Tulare Local Health Care District

Tulare Local Health Care District was paid $984K by Medicaid between Oct 2018 and May 2019, across 88 billing codes. Its largest line is 0450, Emergency room services — 41% of everything it billed.

33Billing provider infoTULARE LOCAL HEALTH CARE DISTRICT
TULARE, CA 93274

33aNPI1306840723assigned 06/13/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$984K

24GClaims29,930

24DCodes billed88

24AFirst – last monthOct 2018 – May 2019

Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#273 of 410

Median peer was paid$6.90M

This provider vs. median0.1×

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	14,443	$475K
2019	15,487	$509K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0450	Emergency room services	41%	4,720	4,064	$407K
74177	Computed tomography, abdomen and pelvis; with contrast material	5.0%	215	204	$50K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	4.9%	662	586	$49K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.6%	611	555	$46K
99199	Unlisted special service, procedure or report	3.9%	365	350	$39K
96361	Intravenous infusion, hydration; each additional hour	2.8%	371	325	$28K
70450	Computed tomography, head or brain; without contrast material	2.7%	204	193	$27K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	2.7%	304	264	$26K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	2.2%	673	591	$21K
80053	Comprehensive metabolic panel	1.8%	1,597	1,394	$18K
74176	Computed tomography, abdomen and pelvis; without contrast material	1.8%	143	137	$18K
96375	Therapeutic injection; each additional sequential IV push	1.7%	581	495	$16K

76 more codes

71046	Radiologic examination, chest; 2 views	1.5%	685	$15K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1.5%	1,103	$15K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.4%	1,846	$14K
J3490	Unclassified drugs	1.4%	2,026	$13K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	1.0%	103	$10K
99283	Emergency room visit (moderate)	1.0%	100	$10K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	<1%	133	$9K
J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	757	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	634	$7K
83880		<1%	244	$7K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	291	$6K
99284	Emergency room visit (serious)	<1%	70	$6K
99285	Emergency room visit (most serious)	<1%	116	$5K
J7030	Infusion, normal saline solution , 1000 cc	<1%	726	$5K
84484		<1%	568	$5K
81001		<1%	1,464	$5K
71045	Radiologic examination, chest; single view	<1%	350	$5K
83690		<1%	623	$4K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	566	$4K
87086	Culture, bacterial; quantitative colony count, urine	<1%	542	$4K
80306		<1%	219	$4K
87040		<1%	280	$3K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	62	$3K
96376		<1%	90	$3K
J2270	Injection, morphine sulfate, up to 10 mg	<1%	320	$3K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	76	$3K
Q9962	High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml	<1%	214	$3K
76801		<1%	63	$3K
83605		<1%	273	$3K
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	469	$3K
72125	Computed tomography, cervical spine; without contrast material	<1%	13	$3K
81025		<1%	608	$3K
29125		<1%	26	$2K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	267	$2K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	33	$2K
73610		<1%	72	$2K
84702		<1%	129	$2K
73630		<1%	65	$2K
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	195	$2K
80048	Basic metabolic panel (calcium, ionized)	<1%	227	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	44	$2K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	33	$2K
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	289	$2K
73130		<1%	54	$2K
0270		<1%	108	$1K
73110		<1%	37	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	131	$1K
76830	Ultrasound, transvaginal	<1%	27	$1K
J7050	Infusion, normal saline solution, 250 cc	<1%	166	$1K
73030		<1%	51	$1K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	12	$982.77
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	160	$933.69
87420		<1%	92	$894.00
87070		<1%	87	$841.90
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	131	$839.21
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	111	$709.27
74018		<1%	33	$603.96
84443	Thyroid stimulating hormone (TSH)	<1%	43	$531.09
73562		<1%	18	$510.88
84703		<1%	102	$503.42
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	14	$467.40
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	12	$460.38
86901		<1%	131	$454.21
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	66	$449.54
J2060	Injection, lorazepam, 2 mg	<1%	62	$421.61
36415	Collection of venous blood by venipuncture	<1%	299	$405.41
85379		<1%	34	$377.48
J1170	Injection, hydromorphone, up to 4 mg	<1%	40	$369.17
90714		<1%	12	$348.79
86900		<1%	127	$336.74
73590		<1%	14	$309.21
86140		<1%	50	$288.52
85610		<1%	73	$267.20
J2543	Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)	<1%	13	$263.90
85730		<1%	29	$163.35
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	131	$12.64

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 officialWALKER, PAUL (CEO)

Same official

Other billing entities under WALKER, PAUL

Full network →

Provider	Location	Paid
Associates in Pediatric Care, P.C.	Norfolk, VA	$1.71M
The Children and Adult Counseling Center LLC	Norfolk, VA	$1.12M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.