Clinic
Reedley Community Hospital
Reedley Community Hospital was paid $6.21M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoREEDLEY COMMUNITY HOSPITAL
DINUBA, CA 93618
DINUBA, CA 93618
33aNPI1235578444assigned 06/20/2013
33bProvider typeRural Health Clinic/Center
28Total paid$6.21M
24GClaims86,332
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#76 of 215
Median peer was paid$3.62M
This provider vs. median1.7×
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.
Entity ProliferationAuthorized official KOFL, ANDREA controls 20+ related entities in our dataset. Read more
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 | 5,062 | $836K | |
| 2019 | 5,730 | $680K | |
| 2020 | 5,792 | $548K | |
| 2021 | 17,163 | $1.09M | |
| 2022 | 20,774 | $1.00M | |
| 2023 | 18,972 | $1.14M | |
| 2024incomplete | 12,839 | $909K |
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 | 93% | 22,496 | 19,525 | $5.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 18,814 | 13,245 | $180K |
| 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 | 1.7% | 7,381 | 4,935 | $104K |
| 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% | 1,044 | 922 | $61K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 4,102 | 2,934 | $57K |
| 51798 | <1% | 1,317 | 930 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 706 | 551 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 60 | 41 | $2K |
| 90686 | <1% | 182 | 140 | $575.29 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | 29 | $541.33 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 126 | 121 | $393.62 |
| 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 | <1% | 14 | 14 | $260.00 |
19 more codes
| 17110 | <1% | 20 | $199.56 | |
| 81003 | <1% | 1,699 | $196.55 | |
| 81002 | <1% | 134 | $165.35 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 128 | $112.93 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 101 | $86.91 |
| 90656 | <1% | 16 | $69.78 | |
| 85018 | <1% | 156 | $33.81 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $21.91 |
| 1159F | 0% | 9,914 | $0.00 | |
| 1160F | 0% | 9,809 | $0.00 | |
| 3078F | 0% | 847 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 23 | $0.00 |
| 82948 | 0% | 38 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 16 | $0.00 |
| 3008F | 0% | 6,247 | $0.00 | |
| 3074F | 0% | 709 | $0.00 | |
| 3075F | 0% | 75 | $0.00 | |
| 3079F | 0% | 62 | $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 officialKOFL, ANDREA (CENTRAL VALLEY NETWORK PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Reedley Community Hospital | Hanford, CA | $138.66M |
| Reedley Community Hospital | Fowler, CA | $38.74M |
| Reedley Community Hospital | Reedley, CA | $24.15M |
| Reedley Community Hospital | Selma, CA | $22.77M |
| Reedley Community Hospital | Reedley, CA | $21.31M |
| Reedley Community Hospital | Sanger, CA | $19.63M |
| Reedley Community Hospital | Selma, CA | $19.37M |
| Reedley Community Hospital | Dinuba, CA | $18.96M |
| Reedley Community Hospital | Hanford, CA | $18.91M |
| Reedley Community Hospital | Kerman, CA | $17.94M |
| Reedley Community Hospital | Lemoore, CA | $17.26M |
| Reedley Community Hospital | Reedley, CA | $14.44M |
| Reedley Community Hospital | Oakhurst, CA | $13.35M |
| Reedley Community Hospital | Riverdale, CA | $13.26M |
| Reedley Community Hospital | Orosi, CA | $13.04M |
| Reedley Community Hospital | Kingsburg, CA | $11.76M |
| Reedley Community Hospital | Corcoran, CA | $11.74M |
| Reedley Community Hospital | Dinuba, CA | $11.27M |
| Reedley Community Hospital | Parlier, CA | $10.88M |
| Reedley Community Hospital | Coalinga, CA | $9.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.