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Reedley Community Hospital

Clinic/Center, Rural Health·Hanford, CA·NPI: 1417930892Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$138.7M

$138,656,168

Total Claims

1.4M

Beneficiaries

1.1M

1.2 claims/patient

Avg Cost/Claim

$101

#802 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Reedley Community Hospital is a Clinic/Center, Rural Health provider based in Hanford, CA. From the 2018–2024 period, this provider received $138.7M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $138.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,332 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 5% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.1M
-21%
2019
$15.9M
+24%
2020
$19.7M
+17%
2021
$23.0M
-21%
2022
$18.1M
+14%
2023
$20.7M
+2%
2024
$21.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 88% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$121.5M

476K claims · 87.6%

Your Cost: $255.36/claim|Median: $121.16
2.1× median
00003Top 25%

Anesthesia services

$13.1M

43K claims · 9.4%

Your Cost: $301.47/claim|Median: $223.77
1.4× median
G0467Top 10%

Federally qualified health center visit, mental health

$1.7M

14K claims · 1.2%

Your Cost: $121.57/claim|Median: $21.91
5.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$479K

213K claims · 0.3%

Your Cost: $2.25/claim|Median: $37.81
0.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$359K

105K claims · 0.3%

Your Cost: $3.41/claim|Median: $53.41
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$293K

29K claims · 0.2%

Your Cost: $9.93/claim|Median: $63.65
0.2× median
G0466Top 25%

$279K

2K claims · 0.2%

Your Cost: $120.54/claim|Median: $63.31
1.9× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$216K

2K claims · 0.2%

Your Cost: $123.12/claim|Median: $45.95
2.7× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$163K

22K claims · 0.1%

Your Cost: $7.55/claim|Median: $57.85
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$113K

15K claims · 0.1%

Your Cost: $7.63/claim|Median: $41.28
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$89K

5K claims · 0.1%

Your Cost: $19.72/claim|Median: $99.21
0.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$86K

13K claims · 0.1%

Your Cost: $6.60/claim|Median: $84.03
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$62K

4K claims · 0.0%

Your Cost: $16.17/claim|Median: $85.66
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$60K

4K claims · 0.0%

Your Cost: $15.81/claim|Median: $74.09
0.2× median
98940Top 5%

$51K

679 claims · 0.0%

Your Cost: $75.49/claim|Median: $14.55
5.2× median
99212Normal range

Office/outpatient visit, low complexity

$28K

21K claims · 0.0%

Your Cost: $1.32/claim|Median: $25.06
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$21K

4K claims · 0.0%

Your Cost: $5.30/claim|Median: $40.11
0.1× median
H1001Normal range

$19K

7K claims · 0.0%

Your Cost: $2.74/claim|Median: $60.48
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$17K

2K claims · 0.0%

Your Cost: $8.94/claim|Median: $24.33
0.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$13K

4K claims · 0.0%

Your Cost: $3.29/claim|Median: $29.03
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$11K

279 claims · 0.0%

Your Cost: $40.90/claim|Median: $108.91
0.4× median
59425Normal range

Antepartum care only, 4-6 visits

$9K

5K claims · 0.0%

Your Cost: $1.95/claim|Median: $63.63
0.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$9K

5K claims · 0.0%

Your Cost: $1.76/claim|Median: $121.58
0.0× median
G2025Normal range

$8K

1K claims · 0.0%

Your Cost: $6.88/claim|Median: $15.63
0.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$7K

768 claims · 0.0%

Your Cost: $8.81/claim|Median: $12.70
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$7K

6K claims · 0.0%

Your Cost: $1.06/claim|Median: $39.70
0.0× median
99242Normal range

Office consultation, low complexity

$5K

3K claims · 0.0%

Your Cost: $1.85/claim|Median: $57.97
0.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$4K

3K claims · 0.0%

Your Cost: $1.12/claim|Median: $62.48
0.0× median
J1950Normal range

Injection, leuprolide acetate, per three point seven five milligrams

$3K

413 claims · 0.0%

Your Cost: $7.55/claim|Median: $1,442.37
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3K

8K claims · 0.0%

Your Cost: $0.38/claim|Median: $69.35
0.0× median

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