Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIH HEALTH WHITTIER HOSPITAL

NPI: 1043215379 · WHITTIER, CA 90602 · General Acute Care Hospital · NPI assigned 06/14/2005

$26.12M
Total Medicaid Paid
1,117,981
Total Claims
961,682
Beneficiaries
284
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPONCE (AKA CARLSON), SUE (SPECIAL PROJECTS)
NPI Enumeration Date06/14/2005

Related Entities

Other providers sharing the same authorized official: PONCE (AKA CARLSON), SUE

ProviderCityStateTotal Paid
PIH HEALTH DOWNEY HOSPITAL DOWNEY CA $25.37M
PIH HEALTH WHITTIER HOSPITAL LA MIRADA CA $1.53M
PIH HEALTH WHITTIER HOSPITAL LA MIRADA CA $91K
PIH HEALTH WHITTIER HOSPITAL WHITTIER CA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 176,122 $3.46M
2019 171,238 $4.76M
2020 133,524 $3.38M
2021 147,164 $3.82M
2022 156,555 $3.93M
2023 184,529 $4.05M
2024 148,849 $2.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 125,607 111,523 $4.64M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,510 10,065 $1.53M
0270 32,035 18,459 $1.51M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 24,152 21,952 $1.01M
70450 Computed tomography, head or brain; without contrast material 10,432 9,954 $950K
J3490 Unclassified drugs 53,808 29,923 $786K
99284 Emergency department visit for the evaluation and management, high severity 7,379 6,898 $738K
0214 269 233 $619K
99281 Emergency department visit for the evaluation and management, self-limited or minor 12,714 11,389 $618K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 34,787 31,250 $618K
0250 26,918 16,326 $531K
99283 Emergency department visit for the evaluation and management, moderate severity 5,214 4,859 $521K
96375 Therapeutic injection; each additional sequential IV push 18,283 16,056 $494K
Z7502 13,039 12,831 $465K
80048 Basic metabolic panel (calcium, ionized) 65,529 58,431 $415K
93975 2,884 2,763 $373K
71045 Radiologic examination, chest; single view 34,418 32,093 $372K
0300 1,045 923 $365K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 69,409 61,870 $360K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,188 1,130 $353K
0360 2,775 2,486 $336K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,517 5,934 $324K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,170 8,700 $323K
99199 Unlisted special service, procedure or report 10,379 9,511 $314K
0121 131 125 $260K
72125 Computed tomography, cervical spine; without contrast material 2,037 1,976 $241K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,837 2,757 $226K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,772 5,360 $215K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,385 5,171 $212K
71275 Computed tomographic angiography, chest, with contrast material 1,498 1,448 $201K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 4,365 3,763 $187K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,597 8,664 $183K
0762 2,303 1,331 $168K
84484 22,760 20,490 $158K
96361 Intravenous infusion, hydration; each additional hour 10,119 9,223 $150K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,309 3,166 $145K
80076 22,113 20,354 $141K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14,749 13,692 $127K
76830 Ultrasound, transvaginal 2,769 2,654 $126K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,925 2,800 $119K
76801 3,163 2,785 $117K
0279 2,617 2,422 $116K
93970 1,219 1,173 $115K
78815 Positron emission tomography (PET) for limited area imaging 355 354 $114K
93971 1,634 1,584 $113K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,521 2,457 $107K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,673 2,297 $100K
99282 Emergency department visit for the evaluation and management, low to moderate severity 785 741 $99K
87634 2,517 2,454 $94K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,522 13,173 $92K
83690 18,718 17,234 $86K
87086 Culture, bacterial; quantitative colony count, urine 15,073 14,148 $85K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,549 1,525 $84K
71046 Radiologic examination, chest; 2 views 5,070 4,793 $84K
84703 19,340 17,843 $82K
0160 3,035 1,957 $80K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 404 389 $79K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,638 1,584 $78K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,030 1,014 $75K
J2270 Injection, morphine sulfate, up to 10 mg 12,121 10,262 $73K
