Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Yreka › NPI 1093892275
Clinic

Siskiyou Hospital, INC.

Siskiyou Hospital, INC. was paid $74.84M by Medicaid between Jan 2018 and Dec 2024, across 318 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 32% of everything it billed.

33Billing provider infoSISKIYOU HOSPITAL, INC.
YREKA, CA 96097
33aNPI1093892275assigned 11/01/2006
33bProvider typeDental Clinic/Center
28Total paid$74.84M
24GClaims979,278
24DCodes billed318
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#1 of 1,135
Median peer was paid$200K
This provider vs. median374×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018142,681$14.73M
2019147,260$12.12M
2020144,059$8.59M
2021160,287$9.94M
2022135,619$7.87M
2023145,219$12.19M
2024incomplete104,153$9.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 32% 137,471 113,521 $23.61M
00003 Internal/system code - not a standard HCPCS code 24% 45,306 27,557 $17.65M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.6% 55,682 39,263 $5.67M
0121 3.5% 509 493 $2.64M
99281 Emergency department visit for the evaluation and management, self-limited or minor 3.2% 18,123 15,317 $2.41M
0111 2.1% 133 124 $1.60M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.9% 25,379 3,951 $1.42M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.8% 6,238 5,801 $1.38M
0122 1.8% 149 149 $1.37M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.5% 9,939 2,958 $1.15M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,799 6,170 $680K
97139 <1% 16,686 2,548 $605K
306 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 7,952 $603K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,047 $549K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,543 $542K
99070 <1% 32,215 $518K
70450 Computed tomography, head or brain; without contrast material <1% 2,030 $506K
97750 <1% 5,468 $506K
99214 Doctor's office visit, returning patient (more involved) <1% 70,672 $484K
99213 Doctor's office visit, returning patient (routine) <1% 88,176 $473K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,017 $444K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 3,181 $396K
96375 Therapeutic injection; each additional sequential IV push <1% 4,732 $391K
99201 <1% 1,996 $369K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,341 $364K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 3,267 $281K
80053 Comprehensive metabolic panel <1% 26,835 $267K
J3490 Unclassified drugs <1% 9,280 $232K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 31,574 $213K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,748 $208K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 7,407 $201K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,177 $197K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,825 $185K
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% 2,938 $182K
84443 Thyroid stimulating hormone (TSH) <1% 11,541 $181K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 157 $165K
0201 <1% 17 $163K
72125 Computed tomography, cervical spine; without contrast material <1% 435 $162K
71046 Radiologic examination, chest; 2 views <1% 4,197 $156K
96361 Intravenous infusion, hydration; each additional hour <1% 1,373 $143K
59425 <1% 1,601 $140K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,187 $140K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 290 $125K
97010 <1% 2,642 $122K
99203 Doctor's office visit, new patient (routine) <1% 3,555 $119K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 751 $119K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,346 $116K
73130 <1% 2,087 $115K
73630 <1% 2,292 $114K
84145 <1% 4,894 $112K
80061 Lipid panel <1% 8,455 $108K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,106 $107K
87631 <1% 1,437 $105K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 237 $102K
99000 <1% 17,543 $102K
74022 <1% 1,573 $99K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,973 $99K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 832 $96K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,810 $94K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,781 $92K
73610 <1% 1,789 $86K
73562 <1% 1,934 $86K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,242 $86K
71045 Radiologic examination, chest; single view <1% 4,049 $85K
83036 Hemoglobin; glycosylated (A1C) <1% 9,234 $84K
99285 Emergency room visit (most serious) <1% 216 $83K
73030 <1% 1,620 $83K
