Hospital
ST. Joseph Health Northern California, LLC
ST. Joseph Health Northern California, LLC was paid $4.55M by Medicaid between Jan 2018 and Apr 2019, across 130 billing codes. Its largest line is 99283, emergency room visit (moderate) — 26% of everything it billed.
33Billing provider infoST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
NAPA, CA 94558
NAPA, CA 94558
33aNPI1013080084assigned 11/16/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.55M
24GClaims95,345
24DCodes billed130
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other General Acute Care Hospital providers in California
Rank by total paid#232 of 410
Median peer was paid$6.90M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2018 | 77,670 | $3.80M | |
| 2019 | 17,675 | $746K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 26% | 14,980 | 12,690 | $1.18M |
| 97139 | 14% | 16,738 | 3,088 | $639K | |
| J3490 | Unclassified drugs | 6.4% | 12,487 | 5,803 | $291K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 4.4% | 481 | 466 | $199K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.4% | 1,663 | 1,517 | $156K |
| 97750 | 2.6% | 1,622 | 950 | $118K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.4% | 596 | 595 | $107K |
| 96375 | Therapeutic injection; each additional sequential IV push | 2.0% | 1,416 | 1,167 | $89K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.9% | 849 | 324 | $88K |
| 97799 | 1.9% | 2,348 | 466 | $88K | |
| 87631 | 1.7% | 668 | 651 | $78K | |
| 70450 | Computed tomography, head or brain; without contrast material | 1.7% | 364 | 358 | $78K |
118 more codes
| 99201 | 1.6% | 1,373 | $72K | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 1.6% | 299 | $70K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 1.3% | 1,612 | $58K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 1.2% | 136 | $56K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1.2% | 1,126 | $53K |
| J2704 | Injection, propofol, 10 mg | 1.2% | 764 | $53K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.1% | 1,345 | $52K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 1,055 | $48K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 124 | $43K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,295 | $40K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 373 | $37K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 312 | $37K |
| 80053 | Comprehensive metabolic panel | <1% | 2,569 | $36K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 299 | $35K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,095 | $32K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 363 | $28K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 667 | $27K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 282 | $26K |
| 97803 | <1% | 255 | $26K | |
| 59025 | Fetal non-stress test | <1% | 704 | $23K |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 791 | $22K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,157 | $20K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 243 | $20K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 657 | $20K |
| 97802 | <1% | 109 | $20K | |
| 71045 | Radiologic examination, chest; single view | <1% | 1,030 | $19K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 833 | $19K |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | <1% | 53 | $18K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 25 | $17K |
| G0202 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed | <1% | 89 | $16K |
| 97164 | <1% | 224 | $16K | |
| 76770 | <1% | 185 | $14K | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,148 | $14K |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 495 | $13K |
| 73221 | <1% | 26 | $12K | |
| 99152 | <1% | 220 | $12K | |
| 84484 | <1% | 710 | $12K | |
| 76830 | Ultrasound, transvaginal | <1% | 119 | $11K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 239 | $11K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 187 | $11K |
| 83690 | <1% | 1,097 | $10K | |
| 73630 | <1% | 291 | $10K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 323 | $9K |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 528 | $9K |
| 73610 | <1% | 235 | $9K | |
| 73560 | <1% | 331 | $8K | |
| 73030 | <1% | 228 | $8K | |
| 93971 | <1% | 56 | $8K | |
| 73130 | <1% | 212 | $8K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 96 | $7K |
| 83605 | <1% | 489 | $7K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 441 | $7K |
| 72100 | <1% | 174 | $7K | |
| 76641 | <1% | 54 | $7K | |
| 87040 | <1% | 312 | $7K | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 357 | $7K |
| 81003 | <1% | 1,896 | $7K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 60 | $7K |
| Z7502 | <1% | 198 | $7K | |
| 90715 | <1% | 97 | $6K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 25 | $6K |
| 73110 | <1% | 165 | $6K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 15 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 518 | $6K |
| 83735 | <1% | 552 | $5K | |
| 83880 | <1% | 106 | $5K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 14 | $5K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 406 | $4K |
| 81025 | <1% | 728 | $4K | |
| 71250 | <1% | 25 | $4K | |
| G0206 | Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral | <1% | 22 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 312 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 26 | $3K |
| 85610 | <1% | 620 | $3K | |
| 82947 | <1% | 410 | $3K | |
| 87077 | <1% | 251 | $3K | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 293 | $3K |
| 87081 | <1% | 249 | $2K | |
| 88342 | <1% | 85 | $2K | |
| 88313 | <1% | 93 | $2K | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 60 | $2K |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 161 | $2K |
| 87186 | <1% | 178 | $2K | |
| 76801 | <1% | 14 | $2K | |
| J2060 | Injection, lorazepam, 2 mg | <1% | 160 | $2K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 13 | $2K |
| 82330 | <1% | 60 | $2K | |
| 80306 | <1% | 40 | $2K | |
| 73562 | <1% | 40 | $1K | |
| 80047 | <1% | 116 | $1K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 29 | $1K |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 107 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 57 | $1K |
| 73502 | <1% | 26 | $1K | |
| 73140 | <1% | 44 | $1K | |
| 76536 | <1% | 12 | $848.30 | |
| 0450 | Emergency room services | <1% | 17 | $728.98 |
| 85379 | <1% | 45 | $698.34 | |
| 86901 | <1% | 147 | $678.73 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 24 | $652.51 |
| 72050 | <1% | 12 | $643.80 | |
| 86900 | <1% | 133 | $607.38 | |
| 84132 | <1% | 78 | $513.27 | |
| 82565 | <1% | 59 | $480.74 | |
| 74018 | <1% | 12 | $475.68 | |
| 29125 | <1% | 40 | $461.37 | |
| 84520 | <1% | 71 | $422.27 | |
| 84295 | <1% | 60 | $371.37 | |
| Z7610 | <1% | 62 | $349.84 | |
| 82248 | <1% | 41 | $342.35 | |
| 82435 | <1% | 58 | $329.74 | |
| 85014 | <1% | 74 | $304.62 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $175.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $175.00 |
| 86850 | <1% | 41 | $162.99 | |
| 85730 | <1% | 12 | $122.16 | |
| 85027 | <1% | 12 | $82.94 | |
| 85007 | <1% | 12 | $39.38 |
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 organizationST JOSEPH HEALTH SYSTEM
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.