Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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S0164

Injection, pantoprazole sodium, 40 mg

Medicaid paid $858K on code S0164 from 2018 through 2024, to 219 providers — the #4,093 code in the file by dollars. 56% of it was billed in California.

28Total paid$858K
24GClaims77,476
Paid per claim line$11.07
33Providers billing it219
Box 32 · Location

Where S0164 is billed

  1. $484K
  2. $255K
  3. $80K
  4. $26K
  5. $3.5K
  6. $2.6K
  7. $2.4K
  8. $1.6K
  9. $696
  10. $570
  11. $392
  12. $370

The largest of 23 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing S0164

#ProviderLocationClaimsPaid on S0164
1 Alaska Native Tribal Health Consortium Anchorage, AK 562 $252K
2 Glendale Adventist Medical Center Glendale, CA 960 $73K
3 Mcallen Hospitals L P Edinburg, TX 728 $56K
4 Scottish Rite Children's Medical Center Atlanta, GA 1,649 $26K
5 Doctors Hospital of Laredo Laredo, TX 338 $23K
6 Sutter Valley Hospitals Sacramento, CA 1,154 $22K
7 Sutter Bay Hospitals Oakland, CA 1,055 $19K
8 White Memorial Medical Center Los Angeles, CA 1,838 $19K
9 Sutter Bay Hospitals Antioch, CA 1,233 $19K
10 ST. Mary Medical Center Apple Valley, CA 3,020 $14K
11 Sutter Valley Hospitals Los Banos, CA 1,205 $13K
12 Simi Valley Hospital and Health Care Services Simi Valley, CA 675 $13K
13 Providence Health System Southern California Torrance, CA 1,214 $10K
14 Grossmont Hospital Corporation La Mesa, CA 1,609 $9K
15 Kaiser Foundation Hospitals Sacramento, CA 796 $8K
16 Sutter Valley Hospitals Modesto, CA 488 $8K
17 Salinas Valley Memorial Healthcare System Salinas, CA 500 $8K
18 ST. Joseph Hospital of Orange Orange, CA 1,774 $8K
19 Desert Regional Medical Center, INC. Palm Springs, CA 426 $8K
20 Prime Healthcare Services - Shasta LLC Redding, CA 484 $8K
21 Dignity Health Bakersfield, CA 2,143 $8K
22 Dignity Community Care Los Angeles, CA 2,732 $8K
23 Ahmc Anaheim Regional Medical Anaheim, CA 951 $8K
24 Sutter Bay Hospitals Lakeport, CA 639 $7K
25 Sutter Bay Hospitals Berkeley, CA 382 $7K
26 Sutter Bay Hospitals Santa Rosa, CA 519 $7K
27 Sutter Valley Hospitals Roseville, CA 328 $6K
28 Lodi Memorial Hospital Association INC Lodi, CA 462 $6K
29 Enloe Medical Center Chico, CA 635 $6K
30 San Gorgonio Memorial Hospital Banning, CA 816 $6K
31 Kaiser Foundation Hospitals Riverside, CA 681 $6K
32 Regents of the University of California Sacramento, CA 281 $5K
33 KPC Global Medical Centers, INC. Hemet, CA 747 $5K
34 Universal Health Services of Rancho Springs INC Murrieta, CA 323 $5K
35 Hoag Memorial Hospital Presbyterian Newport Beach, CA 516 $5K
36 Valley Cancer Medical Center INC Manteca, CA 428 $5K
37 American Hospital Management Corporation Arcata, CA 203 $4K
38 Victor Valley Hospital Acquisition, INC. Victorville, CA 428 $4K
39 University of California Irvine Fountain Valley, CA 575 $4K
40 Scripps Health San Diego, CA 334 $4K
41 University of California Irvine Placentia, CA 530 $4K
42 Alameda Health System Oakland, CA 230 $4K
43 Lancaster Hospital Corporation Palmdale, CA 646 $3K
44 Providence Health System - Southern California Burbank, CA 357 $3K
45 Oak Valley Hospital District Oakdale, CA 287 $3K
