Medicaid Provider Spending

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

KAWEAH DELTA HEALTH CARE DISTRICT

NPI: 1104067636 · LINDSAY, CA 93247 · Case Manager/Care Coordinator · NPI assigned 03/12/2009

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

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

$12.83M
Total Medicaid Paid
214,434
Total Claims
180,761
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTUPPER, MALINDA (SRVP/CHIEF FINANCIAL OFFICER)
Parent OrganizationKAWEAH DELTA HEALTH CARE DISTRICT
NPI Enumeration Date03/12/2009

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 EXETER CA $68.84M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $15.37M
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 8,356 $905K
2019 12,590 $970K
2020 23,039 $1.67M
2021 49,782 $2.55M
2022 40,883 $2.11M
2023 43,784 $2.60M
2024 36,000 $2.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 48,836 42,208 $11.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,525 34,250 $588K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,255 14,434 $383K
87428 7,275 6,656 $249K
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 2,508 2,174 $114K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,101 8,016 $83K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,601 4,223 $32K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,430 2,991 $26K
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 517 479 $26K
90837 Psychotherapy, 53 minutes with patient 414 287 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 537 518 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 415 400 $18K
85018 4,268 4,076 $18K
92551 2,380 2,302 $17K
H1001 Prenatal care, at-risk enhanced service; antepartum management 283 178 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 767 735 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 57 54 $6K
81003 4,952 4,100 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,230 1,988 $6K
99173 2,359 2,276 $6K
81002 942 865 $5K
87430 953 836 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 931 733 $5K
82947 1,276 1,168 $3K
99215 Prolong outpt/office vis 108 99 $3K
90686 824 754 $3K
82948 357 327 $3K
90834 Psychotherapy, 45 minutes with patient 120 89 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 35 31 $3K
90756 99 76 $2K
83037 1,044 919 $2K
90832 Psychotherapy, 30 minutes with patient 51 41 $2K
90688 148 117 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 103 79 $1K
J3490 Unclassified drugs 66 66 $1K
90791 Psychiatric diagnostic evaluation 20 14 $896.56
90658 78 69 $596.33
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 69 55 $590.09
90472 Immunization administration, each additional vaccine (list separately) 72 67 $433.15
90651 59 58 $427.77
86580 115 110 $421.45
90734 40 39 $324.27
81025 135 126 $320.62
90792 Psychiatric diagnostic evaluation with medical services 49 48 $190.43
90662 27 25 $163.62
90656 45 42 $160.86
3074F 12,943 10,329 $135.81
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 4,167 3,263 $133.00
82570 30 26 $119.75
87807 18 14 $110.14
90715 16 15 $103.68
82044 30 26 $102.79
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,449 2,670 $76.16
3075F 2,857 2,424 $54.49
G0442 Annual alcohol misuse screening, 5 to 15 minutes 35 30 $49.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 71 68 $24.00
G9744 Patient not eligible due to active diagnosis of hypertension 2,056 1,593 $0.07
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,273 993 $0.05
3078F 11,996 9,609 $0.02
4013F 2,224 1,759 $0.01
3077F 1,989 1,563 $0.00
G8482 Influenza immunization administered or previously received 553 502 $0.00
G0444 Annual depression screening, 5 to 15 minutes 64 63 $0.00
4004F 15 15 $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) 17 14 $0.00
99348 17 14 $0.00
G9793 Patient is currently on a daily aspirin or other antiplatelet 3,504 2,733 $0.00
3079F 3,362 2,783 $0.00
Z1034 377 235 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 762 697 $0.00
36415 Collection of venous blood by venipuncture 133 125 $0.00