Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $9.18M by Medicaid between Jan 2018 and Dec 2024, across 192 billing codes. Its largest line is 99284, emergency room visit (serious) — 20% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
SAN JOSE, CA 95119
33aNPI1063582989assigned 11/08/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$9.18M
24GClaims691,305
24DCodes billed192
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#188 of 410
Median peer was paid$6.90M
This provider vs. median1.3×

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$250K$500K$750K2018201920202021202220232024
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
201847,256$284K
201972,556$338K
202068,552$319K
202195,225$451K
2022125,866$609K
2023140,815$565K
2024incomplete141,035$6.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 20% 11,674 10,909 $1.86M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12% 11,367 10,888 $1.07M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.4% 5,914 5,752 $859K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.6% 3,692 3,487 $610K
0450 Emergency room services 6.3% 29,497 26,057 $581K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.5% 4,826 4,746 $501K
99281 Emergency department visit for the evaluation and management, self-limited or minor 5.3% 12,377 11,833 $482K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4.1% 8,146 7,918 $373K
71046 Radiologic examination, chest; 2 views 2.0% 6,580 6,442 $186K
70450 Computed tomography, head or brain; without contrast material 2.0% 5,132 4,967 $182K
99199 Unlisted special service, procedure or report 1.6% 3,166 2,782 $146K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.2% 3,917 3,867 $113K
180 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 1,974 $109K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.0% 7,482 $94K
71045 Radiologic examination, chest; single view <1% 8,218 $91K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,454 $84K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 7,449 $82K
76830 Ultrasound, transvaginal <1% 2,046 $81K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,027 $81K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,438 $69K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 37,896 $63K
70551 Magnetic resonance imaging, brain; without contrast material <1% 488 $53K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 6,370 $50K
73630 <1% 2,236 $47K
80051 <1% 26,893 $44K
96375 Therapeutic injection; each additional sequential IV push <1% 5,720 $41K
73610 <1% 1,906 $40K
72100 <1% 1,404 $36K
36415 Collection of venous blood by venipuncture <1% 33,103 $32K
73130 <1% 1,454 $31K
82565 <1% 30,248 $31K
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% 1,324 $30K
73560 <1% 1,785 $30K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,027 $30K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 124 $29K
73030 <1% 1,496 $27K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 532 $26K
84702 <1% 10,052 $26K
72125 Computed tomography, cervical spine; without contrast material <1% 397 $26K
96361 Intravenous infusion, hydration; each additional hour <1% 4,193 $25K
73110 <1% 1,129 $24K
73564 <1% 400 $24K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 283 $23K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,632 $23K
G0378 Hospital observation service, per hour <1% 1,981 $23K
84520 <1% 26,627 $22K
83880 <1% 4,585 $21K
82947 <1% 26,699 $21K
93971 <1% 605 $21K
84484 <1% 9,151 $21K
83690 <1% 12,960 $20K
71275 Computed tomographic angiography, chest, with contrast material <1% 176 $20K
74018 <1% 823 $20K
82247 <1% 17,519 $19K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,101 $19K
84460 <1% 17,002 $19K
87631 <1% 898 $18K
0270 <1% 8,636 $17K
84450 <1% 15,844 $17K
70486 <1% 237 $17K
84075 <1% 14,401 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,351 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,351 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,221 $15K
72040 <1% 532 $15K
J7030 Infusion, normal saline solution , 1000 cc <1% 11,743 $15K
73140 <1% 670 $13K
81001 <1% 18,451 $13K
86900 <1% 2,136 $12K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,302 $12K
