Hospital
Mission Hospital Regional Medical Center
Mission Hospital Regional Medical Center was paid $10K by Medicaid between Oct 2020 and Feb 2023, across 153 billing codes. Its largest line is 0450, Emergency room services — 32% of everything it billed.
33Billing provider infoMISSION HOSPITAL REGIONAL MEDICAL CENTER
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1003956913assigned 02/08/2007
33bProvider typeRehabilitation Hospital
28Total paid$10K
24GClaims96,137
24DCodes billed153
24AFirst – last monthOct 2020 – Feb 2023
Compared with peers
Next to other Rehabilitation Hospital providers in California
Rank by total paid#13 of 13
Median peer was paid$863K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 7,697 | $0.00 | |
| 2021 | 58,958 | $176.42 | |
| 2022 | 27,807 | $10K | |
| 2023 | 1,675 | $101.67 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0450 | Emergency room services | 32% | 8,019 | 7,047 | $3K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 13% | 1,091 | 1,044 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 6.1% | 2,323 | 2,108 | $620.55 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.4% | 175 | 173 | $545.44 |
| 70450 | Computed tomography, head or brain; without contrast material | 5.2% | 1,142 | 1,090 | $529.89 |
| 93976 | 4.1% | 342 | 331 | $416.50 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.7% | 1,944 | 1,795 | $369.42 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 3.5% | 3,129 | 2,799 | $356.97 |
| 96375 | Therapeutic injection; each additional sequential IV push | 3.1% | 2,047 | 1,561 | $315.55 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.1% | 450 | 407 | $310.62 |
| 80053 | Comprehensive metabolic panel | 2.3% | 3,978 | 3,420 | $227.81 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.2% | 1,330 | 1,139 | $221.62 |
141 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 5,789 | $214.38 |
| 71045 | Radiologic examination, chest; single view | 2.0% | 2,435 | $206.37 |
| 0760 | 1.8% | 562 | $184.14 | |
| 83880 | 1.6% | 1,125 | $158.96 | |
| 76830 | Ultrasound, transvaginal | <1% | 562 | $99.16 |
| 83690 | <1% | 2,093 | $89.12 | |
| 84484 | <1% | 2,075 | $87.82 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 831 | $85.35 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 351 | $75.00 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 1,229 | $74.29 |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 216 | $63.07 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,880 | $57.05 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 304 | $51.76 |
| 81001 | <1% | 2,410 | $45.34 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,011 | $39.66 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 674 | $38.89 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 275 | $25.00 |
| 84145 | <1% | 517 | $24.88 | |
| 81025 | <1% | 485 | $22.98 | |
| 84703 | <1% | 1,090 | $21.72 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 756 | $16.02 |
| 82947 | <1% | 486 | $7.78 | |
| 81003 | <1% | 982 | $7.72 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 146 | $7.18 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 641 | $5.21 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 368 | $5.14 |
| 86850 | <1% | 338 | $4.84 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,122 | $4.77 |
| 85610 | <1% | 825 | $2.13 | |
| 86901 | <1% | 606 | $2.11 | |
| 86900 | <1% | 606 | $1.48 | |
| 83735 | 0% | 929 | $0.00 | |
| 83605 | 0% | 538 | $0.00 | |
| 85027 | 0% | 376 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 228 | $0.00 |
| 80047 | 0% | 311 | $0.00 | |
| 86140 | 0% | 342 | $0.00 | |
| J2060 | Injection, lorazepam, 2 mg | 0% | 228 | $0.00 |
| 0306 | 0% | 152 | $0.00 | |
| 0310 | 0% | 78 | $0.00 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 0% | 124 | $0.00 |
| 97010 | 0% | 498 | $0.00 | |
| 0710 | 0% | 358 | $0.00 | |
| 0301 | 0% | 186 | $0.00 | |
| 76801 | 0% | 140 | $0.00 | |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 130 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 938 | $0.00 |
| 87205 | 0% | 29 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 789 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 190 | $0.00 |
