Medicaid Provider Spending

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

KAWEAH DELTA HEALTH CARE DISTRICT

NPI: 1154614097 · WOODLAKE, CA 93286 · Case Manager/Care Coordinator · NPI assigned 05/25/2011

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

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

$8.03M
Total Medicaid Paid
140,525
Total Claims
111,241
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTUPPER, MALINDA (SRVP/CHIEF FINANCIAL OFFICER)
Parent OrganizationKAWEAH DELTA HEALTH CARE DISTRICT
NPI Enumeration Date05/25/2011

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 LINDSAY CA $12.83M
KAWEAH DELTA HEALTH CARE DISTRICT DINUBA CA $10.04M
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 7,538 $895K
2019 10,250 $757K
2020 14,415 $861K
2021 26,713 $989K
2022 26,456 $1.31M
2023 31,647 $1.76M
2024 23,506 $1.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 31,005 26,795 $6.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,146 23,145 $465K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,646 8,808 $240K
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 3,798 3,353 $162K
87428 2,004 1,776 $70K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,328 4,870 $69K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 351 225 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 195 140 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 235 154 $8K
92551 1,113 833 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 954 670 $7K
90677 81 55 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,143 1,668 $5K
90688 537 401 $5K
83037 2,259 1,884 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 158 103 $4K
85018 1,830 1,352 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 27 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 30 27 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 447 429 $3K
90756 99 77 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 983 721 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 66 63 $2K
90651 86 61 $2K
81003 835 699 $2K
90734 31 24 $2K
90686 313 283 $2K
99173 1,007 755 $2K
90472 Immunization administration, each additional vaccine (list separately) 423 291 $1K
99188 199 137 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 488 309 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 86 86 $1K
87430 174 156 $870.75
90662 64 54 $530.97
90658 40 33 $474.53
81002 138 134 $351.95
83655 39 26 $205.59
90710 65 45 $165.42
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 12 $146.56
J3490 Unclassified drugs 12 12 $125.25
90633 18 12 $84.24
90670 22 13 $73.71
90696 17 12 $70.65
G0442 Annual alcohol misuse screening, 5 to 15 minutes 121 97 $54.08
90715 20 17 $52.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 67 63 $46.86
86580 15 13 $45.92
3074F 7,037 5,738 $24.04
90700 17 12 $21.06
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 4,126 3,006 $20.52
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 64 52 $0.14
G0444 Annual depression screening, 5 to 15 minutes 100 78 $0.11
G9744 Patient not eligible due to active diagnosis of hypertension 676 591 $0.04
3078F 6,400 5,327 $0.02
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 141 124 $0.01
3075F 2,437 2,010 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,730 2,038 $0.00
3079F 3,945 3,266 $0.00
G9793 Patient is currently on a daily aspirin or other antiplatelet 3,798 2,856 $0.00
3080F 832 656 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 357 327 $0.00
20550 19 12 $0.00
90656 19 15 $0.00
3077F 4,082 3,322 $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) 65 53 $0.00
G8482 Influenza immunization administered or previously received 721 633 $0.00
4013F 225 205 $0.00