Medicaid Provider Spending

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

REEDLEY COMMUNITY HOSPITAL

NPI: 1881930964 · CARUTHERS, CA 93609 · Rural Health Clinic/Center · NPI assigned 12/18/2012

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

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

$6.85M
Total Medicaid Paid
99,996
Total Claims
76,726
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOFL, ANDREA (CENTRAL VALLEY NETWORK PRESIDENT)
NPI Enumeration Date12/18/2012

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 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,277 $836K
2019 10,362 $1.11M
2020 15,840 $1.31M
2021 21,311 $1.24M
2022 16,776 $770K
2023 16,743 $895K
2024 12,687 $687K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 26,863 21,093 $6.71M
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 1,043 829 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,343 15,778 $37K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,711 1,841 $20K
98940 2,679 1,757 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,170 4,786 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,464 3,259 $4K
90686 1,723 1,446 $621.17
0012A 18 13 $428.00
83036 Hemoglobin; glycosylated (A1C) 1,539 1,201 $364.78
90715 77 56 $309.60
0011A 33 29 $214.00
90656 125 83 $180.68
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 427 351 $173.64
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 445 261 $153.93
81025 467 357 $138.04
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 448 322 $108.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 551 406 $70.98
92552 189 168 $48.99
92553 65 56 $44.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 100 83 $18.75
86580 94 66 $3.70
81002 14 13 $2.13
81003 33 24 $1.94
3078F 925 874 $0.00
1160F 9,070 7,175 $0.00
1159F 9,217 7,264 $0.00
90734 118 71 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 27 $0.00
90707 18 14 $0.00
90670 43 30 $0.00
3079F 207 199 $0.00
3075F 210 205 $0.00
3008F 6,703 5,837 $0.00
3074F 617 584 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 27 $0.00
90688 19 19 $0.00
91301 43 35 $0.00
90716 48 33 $0.00
90651 46 27 $0.00
Z1034 16 12 $0.00
85018 18 15 $0.00