| 96376 | 0% | 1,177 | $0.00 | |
| 82553 | 0% | 205 | $0.00 | |
| 87070 | 0% | 16 | $0.00 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 177 | $0.00 |
| 71275 | Computed tomographic angiography, chest, with contrast material | 0% | 217 | $0.00 |
| 85652 | 0% | 105 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 971 | $0.00 |
| 87040 | 0% | 546 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | $0.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 0% | 407 | $0.00 |
| 0171 | Inj, epinephrine (belcher) | 0% | 72 | $0.00 |
| 83615 | 0% | 19 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 269 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 111 | $0.00 |
| 87077 | 0% | 26 | $0.00 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 0% | 145 | $0.00 |
| 0258 | 0% | 336 | $0.00 | |
| A9585 | Injection, gadobutrol, 0.1 ml | 0% | 258 | $0.00 |
| 0270 | 0% | 8,971 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 314 | $0.00 |
| 82550 | 0% | 362 | $0.00 | |
| 76641 | 0% | 452 | $0.00 | |
| 0250 | 0% | 451 | $0.00 | |
| 0636 | 0% | 241 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 173 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 178 | $0.00 |
| 93971 | 0% | 54 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 94 | $0.00 |
| 0305 | 0% | 54 | $0.00 | |
| 82728 | 0% | 33 | $0.00 | |
| 85379 | 0% | 384 | $0.00 | |
| 87081 | 0% | 99 | $0.00 | |
| 0720 | 0% | 29 | $0.00 | |
| 85730 | 0% | 265 | $0.00 | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 0% | 51 | $0.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 74 | $0.00 |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 0% | 15 | $0.00 |
| 73221 | 0% | 31 | $0.00 | |
| 83520 | 0% | 12 | $0.00 | |
| 0324 | 0% | 15 | $0.00 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 16 | $0.00 |
| 0307 | 0% | 13 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 28 | $0.00 |
| 0272 | 0% | 457 | $0.00 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 69 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 960 | $0.00 |
| 72125 | Computed tomography, cervical spine; without contrast material | 0% | 314 | $0.00 |
| 84702 | 0% | 803 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 589 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 2,789 | $0.00 |
| 73630 | 0% | 69 | $0.00 | |
| 77080 | 0% | 171 | $0.00 | |
| 85014 | 0% | 197 | $0.00 | |
| 0360 | 0% | 145 | $0.00 | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 0% | 320 | $0.00 |
| 77066 | Tomosynthesis, mammo | 0% | 218 | $0.00 |
| 0160 | 0% | 864 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 253 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 343 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 1,182 | $0.00 |
| 80076 | 0% | 227 | $0.00 | |
| 77062 | 0% | 87 | $0.00 | |
| 0122 | 0% | 90 | $0.00 | |
| 0300 | 0% | 185 | $0.00 | |
| 73030 | 0% | 45 | $0.00 | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 0% | 29 | $0.00 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 594 | $0.00 |
| 77061 | 0% | 27 | $0.00 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 0% | 31 | $0.00 |
| 84100 | 0% | 73 | $0.00 | |
| 74018 | 0% | 41 | $0.00 | |
| 77065 | Tomosynthesis, mammo | 0% | 148 | $0.00 |
| 85007 | 0% | 33 | $0.00 | |
| 72141 | 0% | 86 | $0.00 | |
| 0302 | 0% | 81 | $0.00 | |
| 72100 | 0% | 91 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 351 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 60 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 787 | $0.00 |
| 80061 | Lipid panel | 0% | 16 | $0.00 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 0% | 218 | $0.00 |
| 76642 | 0% | 52 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 73610 | 0% | 14 | $0.00 | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 0% | 29 | $0.00 |
| 71250 | 0% | 19 | $0.00 | |
| 73562 | 0% | 99 | $0.00 | |
| 73130 | 0% | 13 | $0.00 | |
| 87631 | 0% | 14 | $0.00 | |
| 93970 | 0% | 13 | $0.00 | |
| 0730 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent organizationMISSION HOSPITAL REGIONAL MEDICAL CENTER
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.