Clinic
Reedley Community Hospital
Reedley Community Hospital was paid $138.66M by Medicaid between Jan 2018 and Dec 2024, across 152 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoREEDLEY COMMUNITY HOSPITAL
HANFORD, CA 93230
HANFORD, CA 93230
33aNPI1417930892assigned 11/21/2005
33bProvider typeRural Health Clinic/Center
28Total paid$138.66M
24GClaims1,366,744
24DCodes billed152
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#1 of 215
Median peer was paid$3.62M
This provider vs. median38×
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 | 108,532 | $20.10M | |
| 2019 | 121,051 | $15.86M | |
| 2020 | 183,803 | $19.67M | |
| 2021 | 256,313 | $23.03M | |
| 2022 | 234,415 | $18.13M | |
| 2023 | 245,938 | $20.70M | |
| 2024incomplete | 216,692 | $21.17M |
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 | 88% | 475,673 | 405,893 | $121.47M |
| 00003 | Internal/system code - not a standard HCPCS code | 9.4% | 43,402 | 34,899 | $13.08M |
| 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 | 1.2% | 13,635 | 11,300 | $1.66M |
| 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% | 212,771 | 161,782 | $479K |
| 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% | 105,197 | 80,774 | $359K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 29,470 | 16,097 | $293K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 2,313 | 2,272 | $279K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 1,753 | 1,421 | $216K |
| 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% | 21,573 | 17,264 | $163K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 14,840 | 8,731 | $113K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 4,532 | 2,913 | $89K |
| 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% | 12,998 | 11,197 | $86K |
140 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 3,818 | $62K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,820 | $60K |
| 98940 | <1% | 679 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21,411 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,906 | $21K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 7,101 | $19K |
| 97803 | <1% | 1,939 | $17K | |
| 20610 | <1% | 3,868 | $13K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 279 | $11K |
| 59425 | <1% | 4,731 | $9K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 5,077 | $9K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,187 | $8K |
| 97802 | <1% | 768 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 6,153 | $7K |
| 99242 | <1% | 2,891 | $5K | |
| 99460 | <1% | 3,367 | $4K | |
| J1950 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg | <1% | 413 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,698 | $3K |
| 99243 | <1% | 1,280 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,403 | $3K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,811 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,293 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 2,931 | $2K |
| 81025 | <1% | 15,163 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,050 | $1K |
| H1000 | Prenatal care, at-risk assessment | <1% | 371 | $1K |
| 51798 | <1% | 524 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 174 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,876 | $1K |
| 97804 | <1% | 156 | $1K | |
| 90686 | <1% | 6,411 | $904.32 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 732 | $813.78 |
| J3490 | Unclassified drugs | <1% | 1,705 | $763.22 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 993 | $690.96 |
| 99381 | <1% | 1,039 | $673.65 | |
| 59025 | Fetal non-stress test | <1% | 1,707 | $640.58 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,316 | $632.32 |
| 59430 | <1% | 288 | $606.05 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 102 | $544.28 |
| 58300 | <1% | 94 | $502.79 | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 55 | $399.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 574 | $392.55 |
| 11721 | <1% | 1,808 | $384.28 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 616 | $379.35 |