73110 <1% 1,622 $80K
80306 <1% 4,938 $79K
0171 Inj, epinephrine (belcher) <1% 157 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,242 $77K
83880 <1% 2,237 $69K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 355 $63K
82746 <1% 4,028 $59K
83605 <1% 5,407 $58K
76830 Ultrasound, transvaginal <1% 314 $57K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,686 $55K
74178 <1% 151 $54K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,476 $50K
72100 <1% 658 $50K
84484 <1% 5,016 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 9,006 $43K
81003 <1% 16,387 $41K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,768 $41K
80074 <1% 1,013 $40K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,058 $40K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 318 $38K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,340 $36K
87040 <1% 2,215 $35K
83690 <1% 5,529 $34K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,624 $33K
90686 <1% 2,972 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,225 $32K
80048 Basic metabolic panel (calcium, ionized) <1% 3,960 $32K
59025 Fetal non-stress test <1% 754 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 148 $30K
87077 <1% 3,376 $29K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,799 $28K
72110 <1% 416 $26K
71250 <1% 110 $25K
76770 <1% 193 $25K
84439 <1% 2,874 $24K
85730 <1% 4,250 $24K
73502 <1% 415 $24K
J2704 Injection, propofol, 10 mg <1% 2,396 $23K
87186 <1% 2,504 $23K
84466 <1% 1,873 $23K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,389 $23K
85610 <1% 5,918 $23K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 516 $22K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only <1% 1,308 $22K
80305 <1% 2,106 $22K
95806 <1% 51 $22K
90834 Psychotherapy session, about 45 minutes <1% 1,607 $22K
90837 Psychotherapy session, about an hour <1% 2,382 $21K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 55 $19K
97799 <1% 573 $19K
99215 Doctor's office visit, returning patient (complex) <1% 3,526 $19K
82607 <1% 1,414 $18K
Q3014 Telehealth originating site facility fee <1% 806 $18K
81025 <1% 5,477 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 562 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,618 $16K
76536 <1% 110 $16K
76942 <1% 589 $16K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,201 $15K
76642 <1% 94 $15K
76641 <1% 109 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 470 $14K
81002 <1% 6,085 $14K
87070 <1% 1,582 $14K
87081 <1% 2,142 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,987 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 107 $13K
76801 <1% 144 $13K
82728 <1% 1,047 $13K
81001 <1% 2,163 $12K
83540 <1% 1,956 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 41 $12K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 352 $12K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,461 $12K
0001A <1% 498 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,636 $11K
82570 <1% 2,038 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 87 $10K
0002A <1% 457 $10K
84152 <1% 454 $10K
82043 <1% 1,643 $9K
73560 <1% 232 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 55 $9K
83655 <1% 874 $9K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,282 $9K
0450 Emergency room services <1% 945 $9K
90670 <1% 1,034 $9K
72040 <1% 155 $9K
83735 <1% 1,433 $9K
G9012 Other specified case management service not elsewhere classified <1% 48 $8K
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed <1% 45 $8K
71275 Computed tomographic angiography, chest, with contrast material <1% 25 $8K
90715 <1% 407 $8K
87653 <1% 235 $7K
71271 <1% 50 $7K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 81 $7K
86592 <1% 1,881 $7K
85379 <1% 813 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 973 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,219 $7K
86762 <1% 479 $7K
73080 <1% 151 $7K
86803 <1% 545 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 568 $7K
85018 <1% 6,807 $7K
J0780 Injection, prochlorperazine, up to 10 mg <1% 436 $6K
74018 <1% 182 $6K
90648 <1% 679 $6K
85652 <1% 2,180 $6K
S9083 Global fee urgent care centers <1% 118 $6K
92522 <1% 25 $6K
76775 <1% 95 $6K
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral <1% 28 $5K
J0690 Injection, cefazolin sodium, 500 mg <1% 611 $5K
99204 Doctor's office visit, new patient (more involved) <1% 267 $5K
92551 <1% 4,506 $5K
86850 <1% 1,706 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 729 $5K
