Clinic
Reedley Community Hospital
Reedley Community Hospital was paid $24.15M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoREEDLEY COMMUNITY HOSPITAL
REEDLEY, CA 93654
REEDLEY, CA 93654
33aNPI1598941825assigned 01/16/2008
33bProvider typeRural Health Clinic/Center
28Total paid$24.15M
24GClaims432,303
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#15 of 215
Median peer was paid$3.62M
This provider vs. median6.7×
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 | 28,684 | $3.41M | |
| 2019 | 39,304 | $2.94M | |
| 2020 | 53,398 | $3.49M | |
| 2021 | 79,194 | $3.72M | |
| 2022 | 74,426 | $2.90M | |
| 2023 | 86,785 | $4.04M | |
| 2024incomplete | 70,512 | $3.65M |
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 | 91% | 90,028 | 77,706 | $22.00M |
| 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 | 6.9% | 10,282 | 9,113 | $1.65M |
| 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 | 1.0% | 77,065 | 61,527 | $252K |
| 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% | 50,070 | 36,980 | $123K |
| 98940 | <1% | 2,410 | 1,550 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,661 | 6,763 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,533 | 1,443 | $11K |
| 90686 | <1% | 6,731 | 5,330 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 18,241 | 15,358 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 528 | 506 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,037 | 759 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 650 | 458 | $4K |
94 more codes
| 90670 | <1% | 241 | $4K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 207 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 524 | $3K |
| 90715 | <1% | 994 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 501 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,048 | $2K |
| G0466 | Community health center visit, new patient | <1% | 13 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 233 | $2K |
| 0064A | <1% | 244 | $2K | |
| 90677 | <1% | 228 | $2K | |
| 0012A | <1% | 128 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 314 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12,338 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 320 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 161 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 6,531 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,558 | $1K |
| 82948 | <1% | 9,838 | $892.79 | |
| 90688 | <1% | 304 | $790.24 | |
| 82962 | <1% | 7,255 | $719.88 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 180 | $712.70 |
| 0011A | <1% | 150 | $695.00 | |
| 99442 | <1% | 601 | $559.19 | |
| 0013A | <1% | 19 | $535.00 | |
| 81025 | <1% | 1,974 | $492.66 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 150 | $479.35 |
| 91322 | <1% | 288 | $437.76 | |
| 0004A | <1% | 123 | $321.00 | |
| 87634 | <1% | 14 | $258.92 | |
| 20610 | <1% | 14 | $240.40 | |
| 85018 | <1% | 1,720 | $234.34 | |
| 90656 | <1% | 706 | $226.69 | |
| J3490 | Unclassified drugs | <1% | 91 | $196.58 |
| 1159F | <1% | 34,463 | $185.68 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $180.10 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 64 | $178.64 |
| 90734 | <1% | 153 | $151.80 | |
| 0124A | <1% | 186 | $134.00 | |
| 92552 | <1% | 168 | $120.98 | |
| 90480 | <1% | 316 | $120.00 | |
| 81002 | <1% | 408 | $107.38 | |
| 81003 | <1% | 3,666 | $91.87 | |
| 90694 | <1% | 35 | $76.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 49 | $68.56 |
| 90657 | <1% | 26 | $63.90 | |
| 90662 | <1% | 91 | $60.72 | |
| 90658 | <1% | 39 | $56.70 | |
| 86580 | <1% | 203 | $52.16 | |
| 98967 | <1% | 103 | $47.25 | |
| 90649 | <1% | 84 | $46.80 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 17 | $43.60 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 92 | $42.78 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 107 | $28.09 |
| 93000 | <1% | 16 | $27.12 | |
| 90723 | <1% | 19 | $18.90 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 27 | $13.62 |
| 90716 | <1% | 15 | $9.45 | |
| 90685 | <1% | 21 | $9.45 | |
| 90707 | <1% | 14 | $9.45 | |
| 90633 | <1% | 12 | $9.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 26 | $0.20 |
| 3075F | 0% | 2,385 | $0.00 | |
| 3079F | 0% | 3,386 | $0.00 | |
| 91301 | 0% | 272 | $0.00 | |
| 3008F | 0% | 16,878 | $0.00 | |
| 3044F | 0% | 2,358 | $0.00 | |
| 3074F | 0% | 5,698 | $0.00 | |
| 3080F | 0% | 876 | $0.00 | |
| 91306 | 0% | 199 | $0.00 | |
| 0134A | 0% | 134 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 47 | $0.00 |
| 3052F | 0% | 282 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 116 | $0.00 |
| 97014 | 0% | 40 | $0.00 | |
| 90674 | 0% | 156 | $0.00 | |
| 99441 | 0% | 88 | $0.00 | |
| 97124 | 0% | 16 | $0.00 | |
| 92250 | 0% | 45 | $0.00 | |
| 3051F | 0% | 673 | $0.00 | |
| 3078F | 0% | 5,988 | $0.00 | |
| 1160F | 0% | 25,470 | $0.00 | |
| 3077F | 0% | 2,029 | $0.00 | |
| 91312 | 0% | 157 | $0.00 | |
| 3046F | 0% | 771 | $0.00 | |
| 91300 | 0% | 163 | $0.00 | |
| G9774 | Patients who have had a hysterectomy | 0% | 12 | $0.00 |
| 91321 | 0% | 14 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 16 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 95 | $0.00 |
| 99201 | 0% | 18 | $0.00 | |
| 91313 | 0% | 129 | $0.00 | |
| 90653 | 0% | 84 | $0.00 | |
| Z7500 | 0% | 13 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 15 | $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 | 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.