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.

Reedley Community Hospital (NPI 1417930892)

Field	Value
Entity Type	Organization
Organization	Reedley Community Hospital
Address	1025 N Douty St
City	Hanford
State	CA
ZIP	93230
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicaid	$138.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $138.4M, signaling near‑exclusive reliance on Medicaid as the revenue source for its operations. The absence of Medicare activity combined with large Medicaid receipts suggests the organization functions primarily within Medicaid-covered ambulatory or community care markets.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 98.3% of the provider’s total Medicaid revenue, with T1015 alone representing $121.3M (87.7% of Medicaid revenue). That level of concentration indicates the business model is built around a single, all‑inclusive clinic visit payment rather than a broad, evenly distributed procedure mix.

The code mix and taxonomy (Rural Health Clinic/Center) point to a clinic‑centric primary care and bundled outpatient model: large volume on T1015 (475.7K claims, $255 avg paid/claim) and meaningful activity on FQHC‑style codes G0467 and G0466 indicate routine, per‑visit bundled services are the core offering. These codes imply the provider delivers face‑to‑face, bundled primary care and related services consistent with rural clinic or FQHC operational patterns.

On competitive standing, REEDLEY COMMUNITY HOSPITAL is a statewide outlier for its primary revenue driver: T1015 ranks #17 of 1550 providers in‑state (99th percentile; extreme outlier), indicating far higher volume for that code than typical peers and a dominant position in delivering that all‑inclusive clinic visit in California. That rank combined with the absolute dollar concentration makes the provider a major Medicaid player for bundled clinic encounters.

Other high‑revenue codes show mixed peer positions: 00003 accounts for $13.1M (9.4% of Medicaid revenue) and ranks #133 of 688 in‑state (81th percentile; typical), while G0467 contributes $1.7M (1.2% of Medicaid revenue) and ranks #58 of 1029 (94th percentile; notably above typical). In plain terms, the provider pairs one extremely dominant clinic code with several codes where its volumes are above typical or within a normal statewide range, suggesting a focused core service with some broader outpatient activity.

Behavioral health and counseling services appear as material ancillary lines: 90834 (29.5K claims, $294.7K revenue) ranks #14 of 1946 (99th percentile; extreme outlier) and 90832 (14.8K claims, $118.7K revenue) ranks in the 95th percentile, showing unusually high psychotherapy volume relative to peers. Additionally, psychiatric evaluation codes 90791 and 90792 are present, indicating integrated mental health services alongside the primary clinic workload.

Smaller but notable FQHC/new‑patient and telehealth signals reinforce the ambulatory access role: G0466 (2.3K claims, $279.9K revenue) ranks #2 of 116 (99th percentile; extreme outlier) and G2025 (1.2K claims, $8.3K revenue) appears for telehealth distant‑site payments for RHC/FQHCs. These items suggest the site is both onboarding new patients at levels high for peer clinics and using telehealth coding where applicable, even though those revenue lines are small relative to T1015.

The NPI has been enumerated since 2005-11-21 (~21 years ago), indicating long tenure in the market. Combined with very high Medicaid volumes and the clinic‑centric code mix, this longevity supports a stable, established role in local Medicaid access and primary ambulatory care delivery in the region.

Medicaid: Complete Services Breakdown

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

152 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	475,670	$260	$121.3M
00003	N/A	43,400	$300	$13.1M
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…	13,640	$120	$1.7M
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…	212,770	$1	$425.5K
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…	105,200	$1	$315.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	29,470	$10	$294.7K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	2,310	$120	$279.9K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	1,750	$120	$215.6K
99203	The provider sees a new 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 provider…	21,570	$10	$172.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14,840	$10	$118.7K

Showing 1–10 of 152

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

Reedley Community Hospital — 12 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

152 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	17	1,550	38,050	$190	$14.1M
00003	N/A	133	690	14,940	$260	$7.7M
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…	651	4,290	780	$140	$400.1K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	158	250	120	$850	$378K
J1950	Injection, leuprolide acetate (for depot suspension), per 3.75 mg	2	10	60	$1,820	$268.2K
Z7500	N/A	128	180	620	$20	$237.4K
0241U	N/A	116	210	500	$90	$226K
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…	58	1,030	1,050	$70	$219.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	224	410	130	$430	$193.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14	1,950	500	$80	$179K

Showing 1–10 of 152

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reedley Community Hospital	CA	Rural Health Clinic/Center	$0	$38.6M
Hanford Community Hospital	CA	General Acute Care Hospital	$0	$37.7M
Reedley Community Hospital	CA	Rural Health Clinic/Center	$0	$24.1M
Reedley Community Hospital	CA	Rural Health Clinic/Center	$0	$22.7M
Humberto Villalvazo	OR	Family Medicine Physician	$4.3M	$0
Hanumandla Reddy	CA	Specialist	$3.8M	$8.8K
David Nye	AZ	Vascular Surgery Physician	$905.8K	$0
Tom Yang	CA	Nephrology Physician	$877.6K	$0
Robert Allen	CA	Family Medicine Physician	$866.7K	$0
Abdulrahman Hamdi	CA	Vascular Surgery Physician	$822.3K	$0

Nearby Providers

Other providers in the same ZIP code as Reedley Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$76.3M
Kings View	CA	Community/Behavioral Health Agency	$0	$63.7M
Thong Do	CA	Nephrology Physician	$677.4K	$35.7K
Ashok Verma	CA	Interventional Cardiology Physician	$679.9K	$10
Bhupinder Chatrath	CA	Hematology & Oncology Physician	$473.6K	$0
Prem Sahasranam	CA	Endocrinology, Diabetes & Metabolism Physician	$466.1K	$0
Frank Gavini	CA	Cardiovascular Disease Physician	$384.5K	$48.6K
Eric Sorensen	CA	Family Medicine Physician	$424.4K	$0
Shawn Vangronigen	CA	Physician Assistant	$409.2K	$0
Alvin Au	CA	Gastroenterology Physician	$375.6K	$210

Reedley Community Hospital — Billing Profile & Reimbursement Data

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Reedley Community Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References