Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaweah Delta Health Care District
    Ask Trek AI about this page

    Kaweah Delta Health Care District — Billing Profile & Reimbursement Data

    NPI 1588663769 · Visalia, CA · General Acute Care Hospital

    Customize your policy alerts

    Sign up for Kaweah Delta Health Care District — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Kaweah Delta Health Care District is a general acute care hospital provider located in Visalia, California. This profile covers 0 Medicare and 546 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKaweah Delta Health Care District
    Address400 W Mineral King Ave
    CityVisalia
    StateCA
    ZIP93291
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 19, 2005

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

    Payer SourceTotal Paid
    Medicaid$83.2M
    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.

    546 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0450N/A165,350$130$20.7M
    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.131,380$30$4.3M
    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…94,220$40$4.1M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.58,930$50$3M
    G9012Other specified case management service not elsewhere classified24,670$110$2.7M
    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…67,860$30$2.1M
    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…71,790$20$1.7M
    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.17,280$90$1.6M
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…33,480$40$1.4M
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…29,550$50$1.4M

    Showing 1–10 of 546

    • 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

    546 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.70873025,970$150$4.5M
    0450N/A1945016,140$90$3.6M
    81220The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…26110190$140$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.6431,570680$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.4001,300510$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…299750950$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.4981,400470$80$884.5K
    0510N/A102230930$40$854K
    99281The provider sees a patient for the lowest level emergency department visit.1994301,140$90$769.9K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…76230270$840$717.2K

    Showing 1–10 of 546

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kaweah Delta Health Care District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaweah Delta Health Care DistrictCARural Health Clinic/Center$0$68.9M
    Shashi SharmaCAInterventional Cardiology Physician$3.6M$7.3K
    Robert HavardCAMedical Oncology Physician$1.9M$0
    Sanjai SharmaCAHematology & Oncology Physician$1.5M$0
    Kazi RahmanCAFoot & Ankle Surgery Podiatrist$1.1M$0
    David NyeAZVascular Surgery Physician$905.8K$0
    Christopher RexAZDermatology Physician$875.2K$0
    Robert AllenCAFamily Medicine Physician$866.7K$0
    Abdulrahman HamdiCAVascular Surgery Physician$822.3K$0
    Vinod GuptaCASpecialist$789.8K$3.3K

    Nearby Providers

    Other providers in the same ZIP code as Kaweah Delta Health Care District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$93.6M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$53.4M
    County Of TulareCAFederally Qualified Health Center (FQHC)$0$38M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$31.4M
    Daniel WatrousCARheumatology Physician$4M$5M
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Aditya VermaCACardiovascular Disease Physician$1.8M$0
    Muhammad ChaudhriCADiagnostic Radiology Physician$1.4M$0
    Sierra Eye Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$784K$18K
    David BrysonCAHematology & Oncology Physician$737K$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
    Kaweah Delta Health Care District — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California