Medicaid Provider Spending

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

REEDLEY COMMUNITY HOSPITAL

NPI: 1093980823 · SANGER, CA 93657 · Rural Health Clinic/Center · NPI assigned 04/23/2008

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

Authorized official KOFL, ANDREA controls 20+ related entities in our dataset. Read more

$19.63M
Total Medicaid Paid
229,529
Total Claims
175,323
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOFL, ANDREA (CENTRAL VALLEY NETWORK PRESIDENT)
NPI Enumeration Date04/23/2008

Related Entities

Other providers sharing the same authorized official: KOFL, ANDREA

ProviderCityStateTotal Paid
REEDLEY COMMUNITY HOSPITAL HANFORD CA $138.66M
REEDLEY COMMUNITY HOSPITAL FOWLER CA $38.74M
REEDLEY COMMUNITY HOSPITAL REEDLEY CA $24.15M
REEDLEY COMMUNITY HOSPITAL SELMA CA $22.77M
REEDLEY COMMUNITY HOSPITAL REEDLEY CA $21.31M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,539 $3.51M
2019 24,422 $3.17M
2020 22,381 $2.35M
2021 51,036 $3.54M
2022 41,658 $2.34M
2023 27,135 $2.14M
2024 40,358 $2.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 50,140 39,814 $12.60M
00003 Internal/system code - not a standard HCPCS code 22,405 16,429 $6.57M
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 2,724 2,264 $322K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,416 23,480 $50K
90834 Psychotherapy, 45 minutes with patient 4,328 1,599 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,880 15,988 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,949 7,456 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 463 391 $2K
90832 Psychotherapy, 30 minutes with patient 173 96 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 737 572 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 257 247 $1K
98940 1,271 669 $1K
0064A 24 13 $816.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 519 496 $677.28
0012A 22 14 $548.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 38 $513.00
92552 543 455 $346.10
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 318 156 $315.81
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 40 36 $284.20
90658 46 46 $279.60
90715 664 526 $258.39
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,956 2,421 $212.40
81025 976 791 $148.12
90688 51 51 $133.88
0011A 19 14 $107.00
83036 Hemoglobin; glycosylated (A1C) 3,917 3,040 $77.37
81002 133 122 $76.56
90707 31 24 $55.92
85018 547 428 $20.51
82962 1,492 923 $6.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,417 1,202 $0.22
3008F 11,671 10,327 $0.00
90686 3,321 2,741 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 164 142 $0.00
3075F 803 784 $0.00
90656 392 250 $0.00
3044F 287 286 $0.00
90677 62 39 $0.00
3079F 1,162 1,116 $0.00
3074F 1,461 1,400 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,446 1,714 $0.00
3080F 26 26 $0.00
90651 17 13 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 127 78 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 110 70 $0.00
86580 53 44 $0.00
3078F 1,791 1,706 $0.00
82948 1,450 1,296 $0.00
3046F 91 85 $0.00
1160F 19,769 15,467 $0.00
1159F 19,984 15,628 $0.00
81003 804 658 $0.00
90670 81 69 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 63 47 $0.00
3077F 399 365 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 593 459 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 115 99 $0.00
90734 55 43 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 441 317 $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 49 48 $0.00
94150 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 25 $0.00
90649 44 38 $0.00
90633 12 12 $0.00
99215 Prolong outpt/office vis 89 77 $0.00
99442 13 12 $0.00
90661 12 12 $0.00
Z7500 17 17 $0.00