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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAdventist Health Delano
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    Adventist Health Delano — Billing Profile & Reimbursement Data

    NPI 1851429658 · Delano, CA · General Acute Care Hospital

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    Adventist Health Delano is a general acute care hospital provider located in Delano, California. This profile covers 0 Medicare and 80 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
    OrganizationAdventist Health Delano
    Address1201 Jefferson St
    CityDelano
    StateCA
    ZIP93215
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMarch 1, 2007

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

    Payer SourceTotal Paid
    Medicaid$22.3M
    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.

    80 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive171,330$120$20M
    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…39,840$40$1.4M
    99203The 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…2,660$70$188.9K
    J3490Unclassified drugs1,820$80$136.7K
    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…1,720$80$130.9K
    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…3,040$30$79K
    99403At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…1,560$50$70.2K
    0241UN/A820$70$54.8K
    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,…2,470$20$37K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…5,090$10$30.6K

    Showing 1–10 of 80

    • 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

    80 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1791,55038,050$190$14.1M
    Z7500N/A122180620$20$237.4K
    0241UN/A93210500$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…7451,0301,050$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…3,21613,300640$40$169.6K
    J3490Unclassified drugs5251,390670$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…3241,040660$60$147.7K
    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…4,0864,230210$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…70614,520760$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…5881,210420$30$95.7K

    Showing 1–10 of 80

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adventist Health Delano, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Medical FoundationCAFamily Medicine Physician$0$52.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Adventist Health DelanoCAGeneral Acute Care Hospital$0$35.4M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Horng Bruce LinCAVascular & Interventional Radiology Physician$1.7M$0
    Travers McloughlinCARadiation Oncology Physician$1.6M$0
    Jaideep SohiILNuclear Radiology Physician$1.5M$6.9K

    Nearby Providers

    Other providers in the same ZIP code as Adventist Health Delano, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Kern South Tulare Hospital DistrictCAClinic/Center$0$30.4M
    Oh Dmd IncCADentist$0$22.9M
    Pramod SrivastavaCAOrthopaedic Surgery Physician$71.7K$531.6K
    Vijaykumar PatelCAInternal Medicine Physician$464.5K$0
    Anuj BansalCAInternal Medicine Physician$271.7K$0
    Ramy AlnahhalCAInternal Medicine Physician$265.9K$0
    Pacific Coast Surgery Center 7 LLCCAAmbulatory Surgical Clinic/Center$181.6K$78.2K
    Radhey BansalCAInternal Medicine Physician$215.4K$0
    Anna MendozaCAFamily Medicine Physician$201.9K$0
    Chung LiCAPhysical Therapist$56K$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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Adventist Health Delano — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California