Clinic
Kern Valley Healthcare District
Kern Valley Healthcare District was paid $7.52M by Medicaid between Nov 2018 and Dec 2024, across 9 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 infoKERN VALLEY HEALTHCARE DISTRICT
MT MESA, CA 93240
MT MESA, CA 93240
33aNPI1457854192assigned 03/08/2018
33bProvider typeRural Health Clinic/Center
28Total paid$7.52M
24GClaims42,893
24DCodes billed9
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#67 of 215
Median peer was paid$3.62M
This provider vs. median2.1×
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 | 77 | $4K | |
| 2019 | 4,055 | $445K | |
| 2020 | 9,805 | $1.77M | |
| 2021 | 10,347 | $1.75M | |
| 2022 | 6,529 | $1.25M | |
| 2023 | 7,397 | $1.43M | |
| 2024incomplete | 4,683 | $866K |
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% | 30,235 | 26,714 | $7.12M |
| 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 | 2.4% | 3,741 | 2,630 | $182K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 4,675 | 4,007 | $138K |
| 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% | 2,793 | 2,305 | $39K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,013 | 853 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 285 | 267 | $6K |
| 0012A | <1% | 50 | 39 | $2K | |
| 0011A | <1% | 46 | 44 | $902.48 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 55 | 50 | $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 officialFIGUEROA, BARBARA (CONTROLLER)
Parent organizationKERN VALLEY HEALTHCARE DISTRICT