Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Whittier › NPI 1043215379
Hospital

Pih Health Whittier Hospital

Pih Health Whittier Hospital was paid $26.12M by Medicaid between Jan 2018 and Nov 2024, across 284 billing codes. Its largest line is 0450, Emergency room services — 18% of everything it billed.

33Billing provider infoPIH HEALTH WHITTIER HOSPITAL
WHITTIER, CA 90602
33aNPI1043215379assigned 06/14/2005
28Total paid$26.12M
24GClaims1,117,981
24DCodes billed284
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#101 of 410
Median peer was paid$6.90M
This provider vs. median3.8×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018176,122$3.46M
2019171,238$4.76M
2020133,524$3.38M
2021147,164$3.82M
2022156,555$3.93M
2023184,529$4.05M
2024incomplete148,849$2.71M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 18% 125,607 111,523 $4.64M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.9% 10,510 10,065 $1.53M
0270 5.8% 32,035 18,459 $1.51M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.9% 24,152 21,952 $1.01M
70450 Computed tomography, head or brain; without contrast material 3.6% 10,432 9,954 $950K
J3490 Unclassified drugs 3.0% 53,808 29,923 $786K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.8% 7,379 6,898 $738K
0214 2.4% 269 233 $619K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.4% 12,714 11,389 $618K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.4% 34,787 31,250 $618K
0250 2.0% 26,918 16,326 $531K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.0% 5,214 4,859 $521K
272 more codes
96375 Therapeutic injection; each additional sequential IV push 1.9% 18,283 $494K
Z7502 1.8% 13,039 $465K
80048 Basic metabolic panel (calcium, ionized) 1.6% 65,529 $415K
93975 1.4% 2,884 $373K
71045 Radiologic examination, chest; single view 1.4% 34,418 $372K
0300 1.4% 1,045 $365K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.4% 69,409 $360K
99285 Emergency room visit (most serious) 1.4% 1,188 $353K
0360 1.3% 2,775 $336K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 6,517 $324K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 9,170 $323K
99199 Unlisted special service, procedure or report 1.2% 10,379 $314K
0121 <1% 131 $260K
72125 Computed tomography, cervical spine; without contrast material <1% 2,037 $241K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,837 $226K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,772 $215K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,385 $212K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,498 $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 <1% 4,365 $187K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,597 $183K
0762 <1% 2,303 $168K
84484 <1% 22,760 $158K
96361 Intravenous infusion, hydration; each additional hour <1% 10,119 $150K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,309 $145K
80076 <1% 22,113 $141K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 14,749 $127K
76830 Ultrasound, transvaginal <1% 2,769 $126K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,925 $119K
76801 <1% 3,163 $117K
0279 <1% 2,617 $116K
93970 <1% 1,219 $115K
78815 Positron emission tomography (PET) for limited area imaging <1% 355 $114K
93971 <1% 1,634 $113K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,521 $107K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,673 $100K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 785 $99K
87634 <1% 2,517 $94K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,522 $92K
83690 <1% 18,718 $86K
87086 Culture, bacterial; quantitative colony count, urine <1% 15,073 $85K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,549 $84K
71046 Radiologic examination, chest; 2 views <1% 5,070 $84K
84703 <1% 19,340 $82K
0160 <1% 3,035 $80K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 404 $79K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,638 $78K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,030 $75K
J2270 Injection, morphine sulfate, up to 10 mg <1% 12,121 $73K
81003 <1% 38,909 $69K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,594 $69K
73564 <1% 3,129 $68K
0301 <1% 1,160 $65K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 2,448 $61K
0710 <1% 2,109 $60K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,732 $59K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,953 $57K
