Clinic
North Kern South Tulare Hospital District
North Kern South Tulare Hospital District was paid $30.39M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoNORTH KERN SOUTH TULARE HOSPITAL DISTRICT
DELANO, CA 93215
DELANO, CA 93215
33aNPI1114220357assigned 12/09/2010
33bProvider typeClinic/Center
28Total paid$30.39M
24GClaims245,307
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#20 of 504
Median peer was paid$102K
This provider vs. median299×
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.
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 | 30,959 | $3.99M | |
| 2019 | 30,848 | $3.73M | |
| 2020 | 25,882 | $3.07M | |
| 2021 | 31,968 | $3.85M | |
| 2022 | 34,840 | $3.85M | |
| 2023 | 47,133 | $5.66M | |
| 2024incomplete | 43,677 | $6.24M |
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 | 85% | 98,051 | 77,264 | $25.72M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 50,043 | 43,354 | $2.11M |
| 59425 | 2.2% | 7,545 | 4,659 | $669K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,422 | 5,378 | $302K |
| 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% | 3,397 | 3,174 | $185K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,822 | 5,337 | $177K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,417 | 2,411 | $150K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,010 | 2,944 | $150K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,362 | 1,360 | $103K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 736 | 734 | $87K |
| 92551 | <1% | 5,329 | 5,308 | $69K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 947 | 940 | $61K |
95 more codes
| 90686 | <1% | 4,221 | $50K | |
| 90670 | <1% | 3,391 | $40K | |
| 99205 | Prolong outpt/office vis | <1% | 217 | $36K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 750 | $30K |
| 99381 | <1% | 499 | $27K | |
| 90633 | <1% | 2,068 | $21K | |
| 99385 | <1% | 165 | $21K | |
| 90680 | <1% | 2,044 | $21K | |
| 90698 | <1% | 1,964 | $20K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 435 | $19K |
| 87490 | <1% | 1,221 | $19K | |
| 90710 | <1% | 1,789 | $19K | |
| 99173 | <1% | 4,610 | $18K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 142 | $17K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,699 | $16K |
| 90715 | <1% | 857 | $16K | |
| 59430 | <1% | 151 | $14K | |
| 87590 | <1% | 1,205 | $14K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 168 | $13K |
| 90744 | <1% | 1,235 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,187 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,365 | $11K |
| 96127 | <1% | 1,313 | $11K | |
| 85018 | <1% | 6,817 | $11K | |
| 81002 | <1% | 6,039 | $10K | |
| 90651 | <1% | 808 | $9K | |
| 90688 | <1% | 470 | $9K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 851 | $7K |
| 90700 | <1% | 670 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,026 | $7K |
| 96156 | <1% | 611 | $6K | |
| 90656 | <1% | 518 | $6K | |
| 90696 | <1% | 501 | $5K | |
| 90734 | <1% | 441 | $5K | |
| 90648 | <1% | 466 | $5K | |
| 90697 | <1% | 372 | $4K | |
| 99401 | <1% | 462 | $4K | |
| 99383 | <1% | 59 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 616 | $3K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 182 | $3K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 36 | $3K |
| 99386 | <1% | 15 | $2K | |
| 81025 | <1% | 829 | $2K | |
| 90621 | <1% | 152 | $2K | |
| 97803 | <1% | 152 | $2K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 62 | $2K |
| 90619 | <1% | 134 | $1K | |
| 90662 | <1% | 28 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $1K |
| 93000 | <1% | 36 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $974.48 |
| 97802 | <1% | 57 | $936.79 | |
| 99442 | <1% | 24 | $893.14 | |
| 90674 | <1% | 54 | $818.75 | |
| 90685 | <1% | 75 | $818.10 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 62 | $715.48 |
| 99441 | <1% | 19 | $677.92 | |
| 86580 | <1% | 175 | $588.00 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 28 | $578.69 |
| 87807 | <1% | 87 | $571.10 | |
| J3490 | Unclassified drugs | <1% | 12 | $524.48 |
| 90716 | <1% | 41 | $416.25 | |
| 90681 | <1% | 37 | $401.85 | |
| 90707 | <1% | 38 | $382.50 | |
| 96150 | <1% | 24 | $370.15 | |
| 88142 | <1% | 61 | $364.34 | |
| 92552 | <1% | 13 | $271.18 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $216.28 |
| 96151 | <1% | 20 | $193.43 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 45 | $187.52 |
| 90661 | <1% | 13 | $146.25 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 13 | $109.33 |
| 99000 | <1% | 336 | $45.75 | |
| 82247 | <1% | 13 | $40.90 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 77 | $19.84 |
| 3075F | 0% | 226 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 273 | $0.00 |
| 3074F | 0% | 495 | $0.00 | |
| 2010F | 0% | 16 | $0.00 | |
| 3079F | 0% | 367 | $0.00 | |
| 3008F | 0% | 57 | $0.00 | |
| 2000F | 0% | 94 | $0.00 | |
| 3080F | 0% | 144 | $0.00 | |
| 3044F | 0% | 169 | $0.00 | |
| 0503F | 0% | 15 | $0.00 | |
| 0500F | 0% | 18 | $0.00 | |
| 2001F | 0% | 48 | $0.00 | |
| 88738 | 0% | 24 | $0.00 | |
| Z1034 | 0% | 19 | $0.00 | |
| 0502F | 0% | 1,385 | $0.00 | |
| 3078F | 0% | 570 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 375 | $0.00 |
| 3077F | 0% | 423 | $0.00 | |
| 3051F | 0% | 25 | $0.00 | |
| 90461 | 0% | 57 | $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 officialGUZMAN, MAIRA (SUPERVISOR)