Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Fresno › NPI 1083784672
Hospital

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $7.42M by Medicaid between Jan 2018 and Dec 2024, across 214 billing codes. Its largest line is 99284, emergency room visit (serious) — 23% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
FRESNO, CA 93720
33aNPI1083784672assigned 11/09/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$7.42M
24GClaims344,938
24DCodes billed214
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#203 of 410
Median peer was paid$6.90M
This provider vs. median1.1×

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
201817,499$96K
201919,799$120K
202017,387$139K
202133,068$232K
202236,555$311K
202341,706$377K
2024incomplete178,924$6.15M
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 23% 1,965 1,822 $1.69M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 683 625 $926K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.7% 1,135 1,101 $642K
74177 Computed tomography, abdomen and pelvis; with contrast material 6.0% 1,994 1,947 $448K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.2% 924 895 $312K
0450 Emergency room services 3.0% 18,864 16,797 $224K
70450 Computed tomography, head or brain; without contrast material 2.3% 1,778 1,713 $171K
99199 Unlisted special service, procedure or report 2.0% 3,335 2,903 $152K
71045 Radiologic examination, chest; single view 2.0% 3,819 3,586 $149K
36415 Collection of venous blood by venipuncture 2.0% 18,524 15,089 $148K
71046 Radiologic examination, chest; 2 views 1.6% 2,621 2,568 $119K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.5% 2,379 2,304 $113K
202 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 630 $88K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.1% 586 $84K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 19,409 $70K
77067 Screening mammography, bilateral, including computer-aided detection <1% 458 $65K
70551 Magnetic resonance imaging, brain; without contrast material <1% 211 $62K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 273 $59K
84443 Thyroid stimulating hormone (TSH) <1% 3,669 $57K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 168 $52K
73630 <1% 578 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 537 $50K
82565 <1% 19,746 $47K
83036 Hemoglobin; glycosylated (A1C) <1% 5,213 $44K
73030 <1% 408 $41K
80061 Lipid panel <1% 3,138 $38K
76830 Ultrasound, transvaginal <1% 473 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,498 $37K
80051 <1% 13,693 $35K
71275 Computed tomographic angiography, chest, with contrast material <1% 133 $35K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,105 $35K
71250 <1% 189 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 411 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,049 $34K
84460 <1% 11,876 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,632 $33K
72100 <1% 283 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,046 $33K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 424 $32K
73564 <1% 207 $30K
G0378 Hospital observation service, per hour <1% 1,177 $30K
86900 <1% 811 $29K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 872 $28K
83880 <1% 1,764 $27K
73610 <1% 308 $27K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 16 $27K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,086 $26K
74018 <1% 210 $23K
73130 <1% 272 $22K
84450 <1% 8,922 $21K
73502 <1% 209 $21K
82947 <1% 14,957 $21K
93971 <1% 154 $20K
73560 <1% 236 $20K
82247 <1% 8,254 $19K
84520 <1% 14,341 $19K
96375 Therapeutic injection; each additional sequential IV push <1% 2,240 $18K
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% 164 $18K
82728 <1% 1,216 $17K
84132 <1% 3,724 $17K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 622 $16K
85027 <1% 3,096 $16K
82607 <1% 967 $16K
84075 <1% 7,155 $15K
72125 Computed tomography, cervical spine; without contrast material <1% 107 $15K
84484 <1% 4,731 $14K
73562 <1% 132 $14K
83690 <1% 5,659 $14K
72040 <1% 123 $13K
83970 <1% 294 $12K
83735 <1% 3,966 $12K
96361 Intravenous infusion, hydration; each additional hour <1% 1,706 $12K
76770 <1% 76 $11K
86850 <1% 465 $11K
86235 <1% 68 $11K
87088 <1% 2,817 $11K
73110 <1% 131 $11K
76642 <1% 98 $11K
73221 <1% 27 $10K
87506 <1% 56 $10K
81001 <1% 5,747 $10K
J7030 Infusion, normal saline solution , 1000 cc <1% 6,086 $10K