| 90715 | <1% | 1,183 | $378.99 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 326 | $325.22 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,959 | $284.29 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,062 | $270.64 |
| 96156 | <1% | 466 | $200.50 | |
| 81003 | <1% | 6,178 | $194.57 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,995 | $170.90 |
| 99462 | <1% | 342 | $164.13 | |
| 99201 | <1% | 89 | $156.63 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 57 | $146.40 |
| 91322 | <1% | 20 | $145.92 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,410 | $130.67 |
| 99401 | <1% | 294 | $125.28 | |
| 11982 | <1% | 18 | $123.67 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,620 | $108.56 |
| 0011A | <1% | 66 | $107.00 | |
| 81002 | <1% | 603 | $100.34 | |
| 17110 | <1% | 58 | $98.78 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 386 | $91.08 |
| 82948 | <1% | 4,514 | $87.32 | |
| 92552 | <1% | 4,381 | $82.77 | |
| 90670 | <1% | 5,416 | $73.74 | |
| 99497 | <1% | 103 | $68.89 | |
| 82962 | <1% | 2,518 | $50.56 | |
| 85018 | <1% | 4,617 | $48.83 | |
| 90723 | <1% | 4,590 | $46.41 | |
| 76830 | Ultrasound, transvaginal | <1% | 15 | $40.18 |
| 90647 | <1% | 4,540 | $36.96 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 487 | $34.60 |
| 90656 | <1% | 692 | $33.23 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 349 | $28.53 |
| 92250 | <1% | 33 | $27.72 | |
| 90480 | <1% | 19 | $20.00 | |
| 99442 | <1% | 995 | $19.65 | |
| 90785 | <1% | 29 | $19.40 | |
| 90680 | <1% | 3,467 | $18.45 | |
| Z1034 | 0% | 21,024 | $0.00 | |
| 3008F | 0% | 48,587 | $0.00 | |
| 3075F | 0% | 1,003 | $0.00 | |
| 3079F | 0% | 1,615 | $0.00 | |
| 3044F | 0% | 121 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| 3074F | 0% | 2,981 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 40 | $0.00 |
| 90651 | 0% | 484 | $0.00 | |
| 3080F | 0% | 381 | $0.00 | |
| Z1032 | 0% | 2,361 | $0.00 | |
| 99443 | 0% | 1,013 | $0.00 | |
| 90716 | 0% | 2,009 | $0.00 | |
| Z1038 | 0% | 1,208 | $0.00 | |
| Z6204 | 0% | 466 | $0.00 | |
| 99441 | 0% | 205 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 18 | $0.00 |
| 90677 | 0% | 869 | $0.00 | |
| Z6402 | 0% | 504 | $0.00 | |
| Z6410 | 0% | 1,627 | $0.00 | |
| 90696 | 0% | 303 | $0.00 | |
| 91301 | 0% | 146 | $0.00 | |
| 90674 | 0% | 56 | $0.00 | |
| 90620 | 0% | 30 | $0.00 | |
| 92551 | 0% | 110 | $0.00 | |
| G9964 | Patient received at least one well-child visit with a pcp during the performance period | 0% | 111 | $0.00 |
| 0012A | 0% | 58 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 271 | $0.00 |
| Z6406 | 0% | 79 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 13 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 12 | $0.00 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 15 | $0.00 |
| 3077F | 0% | 1,171 | $0.00 | |
| 1159F | 0% | 78,824 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| 1160F | 0% | 46,995 | $0.00 | |
| 90633 | 0% | 2,451 | $0.00 | |
| 3078F | 0% | 3,477 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 975 | $0.00 |
| 90700 | 0% | 578 | $0.00 | |
| Z6400 | 0% | 3,155 | $0.00 | |
| 90707 | 0% | 1,993 | $0.00 | |
| 11056 | 0% | 339 | $0.00 | |
| Z6200 | 0% | 380 | $0.00 | |
| Z6300 | 0% | 699 | $0.00 | |
| 90685 | 0% | 426 | $0.00 | |
| 90734 | 0% | 297 | $0.00 | |
| 87634 | 0% | 22 | $0.00 | |
| Z6304 | 0% | 97 | $0.00 | |
| Z7500 | 0% | 130 | $0.00 | |
| 90644 | 0% | 50 | $0.00 | |
| 0900 | 0% | 18 | $0.00 | |
| 90681 | 0% | 44 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 18 | $0.00 |
| 11981 | 0% | 17 | $0.00 | |
| 3046F | 0% | 31 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 100 | $0.00 |
| G9774 | Patients who have had a hysterectomy | 0% | 28 | $0.00 |
| 90653 | 0% | 19 | $0.00 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 14 | $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 | 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 |
| Reedley Community Hospital | Reedley, CA | $7.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.