Clinic
Madera Community Hospital
Madera Community Hospital was paid $20.93M by Medicaid between Jan 2018 and Jan 2023, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoMADERA COMMUNITY HOSPITAL
MADERA, CA 93637
MADERA, CA 93637
33aNPI1174503114assigned 01/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$20.93M
24GClaims186,874
24DCodes billed52
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#20 of 215
Median peer was paid$3.62M
This provider vs. median5.8×
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 | 28,579 | $5.30M | |
| 2019 | 30,467 | $3.99M | |
| 2020 | 49,172 | $4.50M | |
| 2021 | 46,692 | $4.26M | |
| 2022 | 31,618 | $2.85M | |
| 2023 | 346 | $37K |
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 | 95% | 103,127 | 77,063 | $19.90M |
| 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 | 4.9% | 6,712 | 4,973 | $1.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 29,176 | 24,182 | $1K |
| 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% | 9,211 | 8,010 | $75.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,153 | 5,411 | $18.10 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 173 | 167 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,637 | 1,622 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 394 | 394 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,028 | 963 | $0.00 |
| J1817 | Insulin for administration through dme (i.e., insulin pump) per 50 units | 0% | 57 | 55 | $0.00 |
| Z7610 | 0% | 2,099 | 1,429 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 19 | 19 | $0.00 |
40 more codes
| 99443 | 0% | 919 | $0.00 | |
| 90686 | 0% | 665 | $0.00 | |
| 90371 | 0% | 42 | $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% | 73 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 229 | $0.00 |
| 99441 | 0% | 4,318 | $0.00 | |
| 99422 | 0% | 363 | $0.00 | |
| A6441 | Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard | 0% | 293 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 102 | $0.00 |
| 90732 | 0% | 188 | $0.00 | |
| 85018 | 0% | 899 | $0.00 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 1,169 | $0.00 |
| 90733 | 0% | 46 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 46 | $0.00 |
| 99243 | 0% | 15 | $0.00 | |
| 0011A | 0% | 27 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 72 | $0.00 |
| 81003 | 0% | 3,876 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,421 | $0.00 |
| 99201 | 0% | 69 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 1,169 | $0.00 |
| 81025 | 0% | 1,064 | $0.00 | |
| 99442 | 0% | 3,211 | $0.00 | |
| A6021 | Collagen dressing, sterile, size 16 sq. in. or less, each | 0% | 233 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 2,512 | $0.00 |
| 82948 | 0% | 770 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 186 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,596 | $0.00 |
| 90658 | 0% | 169 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 119 | $0.00 |
| 90715 | 0% | 304 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 341 | $0.00 |
| 86318 | 0% | 359 | $0.00 | |
| 90649 | 0% | 43 | $0.00 | |
| Z6500 | 0% | 12 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 70 | $0.00 |
| 69209 | 0% | 28 | $0.00 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 14 | $0.00 |
| 99423 | 0% | 31 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 25 | $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 officialFOOTE, MARK (VP-FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Madera Community Hospital | Chowchilla, CA | $5.17M |
| Madera Community Hospital | Mendota, CA | $786K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.