Medicaid Provider Spending

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1043292303 · FORTUNA, CA 95540 · Critical Access Hospital · NPI assigned 11/14/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$8.55M
Total Medicaid Paid
195,001
Total Claims
159,966
Beneficiaries
154
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationST. JOSEPH HEALTH SYSTEM
NPI Enumeration Date11/14/2005

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25,434 $1.10M
2020 31,114 $1.49M
2021 36,143 $1.61M
2022 39,722 $1.60M
2023 37,328 $1.65M
2024 25,260 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 16,396 14,274 $2.75M
99281 Emergency department visit for the evaluation and management, self-limited or minor 17,002 15,340 $1.35M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,878 2,501 $419K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,176 1,160 $367K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,290 3,058 $262K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 670 668 $224K
J3490 Unclassified drugs 19,067 9,704 $204K
70450 Computed tomography, head or brain; without contrast material 1,027 995 $202K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,452 4,122 $172K
96375 Therapeutic injection; each additional sequential IV push 2,842 2,554 $168K
99201 1,257 656 $145K
97750 1,537 1,102 $124K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,118 1,030 $121K
97139 2,932 631 $117K
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 1,345 1,315 $108K
80053 Comprehensive metabolic panel 11,820 10,586 $105K
96361 Intravenous infusion, hydration; each additional hour 2,178 1,992 $100K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,218 12,566 $88K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,533 1,378 $78K
71046 Radiologic examination, chest; 2 views 2,451 2,402 $71K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 477 293 $70K
76705 Ultrasound, abdominal, real time with image documentation; limited 782 769 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,938 1,799 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,159 1,104 $58K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 610 602 $57K
71045 Radiologic examination, chest; single view 2,601 2,419 $52K
76830 Ultrasound, transvaginal 504 497 $46K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,703 1,680 $45K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,331 2,285 $44K
77067 Screening mammography, bilateral, including computer-aided detection 308 308 $43K
84443 Thyroid stimulating hormone (TSH) 3,585 3,500 $42K
74176 Computed tomography, abdomen and pelvis; without contrast material 185 184 $34K
76700 Ultrasound, abdominal, real time with image documentation; complete 273 272 $33K
76770 236 235 $31K
84484 2,484 2,045 $26K
J2704 Injection, propofol, 10 mg 1,886 1,595 $25K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 731 642 $24K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 168 165 $24K
73030 535 519 $22K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 131 112 $21K
73630 563 556 $21K
83880 728 666 $21K
73562 514 503 $18K
87631 287 274 $18K
59025 Fetal non-stress test 516 205 $17K
80061 Lipid panel 1,809 1,796 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,034 2,768 $16K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 179 172 $16K
83690 2,902 2,729 $16K
73610 395 388 $15K
87040 1,246 837 $15K
80048 Basic metabolic panel (calcium, ionized) 2,150 1,981 $15K
83605 1,438 1,209 $15K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,220 2,078 $14K
87086 Culture, bacterial; quantitative colony count, urine 2,194 2,087 $14K
72100 265 263 $13K
73110 315 300 $12K
84439 1,857 1,833 $12K
83036 Hemoglobin; glycosylated (A1C) 1,709 1,687 $12K
97010 305 69 $11K
81001 3,354 3,172 $11K
73130 272 261 $11K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 446 435 $11K
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 166 155 $10K
J2270 Injection, morphine sulfate, up to 10 mg 1,094 939 $10K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,601 1,533 $10K
83735 1,371 1,201 $8K
80305 683 648 $8K
87186 865 847 $7K
85610 1,737 1,654 $6K
87077 833 815 $6K
76536 66 66 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 1,073 965 $6K
81003 2,888 2,766 $6K
97799 146 25 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 45 14 $5K
72125 Computed tomography, cervical spine; without contrast material 13 13 $5K
J1170 Injection, hydromorphone, up to 4 mg 500 420 $5K
86140 1,233 1,174 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 248 245 $4K
81025 1,348 1,303 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 431 415 $4K
99238 Hospital discharge day management, 30 minutes or less 82 79 $3K
72040 81 80 $3K
85379 439 426 $3K
99460 55 54 $3K
85652 1,250 1,205 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 44 43 $3K
84702 197 136 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 393 335 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 409 386 $2K
86003 26 26 $2K
93971 13 13 $2K
82962 763 593 $2K
71275 Computed tomographic angiography, chest, with contrast material 12 12 $2K
87081 463 462 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 267 227 $2K
85027 318 307 $2K
86850 694 657 $2K
J0690 Injection, cefazolin sodium, 500 mg 218 207 $2K
83540 391 380 $2K
87400 179 177 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 58 57 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 58 57 $2K
86780 150 145 $1K
90715 25 25 $1K
74018 45 42 $1K
83550 232 229 $1K
82550 245 235 $1K
82077 85 80 $1K
Z9725 26 26 $1K
86901 463 436 $1K
86900 463 435 $1K
J2060 Injection, lorazepam, 2 mg 150 131 $1K
82607 97 96 $1K
82728 111 107 $1K
72110 13 13 $975.35
87340 134 131 $944.69
86803 85 84 $867.71
99070 28 27 $850.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 22 12 $780.88
96367 14 13 $768.46
82570 209 174 $751.07
J7030 Infusion, normal saline solution , 1000 cc 84 77 $699.54
J2765 Injection, metoclopramide hcl, up to 10 mg 78 70 $677.27
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 115 115 $642.85
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 26 26 $627.12
82746 45 45 $561.79
86696 27 27 $507.76
86695 27 27 $432.32
86762 45 39 $402.46
85730 85 78 $359.73
J7120 Ringers lactate infusion, up to 1000 cc 51 50 $359.48
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 48 47 $355.92
73140 13 12 $337.05
82105 39 39 $273.00
80143 13 12 $269.88
87205 71 63 $256.17
80179 14 13 $233.25
87147 66 66 $228.49
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 13 $209.78
J2550 Injection, promethazine hcl, up to 50 mg 28 25 $192.95
87070 28 27 $164.39
84403 13 13 $153.63
86141 16 16 $143.20
87420 40 36 $93.60
87088 14 14 $87.96
J1596 Injection, glycopyrrolate, 0.1 mg 14 14 $81.04
86592 27 27 $78.84
82785 14 14 $78.53
36415 Collection of venous blood by venipuncture 14 12 $65.52
83615 17 12 $61.76
84156 15 13 $44.37
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 38 38 $0.76