81003 38,909 35,241 $69K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,594 4,102 $69K
73564 3,129 2,962 $68K
0301 1,160 990 $65K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 2,448 2,383 $61K
0710 2,109 2,033 $60K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,732 1,559 $59K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,953 1,472 $57K
90715 1,903 1,856 $55K
Z9725 1,252 1,247 $54K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,202 1,156 $53K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,203 3,391 $51K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,438 2,327 $50K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,434 2,327 $50K
J7030 Infusion, normal saline solution , 1000 cc 8,142 7,235 $50K
72100 2,375 2,311 $50K
73610 2,832 2,719 $50K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,479 10,738 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,599 4,664 $49K
83880 2,824 2,633 $49K
73630 2,843 2,731 $47K
L3650 Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf 1,554 1,499 $46K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,809 4,542 $43K
73030 2,504 2,349 $42K
73130 2,161 2,063 $40K
J2704 Injection, propofol, 10 mg 3,182 3,067 $38K
0320 977 897 $37K
87040 4,414 3,313 $37K
73110 1,842 1,772 $37K
70486 430 418 $37K
80053 Comprehensive metabolic panel 2,296 2,031 $35K
84702 3,247 2,741 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,168 1,110 $28K
J7050 Infusion, normal saline solution, 250 cc 4,397 3,606 $28K
96367 942 763 $27K
83735 6,591 5,993 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,049 3,818 $26K
97161 1,829 1,773 $26K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 228 223 $25K
81025 5,753 5,555 $24K
84443 Thyroid stimulating hormone (TSH) 2,760 2,644 $24K
73080 1,301 1,251 $23K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,754 2,504 $23K
87186 3,924 3,738 $22K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 850 837 $22K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 680 400 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,097 3,161 $20K
83605 2,991 2,740 $20K
82805 729 651 $19K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 296 295 $18K
36000 4,679 4,521 $17K
82947 5,957 5,033 $17K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,034 961 $17K
71250 312 310 $17K
S0077 Injection, clindamycin phosphate, 300 mg 437 419 $16K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 928 909 $16K
84100 5,786 5,294 $16K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 758 664 $16K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 310 307 $16K
85730 4,010 3,744 $15K
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 861 368 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,806 3,410 $15K
73502 773 737 $15K
99000 4,938 4,825 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,349 1,265 $14K
70551 Magnetic resonance imaging, brain; without contrast material 149 146 $14K
27502 131 127 $14K
82948 4,149 3,614 $13K
85610 5,073 4,714 $13K
10060 1,058 1,002 $13K
84439 2,171 2,085 $12K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,927 2,747 $12K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 231 220 $12K
71101 428 409 $12K
12001 764 746 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,600 1,099 $11K
0730 484 436 $10K
73140 894 873 $10K
73590 694 663 $9K
76870 323 309 $9K
J0690 Injection, cefazolin sodium, 500 mg 1,077 954 $9K
Z7610 1,212 758 $9K
29125 801 775 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 381 366 $9K
J1170 Injection, hydromorphone, up to 4 mg 1,409 1,185 $9K
87807 1,115 1,015 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 92 88 $9K
J2060 Injection, lorazepam, 2 mg 2,075 1,794 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,952 1,889 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,872 1,801 $8K
77066 Tomosynthesis, mammo 539 539 $8K
87077 1,762 1,704 $8K
86901 3,320 3,099 $8K
J0780 Injection, prochlorperazine, up to 10 mg 900 855 $8K
77067 Screening mammography, bilateral, including computer-aided detection 1,764 1,763 $8K
J1953 Injection, levetiracetam, 10 mg 59 51 $8K
J3010 Injection, fentanyl citrate, 0.1 mg 1,858 1,741 $8K
86900 3,319 3,093 $8K
87581 400 385 $8K
87486 400 385 $8K
A9270 Non-covered item or service 3,566 1,915 $8K
J1815 Injection, insulin, per 5 units 1,798 1,210 $7K
70496 88 85 $7K
74018 648 634 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 390 384 $7K
