Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › DELANO › NORTH KERN SOUTH TULARE HOSPITAL DISTRICT

NORTH KERN SOUTH TULARE HOSPITAL DISTRICT

NPI: 1114220357 · DELANO, CA 93215 · Clinic/Center · NPI assigned 12/09/2010

$30.39M
Total Medicaid Paid
245,307
Total Claims
212,161
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUZMAN, MAIRA (SUPERVISOR)
NPI Enumeration Date12/09/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 43,677 $6.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 98,051 77,264 $25.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,043 43,354 $2.11M
59425 7,545 4,659 $669K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,422 5,378 $302K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,397 3,174 $185K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,822 5,337 $177K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,417 2,411 $150K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,010 2,944 $150K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,362 1,360 $103K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 736 734 $87K
92551 5,329 5,308 $69K
96110 Developmental screening, with scoring and documentation, per standardized instrument 947 940 $61K
90686 4,221 4,168 $50K
90670 3,391 3,347 $40K
99205 Prolong outpt/office vis 217 212 $36K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 750 719 $30K
99381 499 496 $27K
90633 2,068 2,056 $21K
99385 165 162 $21K
90680 2,044 2,005 $21K
90698 1,964 1,954 $20K
H1001 Prenatal care, at-risk enhanced service; antepartum management 435 270 $19K
87490 1,221 1,215 $19K
90710 1,789 1,779 $19K
99173 4,610 4,597 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 142 141 $17K
H1003 Prenatal care, at-risk enhanced service; education 1,699 1,374 $16K
90715 857 846 $16K
59430 151 151 $14K
87590 1,205 1,199 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 168 167 $13K
90744 1,235 1,234 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,187 1,135 $11K
83036 Hemoglobin; glycosylated (A1C) 1,365 1,340 $11K
96127 1,313 1,306 $11K
85018 6,817 6,783 $11K
81002 6,039 5,873 $10K
90651 808 804 $9K
90688 470 468 $9K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 851 687 $7K
90700 670 663 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,026 990 $7K
96156 611 591 $6K
90656 518 517 $6K
90696 501 500 $5K
90734 441 441 $5K
90648 466 464 $5K
90697 372 351 $4K
99401 462 435 $4K
99383 59 57 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 616 592 $3K
H1002 Prenatal care, at risk enhanced service; care coordination 182 172 $3K
H2000 Comprehensive multidisciplinary evaluation 36 32 $3K
99386 15 15 $2K
81025 829 818 $2K
90621 152 152 $2K
97803 152 145 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 62 62 $2K
90619 134 134 $1K
90662 28 28 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 27 $1K
93000 36 36 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $974.48
97802 57 57 $936.79
99442 24 24 $893.14
90674 54 54 $818.75
90685 75 75 $818.10
G8510 Screening for depression is documented as negative, a follow-up plan is not required 62 62 $715.48
99441 19 19 $677.92
86580 175 173 $588.00
H1000 Prenatal care, at-risk assessment 28 27 $578.69
87807 87 76 $571.10
J3490 Unclassified drugs 12 12 $524.48
90716 41 41 $416.25
90681 37 37 $401.85
90707 38 38 $382.50
96150 24 24 $370.15
88142 61 61 $364.34
92552 13 13 $271.18
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 12 $216.28
96151 20 19 $193.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 39 $187.52
90661 13 13 $146.25
S9452 Nutrition classes, non-physician provider, per session 13 13 $109.33
99000 336 335 $45.75
82247 13 12 $40.90
90460 Immunization administration through 18 years of age via any route, first or only component 77 76 $19.84
3075F 226 223 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 273 268 $0.00
3074F 495 478 $0.00
2010F 16 16 $0.00
3079F 367 356 $0.00
3008F 57 57 $0.00
2000F 94 91 $0.00
3080F 144 136 $0.00
3044F 169 167 $0.00
0503F 15 15 $0.00
0500F 18 18 $0.00
2001F 48 47 $0.00
88738 24 24 $0.00
Z1034 19 12 $0.00
0502F 1,385 936 $0.00
3078F 570 555 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 375 375 $0.00
3077F 423 408 $0.00
3051F 25 25 $0.00
90461 57 57 $0.00