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    OpenPayerNPI Medicare & MedicaidAdventist Health Delano
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    Adventist Health Delano — Billing Profile & Reimbursement Data

    NPI 1144237272 · Delano, CA · General Acute Care Hospital

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    Adventist Health Delano is a general acute care hospital provider located in Delano, California. This profile covers 0 Medicare and 353 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAdventist Health Delano
    Address1401 Garces Hwy
    CityDelano
    StateCA
    ZIP93215
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$35.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    353 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.33,170$320$10.6M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.41,160$210$8.6M
    0450N/A36,750$90$3.3M
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…55,660$30$1.8M
    77067The 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…9,760$70$644.1K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.1,780$270$476.8K
    Z7502N/A10,260$40$359.2K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.4,630$70$328.5K
    0270N/A21,590$20$323.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.58,360$10$291.8K

    Showing 1–10 of 353

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    353 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1,4121,55038,050$190$14.1M
    0450N/A16345016,140$90$3.6M
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1970650$70$1.6M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.1561,570680$110$1.1M
    A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)16404,210$100$1.1M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.971,300510$100$943K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.5261,400470$80$884.5K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…34250800$110$625.7K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.2117801,160$130$576.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3046601,490$30$417.2K

    Showing 1–10 of 353

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adventist Health Delano, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adventist Health DelanoCAGeneral Acute Care Hospital$0$22.3M
    Karen ReussCADiagnostic Radiology Physician$636.1K$17.9K
    Vikram ShakerNYDiagnostic Radiology Physician$543K$220
    Vijaykumar PatelCAInternal Medicine Physician$464.5K$0
    Lorraine AshCADiagnostic Radiology Physician$403K$0
    Pardeep AthwalCADiagnostic Radiology Physician$338.9K$29.6K
    Jalil KalantariCAVascular & Interventional Radiology Physician$304.6K$0
    Tucker FischbeckAZDiagnostic Radiology Physician$297.4K$0
    Peter PiampianoTNDiagnostic Radiology Physician$254.4K$20.1K
    Pavan KhannaCADiagnostic Radiology Physician$273K$0

    Nearby Providers

    Other providers in the same ZIP code as Adventist Health Delano, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Kern South Tulare Hospital DistrictCAClinic/Center$0$30.4M
    Oh Dmd IncCADentist$0$22.9M
    Pramod SrivastavaCAOrthopaedic Surgery Physician$71.7K$531.6K
    Anuj BansalCAInternal Medicine Physician$271.7K$0
    Ramy AlnahhalCAInternal Medicine Physician$265.9K$0
    Pacific Coast Surgery Center 7 LLCCAAmbulatory Surgical Clinic/Center$181.6K$78.2K
    Radhey BansalCAInternal Medicine Physician$215.4K$0
    Anna MendozaCAFamily Medicine Physician$201.9K$0
    Chung LiCAPhysical Therapist$56K$0
    Gurmail SidhuCACertified Registered Nurse Anesthetist$48.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Adventist Health Delano — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California