Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Madera › NPI 1669673646
Clinic

Madera Community Hospital

Madera Community Hospital was paid $3.80M by Medicaid between Jan 2018 and Jan 2023, across 291 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 14% of everything it billed.

33Billing provider infoMADERA COMMUNITY HOSPITAL
MADERA, CA 93637
33aNPI1669673646assigned 05/29/2007
28Total paid$3.80M
24GClaims735,751
24DCodes billed291
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Rural Health Clinic/Center providers in California

Rank by total paid#104 of 215
Median peer was paid$3.62M
This provider vs. median1.0×

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 THOMPSON, TAMMY controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018168,104$1.09M
2019149,533$703K
2020123,669$465K
2021138,313$689K
2022155,840$849K
2023292$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 14% 10,251 9,582 $532K
0450 Emergency room services 14% 56,586 50,865 $525K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 70,684 57,595 $456K
Z7502 11% 11,045 10,784 $414K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 4.4% 6,007 4,211 $167K
80053 Comprehensive metabolic panel 4.0% 43,215 40,442 $152K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.8% 51,748 48,241 $145K
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 2.9% 19,674 17,401 $109K
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 2.6% 5,653 5,420 $98K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.9% 6,300 5,937 $74K
Z7610 1.8% 5,114 4,862 $67K
59025 Fetal non-stress test 1.8% 8,645 4,384 $67K
279 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 16,325 $61K
0360 1.5% 2,774 $58K
Z7500 1.4% 1,596 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.3% 9,210 $49K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.1% 3,587 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,963 $34K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,822 $33K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,418 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,640 $31K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,643 $27K
71045 Radiologic examination, chest; single view <1% 5,797 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,584 $25K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,259 $25K
81025 <1% 14,317 $23K
70450 Computed tomography, head or brain; without contrast material <1% 2,142 $22K
81001 <1% 17,636 $21K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13,500 $15K
71046 Radiologic examination, chest; 2 views <1% 6,041 $14K
83690 <1% 7,634 $13K
99203 Doctor's office visit, new patient (routine) <1% 2,091 $13K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,763 $12K
Z9725 <1% 284 $12K
93000 <1% 2,008 $12K
90686 <1% 1,949 $12K
84484 <1% 4,600 $11K
80048 Basic metabolic panel (calcium, ionized) <1% 5,131 $11K
0012A <1% 256 $10K
84443 Thyroid stimulating hormone (TSH) <1% 9,320 $10K
81003 <1% 12,429 $9K
80061 Lipid panel <1% 10,601 $9K
0710 <1% 2,094 $9K
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% 1,534 $8K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) <1% 1,167 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 9,444 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 425 $8K
47562 <1% 234 $7K
0011A <1% 220 $7K
96375 Therapeutic injection; each additional sequential IV push <1% 4,172 $7K
96361 Intravenous infusion, hydration; each additional hour <1% 3,930 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,428 $6K
90732 <1% 296 $6K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,734 $5K
A4217 Sterile water/saline, 500 ml <1% 2,740 $5K
0769 <1% 154 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,143 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,751 $5K
86318 <1% 1,888 $5K
82948 <1% 5,076 $5K
99283 Emergency room visit (moderate) <1% 720 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,659 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,290 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 991 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,044 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,618 $4K
85730 <1% 3,160 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,276 $4K
90715 <1% 1,657 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,860 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,117 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,110 $3K
85610 <1% 4,152 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,056 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,915 $3K
83880 <1% 876 $3K
76770 <1% 910 $2K
J3490 Unclassified drugs <1% 13,776 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,287 $2K
76830 Ultrasound, transvaginal <1% 1,495 $2K
73562 <1% 2,674 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,919 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,116 $2K
0270 <1% 10,566 $2K
0002A <1% 49 $2K
73030 <1% 1,715 $2K
87276 <1% 1,272 $2K
0403 <1% 23 $2K
99204 Doctor's office visit, new patient (more involved) <1% 1,162 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,825 $2K
0300 <1% 75 $2K
85018 <1% 3,299 $2K
76641 <1% 2,241 $2K
90670 <1% 16 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,185 $1K
72110 <1% 1,661 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 637 $1K
83605 <1% 1,652 $1K
94760 <1% 1,182 $1K
73610 <1% 1,292 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 330 $1K
73130 <1% 1,135 $1K
82962 <1% 2,218 $1K
0761 <1% 1,496 $1K
84439 <1% 3,396 $1K
87275 <1% 1,272 $1K
76801 <1% 487 $1K
92558 <1% 773 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 66 $1K
83735 <1% 1,296 $987.58
J0690 Injection, cefazolin sodium, 500 mg <1% 986 $971.83
0001A <1% 57 $965.58
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,615 $946.24
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 39 $945.00
77066 Tomosynthesis, mammo <1% 1,360 $937.29
82607 <1% 2,665 $929.26
92551 <1% 462 $897.78