90715 <1% 1,903 $55K
Z9725 <1% 1,252 $54K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,202 $53K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 8,203 $51K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,438 $50K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,434 $50K
J7030 Infusion, normal saline solution , 1000 cc <1% 8,142 $50K
72100 <1% 2,375 $50K
73610 <1% 2,832 $50K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,479 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 12,599 $49K
83880 <1% 2,824 $49K
73630 <1% 2,843 $47K
L3650 Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf <1% 1,554 $46K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,809 $43K
73030 <1% 2,504 $42K
73130 <1% 2,161 $40K
J2704 Injection, propofol, 10 mg <1% 3,182 $38K
0320 <1% 977 $37K
87040 <1% 4,414 $37K
73110 <1% 1,842 $37K
70486 <1% 430 $37K
80053 Comprehensive metabolic panel <1% 2,296 $35K
84702 <1% 3,247 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,168 $28K
J7050 Infusion, normal saline solution, 250 cc <1% 4,397 $28K
96367 <1% 942 $27K
83735 <1% 6,591 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,049 $26K
97161 <1% 1,829 $26K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 228 $25K
81025 <1% 5,753 $24K
84443 Thyroid stimulating hormone (TSH) <1% 2,760 $24K
73080 <1% 1,301 $23K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,754 $23K
87186 <1% 3,924 $22K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 850 $22K
A0429 Emergency ambulance ride, basic life support <1% 680 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 4,097 $20K
83605 <1% 2,991 $20K
82805 <1% 729 $19K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 296 $18K
36000 <1% 4,679 $17K
82947 <1% 5,957 $17K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,034 $17K
71250 <1% 312 $17K
S0077 Injection, clindamycin phosphate, 300 mg <1% 437 $16K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 928 $16K
84100 <1% 5,786 $16K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 758 $16K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 310 $16K
85730 <1% 4,010 $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 <1% 861 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,806 $15K
73502 <1% 773 $15K
99000 <1% 4,938 $14K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,349 $14K
70551 Magnetic resonance imaging, brain; without contrast material <1% 149 $14K
27502 <1% 131 $14K
82948 <1% 4,149 $13K
85610 <1% 5,073 $13K
10060 <1% 1,058 $13K
84439 <1% 2,171 $12K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,927 $12K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 231 $12K
71101 <1% 428 $12K
12001 <1% 764 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,600 $11K
0730 <1% 484 $10K
73140 <1% 894 $10K
73590 <1% 694 $9K
76870 <1% 323 $9K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,077 $9K
Z7610 <1% 1,212 $9K
29125 <1% 801 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 381 $9K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,409 $9K
87807 <1% 1,115 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 92 $9K
J2060 Injection, lorazepam, 2 mg <1% 2,075 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,952 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,872 $8K
77066 Tomosynthesis, mammo <1% 539 $8K
87077 <1% 1,762 $8K
86901 <1% 3,320 $8K
J0780 Injection, prochlorperazine, up to 10 mg <1% 900 $8K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,764 $8K
J1953 Injection, levetiracetam, 10 mg <1% 59 $8K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,858 $8K
86900 <1% 3,319 $8K
87581 <1% 400 $8K
87486 <1% 400 $8K
A9270 Non-covered item or service <1% 3,566 $8K
J1815 Injection, insulin, per 5 units <1% 1,798 $7K
70496 <1% 88 $7K
74018 <1% 648 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 390 $7K
72050 <1% 284 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 126 $7K
87081 <1% 1,698 $7K
99070 <1% 1,540 $7K
85378 <1% 1,210 $7K
86140 <1% 1,951 $6K
73090 <1% 394 $6K
70498 <1% 45 $6K
J2785 Injection, regadenoson, 0.1 mg <1% 77 $6K
76642 <1% 669 $6K
36415 Collection of venous blood by venipuncture <1% 4,065 $6K
80061 Lipid panel <1% 1,044 $6K
87210 <1% 1,672 $5K
85027 <1% 1,541 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 660 $5K
72072 <1% 203 $5K
