Medicaid Provider Spending

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

KAWEAH DELTA HEALTH CARE DISTRICT

NPI: 1841607801 · DINUBA, CA 93618 · Case Manager/Care Coordinator · NPI assigned 07/22/2014

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

Authorized official TUPPER, MALINDA controls 20+ related entities in our dataset. Read more

$10.04M
Total Medicaid Paid
133,565
Total Claims
102,495
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTUPPER, MALINDA (SRVP/CHIEF FINANCIAL OFFICER)
Parent OrganizationKAWEAH DELTA HEALTH CARE DISTRICT
NPI Enumeration Date07/22/2014

Related Entities

Other providers sharing the same authorized official: TUPPER, MALINDA

ProviderCityStateTotal Paid
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $83.04M
KAWEAH DELTA HEALTH CARE DISTRICT EXETER CA $68.84M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $15.37M
KAWEAH DELTA HEALTH CARE DISTRICT LINDSAY CA $12.83M
KAWEAH DELTA HEALTH CARE DISTRICT WOODLAKE CA $8.03M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $5.60M
KAWEAH DELTA HEALTH CARE DISTRICT TULARE CA $4.95M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2.71M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2.30M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $1.01M
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $809K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $587K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $388K
KAWEAH DELTA HEALTH CARE INC VISALIA CA $353K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $70K
KAWEAH DELTA HEALTH CARE DISTRICT TULARE CA $54K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $10K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $3K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $3K
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,773 $1.02M
2019 8,956 $989K
2020 13,431 $1.23M
2021 30,745 $1.71M
2022 24,680 $1.65M
2023 28,767 $2.02M
2024 20,213 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 37,726 30,160 $8.74M
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 3,116 2,459 $538K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,738 17,364 $274K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,455 7,911 $194K
H1001 Prenatal care, at-risk enhanced service; antepartum management 978 588 $68K
87428 1,779 1,373 $54K
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 241 224 $49K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,631 2,782 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,911 2,217 $21K
99348 1,288 997 $12K
90834 Psychotherapy, 45 minutes with patient 1,656 1,271 $12K
90837 Psychotherapy, 53 minutes with patient 868 620 $10K
99349 600 518 $6K
59425 107 69 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 759 641 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,310 1,049 $3K
99347 253 183 $2K
90688 266 206 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,097 979 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 333 262 $2K
81003 1,248 785 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 263 193 $1K
81002 311 271 $1K
90662 42 36 $756.01
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 3,694 2,712 $620.94
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 70 68 $594.87
90686 292 236 $550.11
83037 179 151 $520.93
90658 39 28 $453.02
H1003 Prenatal care, at-risk enhanced service; education 41 41 $449.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 28 $440.42
90832 Psychotherapy, 30 minutes with patient 61 52 $429.93
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,937 2,111 $422.13
85018 170 131 $274.97
92551 43 36 $256.68
90791 Psychiatric diagnostic evaluation 24 24 $150.10
99173 83 75 $69.27
3075F 2,714 2,177 $46.43
87430 17 15 $30.92
3077F 2,693 2,056 $24.00
3078F 8,632 6,538 $0.03
3074F 6,899 5,227 $0.03
G9744 Patient not eligible due to active diagnosis of hypertension 1,396 1,178 $0.02
G0442 Annual alcohol misuse screening, 5 to 15 minutes 146 121 $0.02
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 52 42 $0.02
4013F 1,067 902 $0.01
G8482 Influenza immunization administered or previously received 517 450 $0.01
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 394 324 $0.01
G0444 Annual depression screening, 5 to 15 minutes 30 25 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 106 85 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16 14 $0.00
1159F 12 12 $0.00
Z6400 44 44 $0.00
3079F 1,603 1,211 $0.00
1170F 12 12 $0.00
G9793 Patient is currently on a daily aspirin or other antiplatelet 2,830 2,068 $0.00
Z1034 1,580 1,021 $0.00
90792 Psychiatric diagnostic evaluation with medical services 26 26 $0.00
3080F 116 84 $0.00
3008F 12 12 $0.00