90633 <1% 858 $4K
84153 <1% 268 $4K
0410 <1% 510 $4K
86901 <1% 1,556 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 452 $4K
88142 <1% 160 $4K
86900 <1% 1,513 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 230 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 456 $4K
87522 Neg quan hep c or qual rna <1% 110 $4K
93971 <1% 25 $4K
85027 <1% 683 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 606 $4K
J2060 Injection, lorazepam, 2 mg <1% 720 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 389 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 202 $3K
87340 <1% 409 $3K
84134 <1% 195 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 12 $3K
86140 <1% 729 $3K
77066 Tomosynthesis, mammo <1% 12 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 78 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 39 $3K
86769 <1% 76 $3K
90671 <1% 403 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 16 $3K
77080 <1% 50 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 285 $3K
T1014 Telehealth transmission, per minute, professional services bill separately <1% 479 $3K
90723 <1% 299 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 155 $3K
73140 <1% 69 $2K
J7050 Infusion, normal saline solution, 250 cc <1% 601 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 353 $2K
82550 <1% 382 $2K
82962 <1% 913 $2K
20552 <1% 50 $2K
88342 <1% 41 $2K
90697 <1% 232 $2K
80076 <1% 223 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 26 $2K
J1790 Injection, droperidol, up to 5 mg <1% 125 $2K
97165 <1% 22 $2K
86039 <1% 148 $2K
90651 <1% 143 $1K
83516 <1% 147 $1K
99243 <1% 30 $1K
90832 Psychotherapy session, about 30 minutes <1% 42 $1K
90656 <1% 150 $1K
0270 <1% 872 $1K
87205 <1% 317 $1K
73040 <1% 12 $1K
99242 <1% 29 $1K
64450 <1% 31 $1K
92552 <1% 489 $865.90
20611 <1% 14 $849.83
84402 <1% 55 $822.86
90680 <1% 82 $738.00
87210 <1% 185 $709.03
96127 <1% 269 $707.07
73090 <1% 26 $700.56
84100 <1% 149 $673.26
84550 <1% 122 $671.83
84156 <1% 202 $626.57
87150 <1% 29 $599.30
90696 <1% 66 $594.00
90710 <1% 63 $567.00
82150 <1% 86 $564.98
Z9725 <1% 12 $516.36
84403 <1% 39 $511.39
90672 <1% 99 $508.34
99188 <1% 35 $490.43
94010 <1% 16 $489.02
99406 <1% 118 $478.86
99381 <1% 25 $453.30
J3475 Injection, magnesium sulfate, per 500 mg <1% 52 $432.48
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 27 $416.46
82553 <1% 46 $409.41
72170 <1% 12 $399.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 36 $396.77
90716 <1% 53 $369.00
90700 <1% 39 $351.00
23350 <1% 12 $304.04
86003 <1% 31 $288.57
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 14 $286.44
S0164 Injection, pantoprazole sodium, 40 mg <1% 19 $283.15
82805 <1% 12 $243.00
90707 <1% 51 $234.00
84154 <1% 14 $228.90
90677 <1% 25 $225.00
90734 <1% 25 $216.00
96160 <1% 128 $205.92
86200 <1% 28 $198.80
83001 <1% 12 $196.92
86431 <1% 38 $185.17
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 15 $181.64
84481 <1% 12 $179.64
0250 <1% 766 $166.82
86141 <1% 13 $145.47
90660 <1% 14 $134.88
99384 <1% 24 $131.56
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 107 $125.44
90619 <1% 12 $108.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 49 $102.90
0124A <1% 24 $88.00
86430 <1% 12 $60.96
81015 <1% 12 $30.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $13.20
Z1034 0% 2,506 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 675 $0.00
0636 0% 371 $0.00
90480 0% 20 $0.00
0370 0% 88 $0.00
0720 0% 66 $0.00
0740 0% 92 $0.00
9214 0% 13 $0.00
0350 0% 73 $0.00
0420 0% 29 $0.00
99441 0% 20 $0.00
0310 0% 14 $0.00
0460 0% 191 $0.00
0730 0% 171 $0.00
0300 0% 758 $0.00
G0490 Face-to-face home health nursing visit by a rural health clinic (rhc) or federally qualified health center (fqhc) in an area with a shortage of home health agencies; (services limited to rn or lpn only) 0% 1,110 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 49 $0.00
0320 0% 415 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 60 $0.00
90461 0% 18 $0.00
0360 0% 101 $0.00
91320 0% 20 $0.00
99173 0% 12 $0.00
90791 Psychiatric diagnostic evaluation 0% 14 $0.00
99382 0% 31 $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 officialANDRUS, JONATHON (CHEIF EXECUTIVE OFFICER)
Same official

Other billing entities under ANDRUS, JONATHON

Full network →
ProviderLocationPaid
Siskiyou Hospital INCEtna, CA$853K

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