72050 284 280 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 126 126 $7K
87081 1,698 1,637 $7K
99070 1,540 921 $7K
85378 1,210 1,175 $7K
86140 1,951 1,853 $6K
73090 394 382 $6K
70498 45 44 $6K
J2785 Injection, regadenoson, 0.1 mg 77 74 $6K
76642 669 665 $6K
36415 Collection of venous blood by venipuncture 4,065 3,572 $6K
80061 Lipid panel 1,044 1,006 $6K
87210 1,672 1,601 $5K
85027 1,541 1,429 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 660 272 $5K
72072 203 200 $5K
0370 376 360 $5K
76813 174 174 $4K
73562 303 288 $4K
76775 69 67 $4K
83036 Hemoglobin; glycosylated (A1C) 734 712 $3K
0294 580 348 $3K
12011 233 224 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 94 87 $3K
86850 883 842 $3K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 94 83 $3K
G0378 Hospital observation service, per hour 65 53 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 81 75 $3K
A4649 Surgical supply; miscellaneous 1,542 952 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 59 58 $2K
77063 Screening digital breast tomosynthesis, bilateral 1,767 1,766 $2K
0637 1,021 436 $2K
72040 91 91 $2K
J3360 Injection, diazepam, up to 5 mg 163 118 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 312 304 $2K
0272 1,080 907 $2K
0760 561 463 $2K
77336 31 15 $2K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 12 12 $2K
29515 343 334 $2K
93017 94 90 $2K
96415 280 231 $2K
82010 283 251 $2K
71010 126 72 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 78 69 $1K
A4217 Sterile water/saline, 500 ml 144 133 $1K
87070 269 250 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 27 27 $1K
82550 307 290 $1K
76536 108 108 $1K
88312 66 66 $1K
77065 Tomosynthesis, mammo 90 90 $1K
74022 53 49 $1K
59025 Fetal non-stress test 331 94 $1K
72141 27 27 $987.18
96376 45 38 $967.95
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 288 192 $957.06
97162 152 147 $928.56
70360 16 16 $840.21
77080 78 78 $727.86
J3370 Injection, vancomycin hcl, 500 mg 64 59 $709.77
71020 34 22 $699.15
J8540 Dexamethasone, oral, 0.25 mg 163 144 $684.27
72131 12 12 $628.27
J3475 Injection, magnesium sulfate, per 500 mg 85 77 $618.36
29130 127 124 $604.36
J1630 Injection, haloperidol, up to 5 mg 137 123 $571.62
0510 171 142 $564.42
12002 67 66 $531.96
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 62 62 $528.82
J0360 Injection, hydralazine hcl, up to 20 mg 93 89 $510.03
81001 642 616 $426.80
J7510 Prednisolone oral, per 5 mg 90 86 $423.39
73660 36 36 $386.38
82728 215 195 $363.82
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 61 58 $349.69
J0171 Injection, adrenalin, epinephrine, 0.1 mg 27 25 $327.10
85651 214 210 $291.61
J7060 5% dextrose/water (500 ml = 1 unit) 122 68 $287.70
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 296 290 $280.00
J1940 Injection, furosemide, up to 20 mg 55 50 $277.79
82570 295 283 $241.64
74183 12 12 $228.02
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 49 25 $221.74
S0020 Injection, bupivicaine hydrochloride, 30 ml 32 29 $199.84
82077 60 57 $185.26
S0164 Injection, pantoprazole sodium, 40 mg 17 14 $181.70
J7120 Ringers lactate infusion, up to 1000 cc 41 37 $167.28
83550 207 190 $157.18
J1644 Injection, heparin sodium, per 1000 units 53 39 $149.51
73060 14 14 $137.23
83540 205 187 $129.16
73552 13 12 $125.93
82746 65 63 $121.46
J0736 Injection, clindamycin phosphate, 300 mg 12 12 $108.54
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 34 31 $97.07
J1453 Injection, fosaprepitant, 1 mg 12 12 $89.75
J1171 Injection, hydromorphone, 0.1 mg 12 12 $85.74
82607 40 38 $81.43
94060 27 27 $70.69
82140 14 13 $63.48
84132 15 13 $40.03
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 14 12 $38.39
84156 44 38 $32.61
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 13 $25.53
J2469 Injection, palonosetron hcl, 25 mcg 13 12 $17.90
76700 Ultrasound, abdominal, real time with image documentation; complete 15 15 $12.52
0258 29 26 $5.78
0761 153 51 $1.70
99072 150 111 $0.23
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 260 172 $0.00
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 25 12 $0.00
97802 14 14 $0.00
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 66 16 $0.00
82043 86 85 $0.00
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 34 18 $0.00
77062 71 71 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 13 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 30 28 $0.00