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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCounty Of Tulare
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    County Of Tulare — Billing Profile & Reimbursement Data

    NPI 1457385163 · Visalia, CA · Federally Qualified Health Center (FQHC)

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    County Of Tulare is a federally qualified health center (fqhc) provider located in Visalia, California. This profile covers 0 Medicare and 102 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
    OrganizationCounty Of Tulare
    Address2611 N Dinuba Blvd
    CityVisalia
    StateCA
    ZIP93291
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$38M
    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.

    102 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive117,610$300$35.6M
    G0467Federally 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…14,990$140$2.2M
    99213The 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…62,660$1$62.7K
    99212The 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,…16,260$1$48.8K
    99214The 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…11,860$1$11.9K
    0012AN/A260$50$11.7K
    0011AN/A250$40$11K
    J3490Unclassified drugs140$60$8.2K
    H1001Prenatal care, at-risk enhanced service; antepartum management1,130$1$4.5K
    0072AN/A90$50$4.1K

    Showing 1–10 of 102

    • 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

    102 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive3141,55038,050$190$14.1M
    G0467Federally 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…451,0301,050$70$219.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,8392,670540$40$183.4K
    99214The 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…1,11713,300640$40$169.6K
    J3490Unclassified drugs1,0091,390670$20$159.5K
    59425This 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…6821,040660$60$147.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…8982,840490$40$139.6K
    99215The provider sees an established 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…1,8384,230210$110$135K
    99213The 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…44914,520760$10$122.8K
    H1001Prenatal care, at-risk enhanced service; antepartum management276720570$30$73.3K

    Showing 1–10 of 102

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of TulareCAState or Local Public Health Clinic/Center$0$273.8M

    Nearby Providers

    Other providers in the same ZIP code as County Of Tulare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$93.6M
    Kaweah Delta Health Care DistrictCAGeneral Acute Care Hospital$0$83.2M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$53.4M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$31.4M
    Daniel WatrousCARheumatology Physician$4M$5M
    Shashi SharmaCAInterventional Cardiology Physician$3.6M$7.3K
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Aditya VermaCACardiovascular Disease Physician$1.8M$0
    Muhammad ChaudhriCADiagnostic Radiology Physician$1.4M$0
    Robert AllenCAFamily Medicine Physician$866.7K$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
    County Of Tulare — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California