Clinic
Madera Community Hospital
Madera Community Hospital was paid $5.17M by Medicaid between Jan 2018 and Jan 2023, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoMADERA COMMUNITY HOSPITAL
CHOWCHILLA, CA 93610
CHOWCHILLA, CA 93610
33aNPI1720286750assigned 07/11/2007
33bProvider typeRural Health Clinic/Center
28Total paid$5.17M
24GClaims47,987
24DCodes billed35
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#92 of 215
Median peer was paid$3.62M
This provider vs. median1.4×
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 | 7,543 | $1.38M | |
| 2019 | 8,080 | $1.01M | |
| 2020 | 10,537 | $905K | |
| 2021 | 11,189 | $964K | |
| 2022 | 10,522 | $902K | |
| 2023 | 116 | $12K |
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 | 98% | 25,512 | 18,738 | $5.09M |
| 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 | 1.7% | 1,887 | 1,352 | $87K |
| 82948 | 0% | 179 | 150 | $0.00 | |
| 99442 | 0% | 999 | 881 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,135 | 1,960 | $0.00 |
| 99173 | 0% | 514 | 509 | $0.00 | |
| 81003 | 0% | 1,936 | 1,771 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 97 | 97 | $0.00 |
| 81025 | 0% | 153 | 150 | $0.00 | |
| 90658 | 0% | 77 | 76 | $0.00 | |
| 86318 | 0% | 123 | 123 | $0.00 | |
| 90649 | 0% | 53 | 53 | $0.00 |
23 more codes
| 90715 | 0% | 51 | $0.00 | |
| 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 | 0% | 65 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 32 | $0.00 |
| 99421 | 0% | 213 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 13 | $0.00 |
| 69209 | 0% | 14 | $0.00 | |
| Z7610 | 0% | 450 | $0.00 | |
| 85018 | 0% | 724 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 7,526 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,737 | $0.00 |
| 92551 | 0% | 431 | $0.00 | |
| 90686 | 0% | 93 | $0.00 | |
| 99441 | 0% | 404 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 227 | $0.00 |
| 99422 | 0% | 370 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 398 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 637 | $0.00 |
| 86580 | 0% | 37 | $0.00 | |
| 94760 | 0% | 765 | $0.00 | |
| 90733 | 0% | 44 | $0.00 | |
| 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 | 0% | 65 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 12 | $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 officialFOOTE, MARK (VP-FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Madera Community Hospital | Madera, CA | $20.93M |
| Madera Community Hospital | Mendota, CA | $786K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.