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,857 $851.57
80074 <1% 797 $841.63
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 410 $815.16
73630 <1% 1,558 $813.30
87081 <1% 2,642 $812.78
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,864 $800.29
V5008 Hearing screening <1% 387 $774.54
87040 <1% 583 $748.21
84702 <1% 2,799 $740.68
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 532 $734.17
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,316 $703.10
71250 <1% 25 $700.98
73110 <1% 797 $662.78
94375 <1% 142 $643.89
80076 <1% 1,815 $641.12
72050 <1% 351 $622.72
87186 <1% 2,689 $598.91
86850 <1% 848 $591.37
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 528 $571.57
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 36 $557.50
86140 <1% 1,884 $546.43
90733 <1% 160 $532.69
73502 <1% 189 $520.84
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 242 $516.62
93971 <1% 248 $505.95
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,281 $501.71
86689 <1% 943 $490.36
71020 <1% 107 $486.73
82150 <1% 523 $474.32
87077 <1% 2,772 $469.89
86901 <1% 1,920 $469.37
94664 <1% 504 $462.25
99000 <1% 5,263 $431.57
82570 <1% 2,964 $429.89
71275 Computed tomographic angiography, chest, with contrast material <1% 42 $427.81
J1170 Injection, hydromorphone, up to 4 mg <1% 770 $405.98
99070 <1% 422 $397.07
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 388 $395.28
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 60 $372.20
0031A <1% 13 $369.07
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 55 $340.56
84436 <1% 754 $338.50
90674 <1% 92 $337.81
99421 <1% 61 $330.60
86900 <1% 1,614 $323.92
J2060 Injection, lorazepam, 2 mg <1% 969 $320.14
86480 <1% 896 $320.00
81000 <1% 176 $307.87
84481 <1% 455 $305.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 617 $301.40
J7120 Ringers lactate infusion, up to 1000 cc <1% 103 $296.15
76536 <1% 574 $292.36
86592 <1% 1,431 $286.01
99201 <1% 12 $284.76
0324 <1% 26 $275.44
99422 <1% 12 $272.16
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 225 $265.95
84153 <1% 552 $255.87
86317 <1% 102 $252.18
82728 <1% 1,279 $236.83
82043 <1% 1,887 $233.88
90651 <1% 22 $229.44
86003 <1% 132 $217.88
87070 <1% 599 $217.19
87340 <1% 467 $189.31
87501 <1% 48 $187.46
36415 Collection of venous blood by venipuncture <1% 941 $186.90
87338 <1% 628 $180.88
86038 <1% 283 $180.71
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 201 $180.00
86703 <1% 323 $177.02
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 257 $174.32
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 46 $172.19
72100 <1% 178 $171.16
72125 Computed tomography, cervical spine; without contrast material <1% 63 $170.92
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 787 $161.08
83540 <1% 1,693 $157.38
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 354 $154.98
86235 <1% 280 $145.90
90658 <1% 1,177 $141.99
84100 <1% 200 $138.14
85379 <1% 234 $132.00
85651 <1% 2,186 $128.83
82746 <1% 455 $119.25
84550 <1% 1,162 $113.79
86580 <1% 493 $111.01
84466 <1% 813 $104.41
69209 <1% 60 $101.52
96376 <1% 356 $99.24
83615 <1% 401 $97.81
84703 <1% 696 $86.77
86431 <1% 530 $75.30
73080 <1% 126 $74.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 193 $74.52
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 82 $73.73
82785 <1% 57 $73.00
86593 <1% 166 $71.31
0760 <1% 3,484 $71.27
84480 <1% 121 $69.70
86706 <1% 155 $67.60
82550 <1% 127 $60.82
80069 <1% 84 $60.80
82977 <1% 268 $58.14
80055 <1% 295 $54.49
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 188 $52.23
87280 <1% 151 $51.45
72072 <1% 114 $49.37
74019 <1% 13 $45.97
86331 <1% 179 $45.90
73140 <1% 107 $45.62
87147 <1% 444 $45.50
71010 <1% 71 $44.67
82274 <1% 38 $42.42
0250 <1% 148 $41.86
86171 <1% 91 $39.92
90472 Immunization administration, each additional vaccine (list separately) <1% 100 $39.88
74018 <1% 103 $34.10
82950 <1% 572 $32.14
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 140 $31.15
99443 <1% 38 $30.78
86039 <1% 290 $30.24
86701 <1% 68 $28.34
99173 <1% 250 $27.88
J1815 Injection, insulin, per 5 units <1% 198 $26.35
86707 <1% 47 $23.14
82565 <1% 469 $22.67
87350 <1% 47 $20.80
86225 <1% 146 $18.60
82610 <1% 122 $14.80
S0164 Injection, pantoprazole sodium, 40 mg <1% 28 $9.79
J0780 Injection, prochlorperazine, up to 10 mg <1% 46 $8.91
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 524 $7.16
82272 <1% 12 $6.11
82248 <1% 530 $6.08
99050 <1% 219 $5.55
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 811 $4.94
99284 Emergency room visit (serious) <1% 108 $3.11
84156 <1% 153 $2.93
86695 0% 12 $0.00
99441 0% 397 $0.00
72040 0% 96 $0.00
0250R 0% 97 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 116 $0.00
72148 Magnetic resonance imaging, lumbar spine; without contrast material 0% 16 $0.00
86803 0% 12 $0.00
A6260 Wound cleansers, any type, any size 0% 136 $0.00
82952 0% 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 43 $0.00
82951 0% 26 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 0% 44 $0.00
83001 0% 16 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 34 $0.00
86762 0% 13 $0.00
77065 Tomosynthesis, mammo 0% 72 $0.00
90649 0% 162 $0.00
0270R 0% 659 $0.00
82947 0% 98 $0.00
84520 0% 24 $0.00
96367 0% 57 $0.00
82247 0% 87 $0.00
90746 0% 25 $0.00
99001 0% 34 $0.00
0258R 0% 13 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 0% 27 $0.00
73590 0% 28 $0.00
94060 0% 12 $0.00
99442 0% 28 $0.00
84145 0% 12 $0.00
87177 0% 41 $0.00
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 0% 12 $0.00
86696 0% 42 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 0% 16 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 12 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 13 $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 officialTHOMPSON, TAMMY (CFO)
Parent organizationMADERA FAMILY HEALTH SERVICES
Same official

Other billing entities under THOMPSON, TAMMY

Full network →

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