Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

REEDLEY COMMUNITY HOSPITAL

Clinic/Center, Rural Health·FOWLER, CA·NPI: 1093732554Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.7M

$38,736,103

Total Claims

588K

Beneficiaries

474K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+14%
2019
$3.0M
+81%
2020
$5.3M
+42%
2021
$7.6M
-23%
2022
$5.8M
+29%
2023
$7.5M
-8%
2024
$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 84% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$32.5M

133K claims · 83.9%

Your Cost: $244.41/claim|Median: $121.16
2.0× median
00003Top 25%

Anesthesia services

$5.1M

17K claims · 13.1%

Your Cost: $295.87/claim|Median: $223.77
1.3× median
G0467Top 5%

Federally qualified health center visit, mental health

$731K

4,187 claims · 1.9%

Your Cost: $174.63/claim|Median: $21.91
8.0× median
99213Normal range

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

$117K

92K claims · 0.3%

Your Cost: $1.28/claim|Median: $37.81
0.0× median
99214Normal range

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

$99K

67K claims · 0.3%

Your Cost: $1.48/claim|Median: $53.41
0.0× median
G0466Top 10%

$90K

513 claims · 0.2%

Your Cost: $174.67/claim|Median: $63.31
2.8× median
99203Normal range

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

$51K

16K claims · 0.1%

Your Cost: $3.15/claim|Median: $57.85
0.1× median
99204Normal range

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

$40K

11K claims · 0.1%

Your Cost: $3.67/claim|Median: $84.03
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$8K

4,335 claims · 0.0%

Your Cost: $1.88/claim|Median: $74.09
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$6K

8,598 claims · 0.0%

Your Cost: $0.69/claim|Median: $25.06
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4K

6,078 claims · 0.0%

Your Cost: $0.67/claim|Median: $69.35
0.0× median
95004Normal range

Percutaneous allergy skin tests, each

$3K

1,006 claims · 0.0%

Your Cost: $3.22/claim|Median: $134.97
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

5,274 claims · 0.0%

Your Cost: $0.41/claim|Median: $75.18
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

839 claims · 0.0%

Your Cost: $2.06/claim|Median: $9.70
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

375 claims · 0.0%

Your Cost: $3.33/claim|Median: $111.09
0.0× median
94060Normal range

$1K

620 claims · 0.0%

Your Cost: $2.01/claim|Median: $25.18
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$818

2,511 claims · 0.0%

Your Cost: $0.33/claim|Median: $74.82
0.0× median
1159FNormal range

$792

53K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
1.5× median
95117Normal range

$590

1,109 claims · 0.0%

Your Cost: $0.53/claim|Median: $8.34
0.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$582

133 claims · 0.0%

Your Cost: $4.38/claim|Median: $121.58
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$559

5,146 claims · 0.0%

Your Cost: $0.11/claim|Median: $7.18
0.0× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$531

441 claims · 0.0%

Your Cost: $1.20/claim|Median: $144.04
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$496

6,599 claims · 0.0%

Your Cost: $0.08/claim|Median: $5.50
0.0× median
90670Normal range

$425

3,655 claims · 0.0%

Your Cost: $0.12/claim|Median: $5.94
0.0× median
90630Normal range

$422

48 claims · 0.0%

Your Cost: $8.78/claim|Median: $11.50
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$378

486 claims · 0.0%

Your Cost: $0.78/claim|Median: $7.50
0.1× median
G2025Normal range

$356

199 claims · 0.0%

Your Cost: $1.79/claim|Median: $15.63
0.1× median
90647Normal range

$299

3,184 claims · 0.0%

Your Cost: $0.09/claim|Median: $4.31
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$280

497 claims · 0.0%

Your Cost: $0.56/claim|Median: $80.15
0.0× median
90715Normal range

Tdap vaccine

$236

1,140 claims · 0.0%

Your Cost: $0.21/claim|Median: $10.32
0.0× median
11721Normal range

$232

289 claims · 0.0%

Your Cost: $0.80/claim|Median: $8.56
0.1× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$225

173 claims · 0.0%

Your Cost: $1.30/claim|Median: $73.46
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$221

2,579 claims · 0.0%

Your Cost: $0.09/claim|Median: $9.56
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$201

2,021 claims · 0.0%

Your Cost: $0.10/claim|Median: $12.63
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$154

251 claims · 0.0%

Your Cost: $0.61/claim|Median: $39.70
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$151

3,433 claims · 0.0%

Your Cost: $0.04/claim|Median: $5.78
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$147

57 claims · 0.0%

Your Cost: $2.58/claim|Median: $25.93
0.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$135

585 claims · 0.0%

Your Cost: $0.23/claim|Median: $32.55
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$128

581 claims · 0.0%

Your Cost: $0.22/claim|Median: $22.44
0.0× median
90680Normal range

$123

2,408 claims · 0.0%

Your Cost: $0.05/claim|Median: $5.58
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$111

51 claims · 0.0%

Your Cost: $2.18/claim|Median: $9.10
0.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$107

76 claims · 0.0%

Your Cost: $1.41/claim|Median: $33.85
0.0× median
81025Normal range

Urine pregnancy test

$104

2,029 claims · 0.0%

Your Cost: $0.05/claim|Median: $4.81
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$99

534 claims · 0.0%

Your Cost: $0.18/claim|Median: $2.00
0.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$92

47 claims · 0.0%

Your Cost: $1.95/claim|Median: $29.03
0.1× median
90688Normal range

$91

800 claims · 0.0%

Your Cost: $0.11/claim|Median: $9.00
0.0× median
85018Normal range

$75

7,966 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
90707Normal range

MMR vaccine

$65

1,208 claims · 0.0%

Your Cost: $0.05/claim|Median: $5.76
0.0× median
90716Normal range

$56

1,194 claims · 0.0%

Your Cost: $0.05/claim|Median: $6.18
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$44

4,111 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.80
0.0× median

Similar Providers

Other top providers in Clinic/Center, Rural Health