Clinic
Reedley Community Hospital
Reedley Community Hospital was paid $17.26M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoREEDLEY COMMUNITY HOSPITAL
LEMOORE, CA 93245
LEMOORE, CA 93245
33aNPI1699758003assigned 11/21/2005
33bProvider typeRural Health Clinic/Center
28Total paid$17.26M
24GClaims183,956
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#31 of 215
Median peer was paid$3.62M
This provider vs. median4.8×
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 | 19,382 | $3.23M | |
| 2019 | 24,721 | $2.70M | |
| 2020 | 28,120 | $2.62M | |
| 2021 | 34,515 | $2.64M | |
| 2022 | 21,830 | $1.53M | |
| 2023 | 29,390 | $2.25M | |
| 2024incomplete | 25,998 | $2.28M |
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 | 97% | 75,368 | 62,941 | $16.67M |
| 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 | 2.9% | 3,921 | 3,190 | $505K |
| 98940 | <1% | 539 | 372 | $50K | |
| 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% | 36,671 | 28,228 | $19K |
| 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% | 14,493 | 11,038 | $5K |
| 0012A | <1% | 95 | 54 | $4K | |
| 0011A | <1% | 84 | 56 | $2K | |
| 11721 | <1% | 2,164 | 1,810 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,841 | 2,875 | $1K |
| 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% | 440 | 351 | $1K |
| 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% | 409 | 300 | $744.01 |
| 99242 | <1% | 43 | 43 | $708.00 |
66 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 985 | $274.72 |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 63 | $239.52 |
| 99381 | <1% | 162 | $224.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,554 | $213.59 |
| 81025 | <1% | 3,050 | $147.28 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,640 | $132.73 |
| 59425 | <1% | 87 | $128.94 | |
| 99441 | <1% | 295 | $124.00 | |
| 11056 | <1% | 582 | $113.07 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 128 | $103.87 |
| 90686 | <1% | 2,242 | $98.62 | |
| 90715 | <1% | 240 | $78.34 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,150 | $37.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,384 | $35.66 |
| 90688 | <1% | 29 | $22.08 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 65 | $3.56 |
| 81002 | <1% | 32 | $3.48 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 47 | $2.88 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 121 | $0.00 |
| 1159F | 0% | 7,226 | $0.00 | |
| 3078F | 0% | 872 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 528 | $0.00 |
| 81003 | 0% | 369 | $0.00 | |
| 92552 | 0% | 1,077 | $0.00 | |
| 1160F | 0% | 6,884 | $0.00 | |
| 90707 | 0% | 165 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,020 | $0.00 |
| 90670 | 0% | 813 | $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% | 30 | $0.00 |
| 90633 | 0% | 241 | $0.00 | |
| 90649 | 0% | 87 | $0.00 | |
| 90734 | 0% | 173 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 49 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 137 | $0.00 |
| 99442 | 0% | 287 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 23 | $0.00 |
| Z7500 | 0% | 12 | $0.00 | |
| 92553 | 0% | 19 | $0.00 | |
| 90380 | 0% | 18 | $0.00 | |
| 90658 | 0% | 15 | $0.00 | |
| 90700 | 0% | 33 | $0.00 | |
| 90681 | 0% | 53 | $0.00 | |
| 90685 | 0% | 65 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 16 | $0.00 |
| 3008F | 0% | 5,166 | $0.00 | |
| 90647 | 0% | 596 | $0.00 | |
| Z1034 | 0% | 2,333 | $0.00 | |
| 90723 | 0% | 656 | $0.00 | |
| 90677 | 0% | 132 | $0.00 | |
| 86580 | 0% | 24 | $0.00 | |
| 3079F | 0% | 37 | $0.00 | |
| 3074F | 0% | 416 | $0.00 | |
| 85018 | 0% | 324 | $0.00 | |
| 90656 | 0% | 225 | $0.00 | |
| Z6410 | 0% | 180 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 15 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 65 | $0.00 |
| 90680 | 0% | 268 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 92250 | 0% | 17 | $0.00 | |
| 90716 | 0% | 170 | $0.00 | |
| 3075F | 0% | 54 | $0.00 | |
| 90651 | 0% | 49 | $0.00 | |
| 90674 | 0% | 46 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 16 | $0.00 |
| 99383 | 0% | 18 | $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 | 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 | 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.