46 South Peninsula Hospital, INC Homer, AK 210 $3K
47 Arrowhead Regional Medical Center Colton, CA 290 $3K
48 Henry Mayo Newhall Memorial Hospital Valencia, CA 372 $3K
49 Bakersfield Memorial Hospital Bakersfield, CA 1,303 $3K
50 County of Los Angeles Los Angeles, CA 4,905 $3K
51 Dignity Health Merced, CA 145 $3K
52 Sharp Memorial Hospital San Diego, CA 497 $3K
53 Ahmc Greater El Monte Community South El Monte, CA 362 $3K
54 Kittitas County Public Hospital Dist 1 Ellensburg, WA 380 $3K
55 Northbay Healthcare Group Fairfield, CA 173 $3K
56 Desert Valley Hospital, LLC Victorville, CA 384 $3K
57 Mission Hospital Regional Medical Center Mission Viejo, CA 374 $3K
58 ST Vincent Medical Center Los Angeles, CA 275 $2K
59 The Regional Medical Center of Orangeburg and Calhoun Counties Orangeburg, SC 296 $2K
60 Dignity Community Care Woodland, CA 199 $2K
61 Watsonville Hospital Corporation Watsonville, CA 149 $2K
62 Kaiser Foundation Hospitals Downey, CA 241 $2K
63 Johnston Memorial Hospital, INC Abingdon, VA 29 $2K
64 Sutter Valley Hospitals Tracy, CA 143 $2K
65 Alhambra Hospital Medical Center, LP Alhambra, CA 219 $2K
66 Hospital of Barstow INC Barstow, CA 270 $2K
67 Tri-City Hospital Oceanside, CA 172 $2K
68 San Joaquin Community Hospital Bakersfield, CA 1,596 $2K
69 Pioneers Memorial Healthcare District Brawley, CA 111 $2K
70 Prime Healthcare Anaheim, LLC Anaheim, CA 252 $2K
71 Dignity Health Redding, CA 113 $2K
72 Southern Monterey County Memorial Hospital King City, CA 155 $1K
73 Doctors Medical Center of Modesto, INC. Turlock, CA 114 $1K
74 Ahmc San Gabriel Valley Medical San Gabriel, CA 137 $1K
75 Doctors Hospital of Manteca, INC. Manteca, CA 103 $1K
76 ST. Joseph Health Northern California, LLC Eureka, CA 99 $1K
77 Regents of the Univ of California Santa Monica, CA 134 $1K
78 Dignity Community Care Northridge, CA 197 $1K
79 Providence Health System - Southern California Mission Hills, CA 104 $1K
80 Pajaro Valley Health Care District Hospital Corporation Watsonville, CA 74 $1K
81 Norcal Healthconnect LLC Petaluma, CA 83 $1K
82 Pasadena Hospital Association, LTD Pasadena, CA 183 $1K
83 Sharp Chula Vista Medical Center Chula Vista, CA 151 $1K
84 Prime Healthcare Services - ST Francis LLC Lynwood, CA 100 $974.15
85 Three Crosses Regional Hospital LLC Las Cruces, NM 86 $955.01
86 Pih Health Good Samaritan Hospital Los Angeles, CA 123 $928.30
87 Sutter East Bay Hospitals Oakland, CA 45 $865.30
88 Sutter Bay Hospitals Castro Valley, CA 43 $842.24
89 County of Santa Clara San Jose, CA 309 $821.93
90 Pomona Valley Hospital Medical Center Pomona, CA 33 $816.45
91 Adventist Health Clearlake Hospital INC. Clearlake, CA 45 $812.62
92 Ahmc Whittier Hospital Medical Whittier, CA 47 $795.71
93 San Antonio Regional Hospital Upland, CA 75 $756.54
94 Dignity Health San Bernardino, CA 466 $730.46
95 Sierra View Local Health Care District Porterville, CA 70 $697.08
96 University of California Irvine Lakewood, CA 85 $685.44
97 Eladh, LP Los Angeles, CA 94 $668.33
98 St.Francis Medical Center Lynwood, CA 73 $639.19
99 Seventh-Day Adventists Loma Linda University Medical Center Loma Linda, CA 106 $632.49
100 County of Los Angeles Sylmar, CA 767 $618.62