0370 <1% 376 $5K
76813 <1% 174 $4K
73562 <1% 303 $4K
76775 <1% 69 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 734 $3K
0294 <1% 580 $3K
12011 <1% 233 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 94 $3K
86850 <1% 883 $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 <1% 94 $3K
G0378 Hospital observation service, per hour <1% 65 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 81 $3K
A4649 Surgical supply; miscellaneous <1% 1,542 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 59 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,767 $2K
0637 <1% 1,021 $2K
72040 <1% 91 $2K
J3360 Injection, diazepam, up to 5 mg <1% 163 $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 <1% 312 $2K
0272 <1% 1,080 $2K
0760 <1% 561 $2K
77336 <1% 31 $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) <1% 12 $2K
29515 <1% 343 $2K
93017 <1% 94 $2K
96415 <1% 280 $2K
82010 <1% 283 $2K
71010 <1% 126 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 78 $1K
A4217 Sterile water/saline, 500 ml <1% 144 $1K
87070 <1% 269 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 27 $1K
82550 <1% 307 $1K
76536 <1% 108 $1K
88312 <1% 66 $1K
77065 Tomosynthesis, mammo <1% 90 $1K
74022 <1% 53 $1K
59025 Fetal non-stress test <1% 331 $1K
72141 <1% 27 $987.18
96376 <1% 45 $967.95
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 288 $957.06
97162 <1% 152 $928.56
70360 <1% 16 $840.21
77080 <1% 78 $727.86
J3370 Injection, vancomycin hcl, 500 mg <1% 64 $709.77
71020 <1% 34 $699.15
J8540 Dexamethasone, oral, 0.25 mg <1% 163 $684.27
72131 <1% 12 $628.27
J3475 Injection, magnesium sulfate, per 500 mg <1% 85 $618.36
29130 <1% 127 $604.36
J1630 Injection, haloperidol, up to 5 mg <1% 137 $571.62
0510 <1% 171 $564.42
12002 <1% 67 $531.96
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 62 $528.82
J0360 Injection, hydralazine hcl, up to 20 mg <1% 93 $510.03
81001 <1% 642 $426.80
J7510 Prednisolone oral, per 5 mg <1% 90 $423.39
73660 <1% 36 $386.38
82728 <1% 215 $363.82
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 61 $349.69
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 27 $327.10
85651 <1% 214 $291.61
J7060 5% dextrose/water (500 ml = 1 unit) <1% 122 $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 <1% 296 $280.00
J1940 Injection, furosemide, up to 20 mg <1% 55 $277.79
82570 <1% 295 $241.64
74183 <1% 12 $228.02
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 49 $221.74
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 32 $199.84
82077 <1% 60 $185.26
S0164 Injection, pantoprazole sodium, 40 mg <1% 17 $181.70
J7120 Ringers lactate infusion, up to 1000 cc <1% 41 $167.28
83550 <1% 207 $157.18
J1644 Injection, heparin sodium, per 1000 units <1% 53 $149.51
73060 <1% 14 $137.23
83540 <1% 205 $129.16
73552 <1% 13 $125.93
82746 <1% 65 $121.46
J0736 Injection, clindamycin phosphate, 300 mg <1% 12 $108.54
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 34 $97.07
J1453 Injection, fosaprepitant, 1 mg <1% 12 $89.75
J1171 Injection, hydromorphone, 0.1 mg <1% 12 $85.74
82607 <1% 40 $81.43
94060 <1% 27 $70.69
82140 <1% 14 $63.48
84132 <1% 15 $40.03
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg <1% 14 $38.39
84156 <1% 44 $32.61
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 13 $25.53
J2469 Injection, palonosetron hcl, 25 mcg <1% 13 $17.90
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 15 $12.52
0258 <1% 29 $5.78
0761 <1% 153 $1.70
99072 <1% 150 $0.23
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 0% 260 $0.00
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 0% 25 $0.00
97802 0% 14 $0.00
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 0% 66 $0.00
82043 0% 86 $0.00
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 0% 34 $0.00
77062 0% 71 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 13 $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 0% 30 $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 officialPONCE (AKA CARLSON), SUE (SPECIAL PROJECTS)
Same official

Other billing entities under PONCE (AKA CARLSON), SUE

Full network →
ProviderLocationPaid
Pih Health Downey HospitalDowney, CA$25.37M
Pih Health Whittier HospitalLa Mirada, CA$1.53M
Pih Health Whittier HospitalLa Mirada, CA$91K
Pih Health Whittier HospitalWhittier, CA$12K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.