Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kaweah Delta Health Care District (NPI 1043272172)

Kaweah Delta Health Care District is a rural health clinic/center provider located in Exeter, California. This profile covers 0 Medicare and 232 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Kaweah Delta Health Care District
Address	1014 San Juan Ave
City	Exeter
State	CA
ZIP	93221
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicaid	$68.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

232 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	296,770	$200	$58.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	210,950	$10	$2.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	71,170	$20	$1.6M
G9008	Coordinated care fee, physician coordinated care oversight services	5,510	$220	$1.2M
H1001	Prenatal care, at-risk enhanced service; antepartum management	11,480	$70	$757.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	14,740	$40	$530.6K
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…	13,170	$40	$500.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	47,980	$10	$479.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14,650	$20	$322.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14,770	$20	$265.8K

Showing 1–10 of 232

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Kaweah Delta Health Care District — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

232 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	65	1,550	38,050	$190	$14.1M
0160	N/A	71	150	560	$340	$557.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	584	660	1,490	$30	$417.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,372	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	97	490	660	$70	$396.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	932	960	1,820	$50	$351.9K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	105	140	590	$120	$350.5K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	142	290	2,010	$20	$243.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	469	900	560	$70	$230.3K
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…	60	1,030	1,050	$70	$219.7K

Showing 1–10 of 232

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaweah Delta Health Care District	CA	General Acute Care Hospital	$0	$83.2M
Shashi Sharma	CA	Interventional Cardiology Physician	$3.6M	$7.3K
Robert Havard	CA	Medical Oncology Physician	$1.9M	$0
Sanjai Sharma	CA	Hematology & Oncology Physician	$1.5M	$0
Kazi Rahman	CA	Foot & Ankle Surgery Podiatrist	$1.1M	$0
David Nye	AZ	Vascular Surgery Physician	$905.8K	$0
Christopher Rex	AZ	Dermatology Physician	$875.2K	$0
Robert Allen	CA	Family Medicine Physician	$866.7K	$0
Abdulrahman Hamdi	CA	Vascular Surgery Physician	$822.3K	$0
Vinod Gupta	CA	Specialist	$789.8K	$3.3K

Kaweah Delta Health Care District — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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