J2785 Injection, regadenoson, 0.1 mg <1% 76 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,700 $9K
84295 <1% 1,841 $9K
86780 <1% 632 $9K
86803 <1% 587 $9K
86901 <1% 810 $9K
82043 <1% 1,382 $8K
82310 <1% 1,581 $8K
Z7502 <1% 1,216 $8K
83550 <1% 824 $8K
82570 <1% 1,179 $7K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,890 $7K
85610 <1% 2,732 $7K
84153 <1% 346 $7K
84702 <1% 1,276 $6K
84439 <1% 624 $6K
0270 <1% 6,313 $6K
82040 <1% 1,289 $6K
73080 <1% 63 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 368 $6K
73590 <1% 60 $5K
83540 <1% 847 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,553 $5K
70486 <1% 28 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 44 $5K
71101 <1% 50 $5K
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% 145 $5K
76882 <1% 34 $4K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 37 $4K
84703 <1% 3,079 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,395 $4K
84100 <1% 1,841 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 1,592 $4K
77063 Screening digital breast tomosynthesis, bilateral <1% 111 $4K
87340 <1% 300 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 942 $4K
87536 <1% 40 $3K
96376 <1% 394 $3K
81003 <1% 3,672 $3K
82248 <1% 731 $3K
85652 <1% 1,192 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 600 $3K
83605 <1% 1,014 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 24 $3K
86140 <1% 671 $3K
82077 <1% 629 $3K
87040 <1% 565 $3K
86480 <1% 43 $3K
93976 <1% 58 $3K
80306 <1% 600 $3K
77066 Tomosynthesis, mammo <1% 16 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 311 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 147 $2K
84165 <1% 202 $2K
76536 <1% 17 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,109 $2K
84156 <1% 555 $2K
84403 <1% 78 $2K
82746 <1% 166 $2K
73140 <1% 30 $2K
J3490 Unclassified drugs <1% 1,730 $2K
85379 <1% 797 $2K
93970 <1% 29 $2K
80047 <1% 614 $2K
84550 <1% 332 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,179 $2K
0250 <1% 3,142 $2K
83516 <1% 57 $1K
86704 <1% 104 $1K
87631 <1% 93 $1K
86706 <1% 114 $1K
82550 <1% 272 $1K
0637 <1% 13,366 $1K
86225 <1% 70 $945.06
80179 <1% 211 $920.69
86038 <1% 68 $839.25
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 785 $763.78
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 475 $664.68
80069 <1% 204 $657.40
87449 <1% 65 $607.12
86360 <1% 12 $577.00
85014 <1% 817 $561.04
82962 <1% 940 $559.15
86762 <1% 26 $556.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 463 $547.63
80197 <1% 36 $538.00
82784 <1% 26 $489.00
97161 <1% 118 $464.21
82985 <1% 26 $463.00
87324 <1% 46 $457.00
82950 <1% 53 $449.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 13 $429.00
J1170 Injection, hydromorphone, up to 4 mg <1% 376 $417.92
85018 <1% 200 $369.00
85730 <1% 89 $356.54
0160 <1% 28 $350.82
82803 <1% 80 $334.73
Z7610 <1% 289 $334.67
83615 <1% 40 $276.00
87338 <1% 28 $245.60
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 27 $239.76
86787 <1% 12 $237.00
84480 <1% 12 $196.06
83655 <1% 12 $183.00
84134 <1% 12 $172.00
0320 <1% 17 $171.14
86593 <1% 29 $153.90
87081 <1% 261 $148.80
J1815 Injection, insulin, per 5 units <1% 702 $144.25
85378 <1% 39 $140.29
90715 <1% 28 $130.65
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 140 $129.04
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 104 $122.20
J3475 Injection, magnesium sulfate, per 500 mg <1% 219 $112.77
J3010 Injection, fentanyl citrate, 0.1 mg <1% 180 $97.71
82140 <1% 14 $43.20
J1650 Injection, enoxaparin sodium, 10 mg <1% 222 $42.12
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 13 $38.66
J1644 Injection, heparin sodium, per 1000 units <1% 162 $33.82
J2060 Injection, lorazepam, 2 mg <1% 48 $28.86
J0780 Injection, prochlorperazine, up to 10 mg <1% 12 $24.39
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 55 $22.30
J0360 Injection, hydralazine hcl, up to 20 mg <1% 51 $21.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 135 $10.89
J1940 Injection, furosemide, up to 20 mg <1% 61 $2.20
85008 0% 13 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 21 $0.00
80329 0% 13 $0.00
80320 0% 14 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 33 $0.00
76376 0% 74 $0.00
96367 0% 13 $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 officialHEMKER, DEBBIE (SENIOR VICE PRESIDENT, AREA MANAGER)