Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REEDLEY COMMUNITY HOSPITAL

NPI: 1811914377 · SELMA, CA 93662 · Rural Health Clinic/Center · NPI assigned 07/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KOFL, ANDREA controls 20+ related entities in our dataset. Read more

$22.77M
Total Medicaid Paid
286,406
Total Claims
214,139
Beneficiaries
79
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOFL, ANDREA (CENTRAL VALLEY NETWORK PRESIDENT)
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: KOFL, ANDREA

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,958 $4.25M
2019 22,096 $2.37M
2020 28,311 $2.61M
2021 52,099 $3.63M
2022 50,639 $2.88M
2023 59,015 $3.86M
2024 40,288 $3.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 92,494 72,507 $21.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,816 37,156 $223K
G0467 Federally 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 2,104 1,856 $193K
90834 Psychotherapy, 45 minutes with patient 22,246 11,314 $190K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,898 17,941 $123K
90791 Psychiatric diagnostic evaluation 3,346 2,164 $53K
98940 1,526 1,072 $34K
90832 Psychotherapy, 30 minutes with patient 4,996 2,963 $34K
99215 Prolong outpt/office vis 2,112 1,383 $19K
H1001 Prenatal care, at-risk enhanced service; antepartum management 2,664 1,557 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,347 1,133 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 537 322 $4K
59425 906 629 $3K
90837 Psychotherapy, 53 minutes with patient 217 131 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 182 168 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,137 878 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,187 1,032 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 380 367 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 493 452 $3K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 17 12 $2K
81025 3,689 2,932 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 440 302 $1K
90686 1,011 809 $939.75
90670 160 155 $522.06
96156 141 83 $421.50
90633 14 14 $363.48
90685 32 32 $297.41
90700 36 36 $251.64
90688 124 122 $231.92
81002 229 199 $220.49
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 843 601 $200.12
90647 64 64 $195.72
83036 Hemoglobin; glycosylated (A1C) 877 620 $170.06
96150 14 14 $162.27
90715 275 224 $159.61
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 121 71 $153.93
90707 39 39 $144.80
92552 487 414 $103.83
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $74.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,092 806 $67.08
85018 141 139 $38.09
11721 47 40 $33.17
99406 121 93 $23.68
G0444 Annual depression screening, 5 to 15 minutes 90 72 $17.36
99401 47 38 $16.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes 170 151 $16.50
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 28 25 $15.05
81003 260 216 $6.93
86580 126 121 $3.33
82962 71 50 $2.00
3008F 15,182 12,633 $0.00
Z1034 4,616 2,775 $0.00
3074F 1,001 905 $0.00
Z6406 110 80 $0.00
3075F 528 492 $0.00
3079F 618 565 $0.00
3044F 29 29 $0.00
90723 58 56 $0.00
90656 182 152 $0.00
Z1032 41 41 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 49 37 $0.00
90716 13 13 $0.00
90680 40 40 $0.00
Z6410 34 25 $0.00
90677 16 13 $0.00
1159F 22,184 18,376 $0.00
1160F 14,380 12,776 $0.00
3078F 1,167 1,027 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 44 37 $0.00
3077F 112 106 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 286 244 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 17 15 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 64 37 $0.00
3046F 14 12 $0.00
99497 14 13 $0.00
90658 20 20 $0.00
90649 26 15 $0.00
59025 Fetal non-stress test 138 61 $0.00
90734 16 13 $0.00