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    OpenPayerNPI Medicare & MedicaidKern County Hospital Authority
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    Kern County Hospital Authority — Billing Profile & Reimbursement Data

    NPI 1376623538 · Bakersfield, CA · General Acute Care Hospital

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    Kern County Hospital Authority is a general acute care hospital provider located in Bakersfield, California. This profile covers 0 Medicare and 533 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
    OrganizationKern County Hospital Authority
    Address1700 Mount Vernon Avenue
    CityBakersfield
    StateCA
    ZIP93306
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedOctober 16, 2006

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

    Payer SourceTotal Paid
    Medicaid$169.4M
    Medicare$0

    Key Findings

    KERN COUNTY HOSPITAL AUTHORITY shows effectively single‑payer Medicaid reliance: there is no Medicare billing on file while total Medicaid revenue is $169.4M, indicating the provider’s reported activity and reimbursement base in the dataset is dominated by Medicaid. Analysts should treat Medicare comparators as not applicable for this facility in the current records.

    Revenue is highly concentrated in a very small set of Medicaid codes: the top three codes (G0390, 99283, 99285) account for 72.9% of the provider’s total Medicaid revenue. Those top three individually are G0390 with $46.5M (31.4% of Medicaid revenue), 99283 with $35.2M (23.8%), and 99285 with $26.3M (17.7%), making trauma response and emergency department E/M services the primary revenue drivers.

    The code mix and top drivers indicate the hospital operates as a high‑volume emergency and trauma center: G0390 (trauma response team) is the single largest revenue line and ranks #1 of 9 providers in‑state (100th percentile; notably above typical state volume for this code). Coupled with very large volumes of ED E/M codes 99283 (122.7K claims, rank #11 of 1570, 99th percentile; extreme outlier) and 99285 (66.6K claims, rank #52 of 1297, 96th percentile; notably above typical), the pattern is consistent with a regional acute care facility managing large emergency and trauma caseloads.

    Emergency department throughput spans a wide acuity range: 99283, 99284, 99285, and 99282 together show very large claim counts (122.7K, 89.3K, 66.6K, and 33.9K respectively) and measurable revenue contributions (99283 at $35.2M/23.8%, 99285 at $26.3M/17.7%, 99284 at $6.7M/4.5%, 99282 at $2.0M/1.4%). The distribution of both low and high acuity ED codes, plus 99291 (critical care, 9.1K claims, $1.1M, 94th percentile), signals sustained demand for emergent evaluation and critical care services across severity levels.

    Beyond emergency and trauma, the provider delivers a broad set of inpatient/outpatient procedural and diagnostic services: high‑revenue procedure codes include G0463 ($4.1M), 43239 ($2.8M), 45380 ($1.5M), 45378 ($1.1M) and imaging/echo 74177 ($1.6M) and 93306 ($1.2M). The presence of surgical implant code C1713 ($1.2M) and pathology and lab panels (88307, 80053, 82306, 84443) further supports that this is a full‑service general acute care hospital handling endoscopy, surgery, imaging and lab workflows tied into its high ED volumes.

    Competitive standing is strong in several state‑level niches: G0390 is dominant (rank #1/9, 100th percentile, notably above typical) and 99283 is an extreme outlier (rank #11/1570, 99th percentile), indicating the facility is a major provider of trauma and certain ED services within California. Other ED and diagnostic codes (e.g., 99284 rank #33/1395 98th percentile; 74177 rank #21/783 97th percentile) consistently place the hospital at or near the high end of in‑state volumes for those services.

    The high concentration of Medicaid revenue in trauma and ED E/M lines (top three codes = 72.9% of Medicaid revenue) creates a focused revenue risk profile: changes to trauma team reimbursement, ED E/M valuation, or Medicaid policy affecting those specific codes could disproportionately affect the hospital’s revenue. From a contract or utilization‑management perspective, payers should prioritize reviews and benchmarking around G0390 and the ED E/M cluster.

    This provider has long tenure in the NPI registry, enumerated on 2006-10-16 (~20 years ago), which, together with high statewide ranks on key emergency and trauma codes, suggests an established regional role in acute and trauma care. Analysts evaluating network adequacy or regional capacity should consider this historical presence alongside the facility’s concentrated Medicaid revenue footprint.

    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.

    533 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0390Trauma response team associated with hospital critical care service3,980$11,690$46.5M
    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.122,680$290$35.2M
    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.66,580$400$26.3M
    0450N/A16,580$470$7.8M
    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.89,340$80$6.7M
    G0463Hospital outpatient clinic visit for assessment and management of a patient91,950$50$4.1M
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.3,150$880$2.8M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.33,920$60$2M
    0762N/A2,550$780$2M
    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.22,690$70$1.6M

    Showing 1–10 of 533

    • 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

    533 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0390Trauma response team associated with hospital critical care service110250$8,790$6.1M
    0450N/A22345016,140$90$3.6M
    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.111,570680$110$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.521,300510$100$943K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…324750950$50$890K
    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.331,400470$80$884.5K
    0510N/A91230930$40$854K
    99281The provider sees a patient for the lowest level emergency department visit.2754301,140$90$769.9K
    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.217801,160$130$576.2K
    0762N/A34160770$250$419.8K

    Showing 1–10 of 533

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kern County Hospital Authority, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0
    Shahid MalikNVHematology & Oncology Physician$1.1M$0
    Parham MokriCANephrology Physician$648.5K$0
    Hao BuiCAVascular Surgery Physician$506.6K$0
    Shyam NairCAClinical Cardiac Electrophysiology Physician$456.2K$0
    Ravi RajpootMDDiagnostic Radiology Physician$123K$316.3K
    Tonny TanusCAAllergy & Immunology Physician$326.1K$0
    Viral MehtaCAInterventional Cardiology Physician$317.3K$0
    Kent KwanCAEmergency Medicine Physician$294.6K$0
    Tri NgoCADiagnostic Radiology Physician$229.2K$47.4K

    Nearby Providers

    Other providers in the same ZIP code as Kern County Hospital Authority, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of KernCAAdolescent and Children Mental Health Clinic/Center$0$45.2M
    Oh Dmd IncCAGeneral Practice Dentistry$0$28.5M
    Vinh-linh NguyenCAHematology & Oncology Physician$11.5M$0
    Diego CavenaghiCACertified Registered Nurse Anesthetist$209.8K$0
    Theingi WinCACardiovascular Disease Physician$131.1K$0
    John JuveCACertified Registered Nurse Anesthetist$81.1K$0
    Manish Somani IncCACommunity/Retail Pharmacy$45.2K$25.2K
    Maricel Isidro-reighardCACertified Registered Nurse Anesthetist$65.4K$0
    David CondieCAVascular & Interventional Radiology Physician$37.5K$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
    Kern County Hospital Authority — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California