Medicaid Provider Spending

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

ALTA NEWPORT HOSPITAL, LLC

NPI: 1043632938 · TUSTIN, CA 92780 · General Acute Care Hospital · NPI assigned 01/10/2014

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

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$1.16M
Total Medicaid Paid
132,051
Total Claims
101,968
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date01/10/2014

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal Paid
PROSPECT WATERBURY, INC. WATERBURY CT $84.62M
PROSPECT MANCHESTER HOSPITAL, INC. MANCHESTER CT $69.20M
PROSPECT CHARTERCARE RWMC, LLC PROVIDENCE RI $57.10M
PROSPECT CCMC, LLC CHESTER PA $40.89M
PROSPECT CT MEDICAL FOUNDATION, INC. MANCHESTER CT $34.07M
PROSPECT ROCKVILLE HOSPITAL, INC. VERNON CT $30.06M
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $10.94M
PROSPECT DCMH, LLC DREXEL HILL PA $10.37M
PROSPECT CCMC, LLC CHESTER PA $5.46M
ALTA LOS ANGELES HOSPITALS, INC. LOS ANGELES CA $5.42M
PROSPECT CCMC, LLC CHESTER PA $5.03M
PROSPECT CCMC, LLC CHESTER PA $3.71M
PROSPECT CHARTERCARE PHYSICIANS, LLC CRANSTON RI $2.31M
PROSPECT ECHN HOME HEALTH, INC. VERNON CT $1.75M
PROSPECT WATERBURY HOME HEALTH, INC. WATERTOWN CT $1.30M
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $1.22M
PROSPECT HEALTH ACCESS NETWORK, INC. CRUM LYNNE PA $924K
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $872K
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $858K
PROSPECT HEALTH ACCESS NETWORK, INC. DREXEL HILL PA $815K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,911 $49K
2019 16,942 $153K
2020 18,302 $121K
2021 24,991 $138K
2022 25,373 $196K
2023 22,505 $266K
2024 11,027 $233K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 9,880 8,273 $133K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 2,868 1,602 $106K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,696 3,464 $99K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,325 1,745 $81K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,460 1,963 $79K
74176 Computed tomography, abdomen and pelvis; without contrast material 833 680 $64K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,375 2,700 $43K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,429 3,529 $36K
70450 Computed tomography, head or brain; without contrast material 681 589 $32K
0360 3,331 2,234 $29K
96375 Therapeutic injection; each additional sequential IV push 1,265 986 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,928 1,560 $27K
99199 Unlisted special service, procedure or report 438 397 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,577 5,844 $25K
80053 Comprehensive metabolic panel 5,225 4,197 $25K
96361 Intravenous infusion, hydration; each additional hour 1,568 1,246 $23K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 796 655 $22K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 536 419 $20K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 742 705 $19K
71045 Radiologic examination, chest; single view 2,714 2,239 $17K
J3490 Unclassified drugs 5,560 3,349 $17K
J7030 Infusion, normal saline solution , 1000 cc 3,784 2,925 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,229 960 $14K
J2704 Injection, propofol, 10 mg 5,021 3,818 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,714 1,246 $12K
99283 Emergency department visit for the evaluation and management, moderate severity 1,190 1,045 $11K
84484 2,166 1,761 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,458 1,906 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,005 2,125 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 703 518 $8K
83690 2,531 2,033 $8K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 287 199 $8K
80048 Basic metabolic panel (calcium, ionized) 2,208 1,732 $7K
85730 2,526 2,112 $6K
83880 352 311 $6K
81025 3,088 2,520 $6K
0710 2,958 2,489 $5K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 149 135 $5K
J3010 Injection, fentanyl citrate, 0.1 mg 1,629 1,114 $5K
85610 2,631 2,186 $4K
81001 3,288 2,766 $4K
0270 3,758 2,249 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 764 539 $3K
J1170 Injection, hydromorphone, up to 4 mg 473 288 $2K
87088 680 574 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,360 973 $2K
J0690 Injection, cefazolin sodium, 500 mg 469 324 $2K
J2270 Injection, morphine sulfate, up to 10 mg 428 287 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 449 296 $2K
81003 2,730 2,336 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 511 338 $2K
82150 663 529 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 626 430 $1K
36415 Collection of venous blood by venipuncture 7,200 5,513 $1K
86328 77 54 $1K
82550 298 243 $962.11
Z7502 25 24 $899.00
83605 137 130 $886.65
87040 154 107 $694.33
J0696 Injection, ceftriaxone sodium, per 250 mg 157 117 $674.85
90715 20 13 $664.02
83735 264 208 $593.64
88305 Level IV - Surgical pathology, gross and microscopic examination 125 109 $484.03
82948 290 216 $370.10
71046 Radiologic examination, chest; 2 views 28 27 $322.14
94644 16 13 $227.62
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 42 $191.92
87338 25 25 $166.26
83036 Hemoglobin; glycosylated (A1C) 31 30 $146.26
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 43 36 $103.68
0250 276 154 $56.93
85378 13 12 $28.34
88312 16 14 $25.06
0307 45 36 $0.00
0258 52 33 $0.00
0324 18 17 $0.00
0306 126 90 $0.00
0636 77 39 $0.00
99241 30 30 $0.00
0305 91 50 $0.00
0301 120 51 $0.00
G9656 Patient transferred directly from anesthetizing location to pacu or other non-icu location 1,561 1,518 $0.00
99215 Prolong outpt/office vis 1,583 1,539 $0.00
0320 15 13 $0.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 24 12 $0.00
0300 13 13 $0.00