Clinic
Reedley Community Hospital
Reedley Community Hospital was paid $9.17M by Medicaid between Jan 2018 and Sep 2024, across 66 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
COALINGA, CA 93210
COALINGA, CA 93210
33aNPI1972586386assigned 11/21/2005
33bProvider typeRural Health Clinic/Center
28Total paid$9.17M
24GClaims103,962
24DCodes billed66
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#58 of 215
Median peer was paid$3.62M
This provider vs. median2.5×
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 | 25,970 | $3.14M | |
| 2019 | 21,532 | $1.98M | |
| 2020 | 21,072 | $1.64M | |
| 2021 | 11,583 | $776K | |
| 2022 | 9,522 | $477K | |
| 2023 | 9,771 | $729K | |
| 2024incomplete | 4,512 | $433K |
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% | 39,500 | 30,849 | $8.93M |
| 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 | 1.2% | 1,061 | 907 | $114K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,847 | 2,154 | $60K |
| 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% | 17,420 | 13,383 | $32K |
| 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% | 14,716 | 12,229 | $26K |
| 59425 | <1% | 787 | 511 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,676 | 1,479 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,636 | 1,364 | $890.97 |
| 90670 | <1% | 1,502 | 1,302 | $347.49 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 312 | 259 | $261.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 382 | 318 | $249.27 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 837 | 749 | $239.00 |
54 more codes
| 90688 | <1% | 186 | $232.46 | |
| 90723 | <1% | 659 | $206.85 | |
| 81002 | <1% | 289 | $180.49 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 847 | $131.11 |
| 81025 | <1% | 541 | $127.66 | |
| 90686 | <1% | 1,731 | $116.54 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $67.92 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 238 | $64.45 |
| 85018 | <1% | 1,622 | $56.87 | |
| 90680 | <1% | 679 | $56.70 | |
| 90647 | <1% | 998 | $56.70 | |
| 99460 | <1% | 14 | $50.99 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $40.61 |
| 90715 | <1% | 405 | $37.18 | |
| 92552 | <1% | 347 | $33.04 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 14 | $16.66 |
| 86580 | <1% | 197 | $3.70 | |
| 92553 | 0% | 256 | $0.00 | |
| 90734 | 0% | 76 | $0.00 | |
| 90633 | 0% | 274 | $0.00 | |
| 81003 | 0% | 214 | $0.00 | |
| 82948 | 0% | 272 | $0.00 | |
| 90649 | 0% | 81 | $0.00 | |
| 1160F | 0% | 989 | $0.00 | |
| 1159F | 0% | 1,532 | $0.00 | |
| 90713 | 0% | 29 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 37 | $0.00 |
| 90707 | 0% | 240 | $0.00 | |
| 90685 | 0% | 147 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 205 | $0.00 |
| 90700 | 0% | 154 | $0.00 | |
| 3078F | 0% | 130 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 131 | $0.00 |
| 3077F | 0% | 14 | $0.00 | |
| 90658 | 0% | 16 | $0.00 | |
| 94150 | 0% | 25 | $0.00 | |
| 3008F | 0% | 3,446 | $0.00 | |
| 90677 | 0% | 180 | $0.00 | |
| Z1034 | 0% | 1,040 | $0.00 | |
| 90716 | 0% | 246 | $0.00 | |
| 90651 | 0% | 22 | $0.00 | |
| G9964 | Patient received at least one well-child visit with a pcp during the performance period | 0% | 480 | $0.00 |
| 99402 | 0% | 97 | $0.00 | |
| 3074F | 0% | 84 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 738 | $0.00 |
| 3079F | 0% | 72 | $0.00 | |
| 99381 | 0% | 20 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 52 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 36 | $0.00 |
| Z6410 | 0% | 72 | $0.00 | |
| 3075F | 0% | 32 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 24 | $0.00 |
| 90657 | 0% | 13 | $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 | 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 | Reedley, CA | $7.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.