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.

North Kern South Tulare Hospital District (NPI 1114220357)

Field	Value
Entity Type	Organization
Organization	North Kern South Tulare Hospital District
Address	1500 6th Ave
City	Delano
State	CA
ZIP	93215
Taxonomy	Clinic/Center
NPI Enumerated	December 9, 2010

Payer Source	Total Paid
Medicaid	$30.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

107 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	98,050	$260	$25.7M
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…	50,040	$40	$2.1M
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	7,550	$90	$671.5K
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…	5,420	$60	$303.6K
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…	3,400	$60	$186.8K
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,…	5,820	$30	$174.7K
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…	3,010	$50	$150.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,420	$60	$149.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,360	$80	$103.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	740	$120	$86.8K

Showing 1–10 of 107

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

North Kern South Tulare Hospital District — 1 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	392	1,550	38,050	$190	$14.1M
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…	2,983	13,300	640	$40	$169.6K
J3490	Unclassified drugs	1,354	1,390	670	$20	$159.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	86	1,040	660	$60	$147.7K
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…	563	14,520	760	$10	$122.8K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	204	300	250	$10	$121.5K
H1001	Prenatal care, at-risk enhanced service; antepartum management	386	720	570	$30	$73.3K
99204	The provider sees a new 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 provider…	5,571	5,870	180	$70	$73K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,776	2,180	180	$70	$67.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	730	1,980	110	$160	$66.3K

Showing 1–10 of 107

Nearby Providers

Other providers in the same ZIP code as North Kern South Tulare Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health Delano	CA	General Acute Care Hospital	$0	$35.4M
Oh Dmd Inc	CA	Dentist	$0	$22.9M
Adventist Health Delano	CA	General Acute Care Hospital	$0	$22.3M
Pramod Srivastava	CA	Orthopaedic Surgery Physician	$71.7K	$531.6K
Vijaykumar Patel	CA	Internal Medicine Physician	$464.5K	$0
Anuj Bansal	CA	Internal Medicine Physician	$271.7K	$0
Ramy Alnahhal	CA	Internal Medicine Physician	$265.9K	$0
Pacific Coast Surgery Center 7 LLC	CA	Ambulatory Surgical Clinic/Center	$181.6K	$78.2K
Radhey Bansal	CA	Internal Medicine Physician	$215.4K	$0
Anna Mendoza	CA	Family Medicine Physician	$201.9K	$0

North Kern South Tulare Hospital District — Billing Profile & Reimbursement Data

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North Kern South Tulare Hospital 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

Nearby Providers

Frequently Asked Questions

References