73080 <1% 412 $11K
73502 <1% 366 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 270 $10K
87040 <1% 2,675 $9K
93976 <1% 374 $9K
71250 <1% 212 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 324 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,852 $7K
83605 <1% 3,104 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,183 $7K
80306 <1% 1,792 $7K
83735 <1% 6,035 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 6,614 $7K
86850 <1% 1,685 $6K
87088 <1% 4,695 $6K
85610 <1% 9,082 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 93 $6K
82077 <1% 1,649 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 3,818 $6K
81003 <1% 11,182 $5K
Z7502 <1% 433 $5K
J3490 Unclassified drugs <1% 3,167 $5K
86901 <1% 2,136 $5K
76536 <1% 214 $5K
0250 <1% 6,765 $4K
76770 <1% 160 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 146 $4K
85652 <1% 6,504 $4K
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,028 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,192 $3K
72141 <1% 24 $3K
82248 <1% 1,634 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 243 $3K
76857 <1% 51 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,749 $3K
82962 <1% 4,105 $3K
85379 <1% 966 $2K
85027 <1% 2,201 $2K
80179 <1% 666 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,758 $2K
86140 <1% 1,283 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,841 $2K
86923 <1% 13 $2K
84100 <1% 2,410 $2K
76376 <1% 121 $2K
73590 <1% 113 $2K
84443 Thyroid stimulating hormone (TSH) <1% 496 $2K
73562 <1% 28 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12 $2K
72131 <1% 15 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,545 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 403 $1K
0637 <1% 35,918 $1K
82570 <1% 291 $1K
71101 <1% 37 $1K
82310 <1% 821 $1K
84132 <1% 1,027 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 271 $1K
82040 <1% 653 $1K
85730 <1% 766 $1K
72070 <1% 12 $916.12
59025 Fetal non-stress test <1% 141 $908.27
84295 <1% 364 $883.12
J1170 Injection, hydromorphone, up to 4 mg <1% 748 $878.48
87324 <1% 152 $877.70
87449 <1% 158 $869.12
84156 <1% 283 $846.52
90715 <1% 54 $801.87
0710 <1% 1,461 $729.10
J3475 Injection, magnesium sulfate, per 500 mg <1% 408 $502.24
J1815 Injection, insulin, per 5 units <1% 975 $453.06
0370 <1% 1,224 $437.25
85378 <1% 290 $433.99
85007 <1% 753 $425.01
J2060 Injection, lorazepam, 2 mg <1% 307 $420.51
73090 <1% 119 $391.46
82550 <1% 230 $337.08
J0690 Injection, cefazolin sodium, 500 mg <1% 597 $265.16
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 489 $263.60
93970 <1% 13 $220.37
73620 <1% 73 $214.78
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 79 $211.44
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,013 $202.59
82803 <1% 28 $197.46
82272 <1% 29 $185.00
73600 <1% 57 $172.55
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 25 $141.60
76882 <1% 33 $133.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 354 $104.27
A9585 Injection, gadobutrol, 0.1 ml <1% 180 $102.39
80069 <1% 45 $84.08
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 38 $77.42
12001 <1% 44 $77.21
83615 <1% 64 $71.82
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 39 $71.02
96376 <1% 836 $70.47
83036 Hemoglobin; glycosylated (A1C) <1% 54 $50.71
76870 <1% 12 $47.16
82728 <1% 15 $43.45
87070 <1% 14 $40.34
J8501 Aprepitant, oral, 5 mg <1% 25 $40.30
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 40 $35.01
J1630 Injection, haloperidol, up to 5 mg <1% 12 $23.37
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 14 $18.46
73660 <1% 13 $17.22
73120 <1% 13 $15.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $13.38
29125 <1% 12 $10.00
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 106 $4.95
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 55 $3.88
85008 <1% 349 $3.35
0272 0% 38 $0.00
80325 0% 25 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 22 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 51 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 12 $0.00
76942 0% 12 $0.00
80329 0% 23 $0.00
80320 0% 235 $0.00
0258 0% 294 $0.00
87081 0% 13 $0.00
80349 0% 25 $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 officialCHAVEZ, IRENE (SENIOR VICE PRESIDENT, AREA MANAGER)