Kaweah Delta Health Care District
Kaweah Delta Health Care District was paid $12.83M by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
LINDSAY, CA 93247
Next to other Case Manager/Care Coordinator providers in California
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 | 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 | |
| 2024incomplete | 36,000 | $2.03M |
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 | 87% | 48,836 | 42,208 | $11.14M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 42,525 | 34,250 | $588K |
| 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 | 3.0% | 17,255 | 14,434 | $383K |
| 87428 | 1.9% | 7,275 | 6,656 | $249K | |
| 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% | 2,508 | 2,174 | $114K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,101 | 8,016 | $83K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,601 | 4,223 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 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 | <1% | 517 | 479 | $26K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 414 | 287 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 537 | 518 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 415 | 400 | $18K |
59 more codes
| 85018 | <1% | 4,268 | $18K | |
| 92551 | <1% | 2,380 | $17K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 283 | $16K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 767 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 57 | $6K |
| 81003 | <1% | 4,952 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,230 | $6K |
| 99173 | <1% | 2,359 | $6K | |
| 81002 | <1% | 942 | $5K | |
| 87430 | <1% | 953 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 931 | $5K |
| 82947 | <1% | 1,276 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 108 | $3K |
| 90686 | <1% | 824 | $3K | |
| 82948 | <1% | 357 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 120 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 35 | $3K |
| 90756 | <1% | 99 | $2K | |
| 83037 | <1% | 1,044 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 51 | $2K |
| 90688 | <1% | 148 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 103 | $1K |
| J3490 | Unclassified drugs | <1% | 66 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 20 | $896.56 |
| 90658 | <1% | 78 | $596.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 69 | $590.09 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 72 | $433.15 |
| 90651 | <1% | 59 | $427.77 | |
| 86580 | <1% | 115 | $421.45 | |
| 90734 | <1% | 40 | $324.27 | |
| 81025 | <1% | 135 | $320.62 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 49 | $190.43 |
| 90662 | <1% | 27 | $163.62 | |
| 90656 | <1% | 45 | $160.86 | |
| 3074F | <1% | 12,943 | $135.81 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 4,167 | $133.00 |
| 82570 | <1% | 30 | $119.75 | |
| 87807 | <1% | 18 | $110.14 | |
| 90715 | <1% | 16 | $103.68 | |
| 82044 | <1% | 30 | $102.79 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 3,449 | $76.16 |
| 3075F | <1% | 2,857 | $54.49 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 35 | $49.50 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 71 | $24.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 2,056 | $0.07 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 1,273 | $0.05 |
| 3078F | <1% | 11,996 | $0.02 | |
| 4013F | <1% | 2,224 | $0.01 | |
| 3077F | 0% | 1,989 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 553 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 64 | $0.00 |
| 4004F | 0% | 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) | 0% | 17 | $0.00 |
| 99348 | 0% | 17 | $0.00 | |
| G9793 | Patient is currently on a daily aspirin or other antiplatelet | 0% | 3,504 | $0.00 |
| 3079F | 0% | 3,362 | $0.00 | |
| Z1034 | 0% | 377 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 762 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 133 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.