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    v1.0.28
    OpenPayerNPI Medicare & MedicaidReedley Community Hospital
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    Reedley Community Hospital — Billing Profile & Reimbursement Data

    NPI 1598941825 · Reedley, CA · Rural Health Clinic/Center

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    Reedley Community Hospital is a rural health clinic/center provider located in Reedley, California. This profile covers 0 Medicare and 106 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
    OrganizationReedley Community Hospital
    Address811 E 11th St
    CityReedley
    StateCA
    ZIP93654
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedJanuary 16, 2008

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

    Payer SourceTotal Paid
    Medicaid$24.1M
    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.

    106 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive90,030$240$22M
    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…10,280$160$1.7M
    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…77,070$1$231.2K
    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…50,070$1$100.1K
    98940The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.2,410$10$21.7K
    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,…9,660$1$19.3K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…6,730$1$13.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…1,530$10$10.7K
    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…530$10$5.3K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1,040$1$4.1K

    Showing 1–10 of 106

    • 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

    106 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive4231,55038,050$190$14.1M
    Z7500N/A170180620$20$237.4K
    0241UN/A136210500$90$226K
    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…791,0301,050$70$219.7K
    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…10513,300640$40$169.6K
    J3490Unclassified drugs1,0731,390670$20$159.5K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…9361,1701,000$20$126.4K
    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…56214,520760$10$122.8K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…3791,210420$30$95.7K
    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…206470350$40$76.1K

    Showing 1–10 of 106

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reedley Community HospitalCARural Health Clinic/Center$0$138.4M
    Reedley Community HospitalCARural Health Clinic/Center$0$38.6M
    Reedley Community HospitalCARural Health Clinic/Center$0$22.7M
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Hanumandla ReddyCASpecialist$3.8M$8.8K
    David NyeAZVascular Surgery Physician$905.8K$0
    Tom YangCANephrology Physician$877.6K$0
    Robert AllenCAFamily Medicine Physician$866.7K$0
    Abdulrahman HamdiCAVascular Surgery Physician$822.3K$0
    Thong DoCANephrology Physician$677.4K$35.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Health Centers Of The San Joaquin ValleyCAFederally Qualified Health Center (FQHC)$0$109.7M

    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
    Reedley Community Hospital — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California