 | 47,298 | $99K |
| G0466 | Community health center visit, new patientFederally 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 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% | 513 | 502 | $90K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16,180 | 12,982 | $51K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 10,899 | 8,342 | $40K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 4,335 | 3,060 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,598 | 6,222 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,078 | 4,581 | $4K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,006 | 568 | $3K |
87 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,274 | $2K |
| 93000 | <1% | 839 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 375 | $1K |
| 94060 | <1% | 620 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,511 | $817.70 |
| 1159F | <1% | 53,383 | $792.02 | |
| 95117 | <1% | 1,109 | $590.46 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 133 | $582.03 |
| 90686 | <1% | 5,146 | $559.45 | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 441 | $531.12 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,599 | $496.46 |
| 90670 | <1% | 3,655 | $424.98 | |
| 90630 | <1% | 48 | $421.60 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 486 | $377.91 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 199 | $356.22 |
| 90647 | <1% | 3,184 | $299.10 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 497 | $279.63 |
| 90715 | <1% | 1,140 | $236.22 | |
| 11721 | <1% | 289 | $232.15 | |
| 99381 | <1% | 173 | $224.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,579 | $220.91 |
| 92552 | <1% | 2,021 | $200.65 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 251 | $153.93 |
| 90723 | <1% | 3,433 | $150.75 | |
| 0011A | <1% | 57 | $147.00 | |
| 99443 | <1% | 585 | $134.56 | |
| 99442 | <1% | 581 | $128.21 | |
| 90680 | <1% | 2,408 | $122.85 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 51 | $111.00 |
| 0012A | <1% | 76 | $107.00 | |
| 81025 | <1% | 2,029 | $103.73 | |
| 81002 | <1% | 534 | $98.54 | |
| 20610 | <1% | 47 | $91.58 | |
| 90688 | <1% | 800 | $90.73 | |
| 85018 | <1% | 7,966 | $74.86 | |
| 90707 | <1% | 1,208 | $64.80 | |
| 90716 | <1% | 1,194 | $56.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,111 | $44.48 |
| 92551 | <1% | 722 | $33.39 | |
| 81003 | <1% | 2,583 | $32.29 | |
| 82948 | <1% | 2,949 | $28.71 | |
| 90633 | <1% | 1,196 | $28.35 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 56 | $25.94 |
| 90656 | <1% | 751 | $23.99 | |
| J3490 | Unclassified drugs | <1% | 68 | $22.50 |
| 90677 | <1% | 778 | $18.90 | |
| 90700 | <1% | 128 | $9.45 | |
| 86580 | <1% | 216 | $3.53 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 47 | $0.88 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 388 | $0.22 |
| 1160F | 0% | 42,203 | $0.00 | |
| 90687 | 0% | 149 | $0.00 | |
| 3078F | 0% | 3,967 | $0.00 | |
| 90649 | 0% | 34 | $0.00 | |
| 3077F | 0% | 1,291 | $0.00 | |
| 3046F | 0% | 93 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 50 | $0.00 |
| 90734 | 0% | 45 | $0.00 | |
| 90746 | 0% | 152 | $0.00 | |
| 90685 | 0% | 41 | $0.00 | |
| 3051F | 0% | 426 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 183 | $0.00 |
| 90658 | 0% | 19 | $0.00 | |
| Z7500 | 0% | 14 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 55 | $0.00 |
| 90681 | 0% | 40 | $0.00 | |
| 3008F | 0% | 42,723 | $0.00 | |
| 3074F | 0% | 3,623 | $0.00 | |
| 3075F | 0% | 1,589 | $0.00 | |
| 3079F | 0% | 2,150 | $0.00 | |
| 3080F | 0% | 635 | $0.00 | |
| 88720 | 0% | 32 | $0.00 | |
| 3044F | 0% | 861 | $0.00 | |
| 82962 | 0% | 1,063 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 38 | $0.00 |
| 90732 | 0% | 62 | $0.00 | |
| G9964 | Patient received at least one well-child visit with a pcp during the performance period | 0% | 72 | $0.00 |
| Z1034 | 0% | 111 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 43 | $0.00 |
| 91301 | 0% | 107 | $0.00 | |
| 97802 | 0% | 74 | $0.00 | |
| 11730 | 0% | 18 | $0.00 | |
| 95024 | 0% | 18 | $0.00 | |
| 90657 | 0% | 33 | $0.00 | |
| 94010 | 0% | 18 | $0.00 | |
| 90696 | 0% | 19 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 41 | $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.
From NPPES
Who's on the registration
Authorized officialKOFL, ANDREA (CENTRAL VALLEY NETWORK PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Reedley Community Hospital | Hanford, CA | $138.66M |
| Reedley Community Hospital | Reedley, CA | $24.15M |
| Reedley Community Hospital | Selma, CA | $22.77M |
| Reedley Community Hospital | Reedley, CA | $21.31M |
| Reedley Community Hospital | Sanger, CA | $19.63M |
| Reedley Community Hospital | Selma, CA | $19.37M |
| Reedley Community Hospital | Dinuba, CA | $18.96M |
| Reedley Community Hospital | Hanford, CA | $18.91M |
| Reedley Community Hospital | Kerman, CA | $17.94M |
| Reedley Community Hospital | Lemoore, CA | $17.26M |
| Reedley Community Hospital | Reedley, CA | $14.44M |
| Reedley Community Hospital | Oakhurst, CA | $13.35M |
| Reedley Community Hospital | Riverdale, CA | $13.26M |
| Reedley Community Hospital | Orosi, CA | $13.04M |
| Reedley Community Hospital | Kingsburg, CA | $11.76M |
| Reedley Community Hospital | Corcoran, CA | $11.74M |
| Reedley Community Hospital | Dinuba, CA | $11.27M |
| Reedley Community Hospital | Parlier, CA | $10.88M |
| Reedley Community Hospital | Coalinga, CA | $9.17M |
| Reedley Community Hospital | Reedley, CA | $7.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.