Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Oakland › NPI 1073917126
Physician

Alameda Health Partners, INC.

Alameda Health Partners, INC. was paid $15.88M by Medicaid between Jan 2018 and Nov 2020, across 180 billing codes. Its largest line is 99284, emergency room visit (serious) — 20% of everything it billed.

33Billing provider infoALAMEDA HEALTH PARTNERS, INC.
OAKLAND, CA 94602
33aNPI1073917126assigned 10/17/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$15.88M
24GClaims484,615
24DCodes billed180
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#2 of 292
Median peer was paid$24K
This provider vs. median672×

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
2018177,848$6.27M
2019156,052$5.17M
2020150,715$4.44M
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% 52,009 51,356 $3.18M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 16% 28,433 27,996 $2.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.7% 38,713 38,285 $1.38M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.9% 22,959 9,700 $1.10M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.3% 40,310 38,304 $849K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5.1% 22,418 21,684 $816K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 13,171 5,515 $478K
99223 Prolong inpt eval add15 m 2.9% 5,191 5,103 $453K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.4% 55,413 45,955 $383K
77067 Screening mammography, bilateral, including computer-aided detection 2.4% 4,877 4,605 $378K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.1% 6,860 6,747 $339K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.8% 7,412 5,899 $292K
168 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 4,712 $279K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.5% 2,157 $235K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.4% 9,516 $220K
71045 Radiologic examination, chest; single view 1.3% 35,899 $203K
71046 Radiologic examination, chest; 2 views 1.2% 24,093 $192K
99239 Hospital discharge day management, more than 30 minutes 1.0% 3,469 $166K
99204 Doctor's office visit, new patient (more involved) <1% 2,552 $156K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 17,744 $142K
70450 Computed tomography, head or brain; without contrast material <1% 5,380 $129K
99203 Doctor's office visit, new patient (routine) <1% 2,959 $122K
88307 <1% 1,722 $109K
99460 <1% 1,298 $84K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,925 $83K
99255 <1% 678 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,181 $72K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 152 $70K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,022 $69K
76830 Ultrasound, transvaginal <1% 1,687 $60K
99238 Hospital discharge day management, 30 minutes or less <1% 1,405 $58K
93308 <1% 2,903 $56K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,285 $47K
99462 <1% 1,301 $41K
73630 <1% 5,246 $40K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 822 $38K
99244 Office or other outpatient consultation, moderate to high complexity <1% 383 $38K
99464 <1% 555 $37K
73562 <1% 3,103 $34K
73030 <1% 3,855 $33K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 780 $29K
77063 Screening digital breast tomosynthesis, bilateral <1% 852 $27K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 718 $26K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,025 $26K
59425 <1% 1,479 $26K
76642 <1% 757 $24K
77066 Tomosynthesis, mammo <1% 519 $23K
73610 <1% 3,324 $23K
73130 <1% 2,976 $21K
77065 Tomosynthesis, mammo <1% 328 $21K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 252 $21K
20610 <1% 888 $21K
J3490 Unclassified drugs <1% 105 $17K
72100 <1% 1,123 $16K
76000 <1% 2,249 $15K
99205 Prolong outpt/office vis <1% 147 $15K
88304 <1% 1,008 $15K
99222 Initial hospital care, per day, moderate complexity <1% 239 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 107 $13K
20611 <1% 269 $12K
99254 <1% 170 $12K
59025 Fetal non-stress test <1% 1,131 $11K
99253 <1% 184 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 534 $11K
99215 Doctor's office visit, returning patient (complex) <1% 178 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 50 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 351 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 241 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 222 $7K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 12 $7K
99152 <1% 358 $7K
73560 <1% 992 $7K
74018 <1% 1,054 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 140 $7K
80502 <1% 133 $7K
99401 <1% 414 $6K
88342 <1% 190 $6K
99243 <1% 79 $6K
70551 Magnetic resonance imaging, brain; without contrast material <1% 119 $6K
94060 <1% 532 $5K
73590 <1% 957 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 160 $5K
95812 <1% 122 $5K
88341 <1% 92 $5K
73110 <1% 702 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 254 $4K
76770 <1% 117 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 84 $4K
73502 <1% 342 $4K
94618 <1% 233 $4K
76604 <1% 247 $4K
97802 <1% 256 $4K
95813 <1% 42 $4K
H1003 Prenatal care, at-risk enhanced service; education <1% 372 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 237 $4K
71020 <1% 542 $4K
93970 <1% 130 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 131 $3K
99242 <1% 72 $3K
81025 <1% 1,655 $3K
94729 <1% 539 $3K
91200 <1% 292 $3K
85610 <1% 862 $3K
71250 <1% 73 $3K
52000 <1% 73 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 725 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 218 $3K
76001 <1% 95 $3K
76801 <1% 55 $3K
92511 <1% 119 $3K
96150 <1% 153 $3K
90832 Psychotherapy session, about 30 minutes <1% 37 $3K
76775 <1% 108 $2K
90686 <1% 1,073 $2K
72170 <1% 408 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 80 $2K
97810 <1% 69 $2K
73564 <1% 117 $2K
11043 <1% 16 $2K
31231 <1% 59 $2K
71010 <1% 375 $2K
97811 <1% 68 $2K
92551 <1% 516 $2K
81002 <1% 1,069 $2K
64483 <1% 26 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 25 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,098 $1K
11721 <1% 114 $1K
96156 <1% 69 $1K
93289 <1% 44 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 26 $1K
99153 Mod sedat endo service >5yrs <1% 86 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 17 $958.48
51798 <1% 50 $902.63
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 12 $886.16
64493 <1% 29 $863.63
59430 <1% 28 $852.80
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 39 $850.93
93227 <1% 42 $833.07
92557 <1% 37 $784.62
88312 <1% 32 $721.11
90715 <1% 63 $702.63
31575 <1% 30 $663.50
76813 <1% 12 $617.85
93971 <1% 39 $545.34
29705 <1% 21 $512.07
29075 <1% 13 $509.13
72040 <1% 41 $477.54
87210 <1% 382 $476.44
73120 <1% 30 $459.80
64494 <1% 29 $455.01
73552 <1% 49 $384.39
73090 <1% 57 $359.86
72110 <1% 18 $357.70
73700 <1% 13 $343.45
93018 <1% 28 $329.36
90670 <1% 128 $320.00
95822 <1% 15 $303.30
93925 <1% 13 $292.19
76942 <1% 17 $272.56
58301 <1% 12 $267.52
99201 <1% 26 $228.27
73060 <1% 27 $203.41
92550 <1% 12 $202.69
97026 <1% 21 $175.52
11056 <1% 14 $164.34
93922 <1% 15 $158.56
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $137.08
73080 <1% 15 $130.77
73070 <1% 16 $123.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 17 $90.42
90647 <1% 26 $90.00
93288 <1% 12 $83.10
73620 <1% 14 $46.86
99053 <1% 356 $15.00
81005 <1% 18 $10.70
90688 <1% 143 $1.28
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv <1% 98 $0.02
99442 0% 31 $0.00
90633 0% 12 $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 officialCOX, DAVID (CFO)
Same official

Other billing entities under COX, DAVID

Full network →
ProviderLocationPaid
Corbin Independent SchoolsCorbin, KY$138K
Marin Healthcare DistrictGreenbrae, CA$120K
David E Cox DDS INCTerre Haute, IN$16K

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