Medicaid Provider Spending

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

PROVIDENCE SAINT JOHN'S HEALTH CENTER

NPI: 1124026273 · SANTA MONICA, CA 90404 · General Acute Care Hospital · NPI assigned 07/12/2005

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

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$5.52M
Total Medicaid Paid
254,006
Total Claims
223,959
Beneficiaries
148
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date07/12/2005

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,351 $700K
2019 36,661 $693K
2020 28,236 $563K
2021 32,304 $692K
2022 31,714 $898K
2023 44,480 $1.03M
2024 43,260 $939K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 28,552 24,821 $1.16M
0202U Oncology (prostate), multianalyte, gene expression profiling 1,974 1,919 $427K
70450 Computed tomography, head or brain; without contrast material 3,929 3,754 $344K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,026 1,963 $322K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,031 1,916 $304K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,509 6,088 $260K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,762 9,019 $189K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,575 2,241 $134K
80053 Comprehensive metabolic panel 16,075 14,560 $124K
99284 Emergency department visit for the evaluation and management, high severity 1,708 1,581 $122K
96375 Therapeutic injection; each additional sequential IV push 4,685 4,211 $119K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,002 1,939 $102K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,506 16,348 $91K
96361 Intravenous infusion, hydration; each additional hour 4,293 3,988 $86K
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 1,434 1,291 $79K
74176 Computed tomography, abdomen and pelvis; without contrast material 958 937 $78K
71045 Radiologic examination, chest; single view 7,197 6,856 $78K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,912 1,780 $69K
99199 Unlisted special service, procedure or report 1,709 1,494 $68K
99283 Emergency department visit for the evaluation and management, moderate severity 1,551 1,402 $67K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,606 3,214 $67K
93970 1,243 1,091 $65K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,587 1,532 $62K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,113 995 $57K
Z7502 1,600 1,529 $55K
71275 Computed tomographic angiography, chest, with contrast material 332 328 $50K
84484 7,339 5,485 $49K
80306 3,764 3,473 $47K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,561 1,408 $45K
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 839 770 $43K
83880 2,091 1,975 $41K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,711 3,334 $36K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,233 3,126 $32K
72125 Computed tomography, cervical spine; without contrast material 294 284 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 317 313 $27K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,629 791 $27K
J7030 Infusion, normal saline solution , 1000 cc 4,064 3,617 $26K
83690 5,293 4,951 $25K
82330 1,988 1,873 $23K
82077 1,963 1,810 $22K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,183 3,872 $22K
J3490 Unclassified drugs 3,705 2,925 $21K
81001 9,832 9,182 $21K
84443 Thyroid stimulating hormone (TSH) 2,450 2,379 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 331 324 $16K
81025 3,775 3,580 $16K
93971 257 212 $16K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,244 1,162 $14K
71046 Radiologic examination, chest; 2 views 910 871 $13K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,078 950 $13K
87040 1,949 1,020 $13K
J2270 Injection, morphine sulfate, up to 10 mg 1,972 1,654 $12K
80048 Basic metabolic panel (calcium, ionized) 2,489 2,252 $12K
84145 978 953 $12K
83605 1,768 1,504 $12K
85610 3,923 3,726 $12K
80179 846 800 $10K
80143 857 812 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 80 79 $10K
80047 1,661 1,603 $10K
87086 Culture, bacterial; quantitative colony count, urine 2,259 2,131 $10K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,995 698 $9K
85730 2,291 2,198 $9K
83735 2,152 1,971 $8K
0250 8,686 4,973 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 144 139 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 300 293 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 332 325 $7K
0762 132 65 $7K
73562 288 263 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 640 633 $6K
J2060 Injection, lorazepam, 2 mg 1,196 1,055 $6K
0301 100 88 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 310 294 $5K
85379 676 666 $5K
87631 155 152 $5K
73630 199 187 $4K
80061 Lipid panel 1,208 1,194 $4K
85027 1,203 1,113 $3K
83036 Hemoglobin; glycosylated (A1C) 1,085 1,071 $3K
0270 1,773 1,139 $3K
84439 988 955 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 332 282 $3K
87186 607 587 $3K
80076 493 481 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 74 69 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 187 170 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 43 39 $2K
73610 107 105 $2K
90715 70 68 $2K
70496 13 13 $2K
87077 454 448 $2K
Z7610 120 103 $2K
73030 104 96 $2K
82607 416 410 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 17 14 $1K
71250 24 24 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 84 84 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 84 84 $1K
73130 57 53 $1K
87400 320 307 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 273 255 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 244 237 $1K
0510 188 168 $1K
36415 Collection of venous blood by venipuncture 1,617 1,463 $1K
82728 303 300 $1K
96376 222 187 $895.58
85652 888 844 $809.05
87430 131 129 $739.48
86140 404 384 $691.01
85380 232 219 $672.12
J7050 Infusion, normal saline solution, 250 cc 141 115 $654.94
0324 41 38 $638.72
87081 171 165 $617.83
70551 Magnetic resonance imaging, brain; without contrast material 13 12 $612.25
82550 119 103 $573.26
J2765 Injection, metoclopramide hcl, up to 10 mg 128 126 $543.74
86900 254 236 $517.81
83540 351 348 $501.31
83550 332 330 $484.71
99221 18 12 $477.40
86901 238 222 $471.84
84702 45 41 $414.18
84100 231 204 $354.77
96367 12 12 $331.39
84550 268 261 $263.29
J1630 Injection, haloperidol, up to 5 mg 45 40 $223.83
87205 107 96 $211.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 71 69 $198.81
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,675 1,530 $189.41
J1170 Injection, hydromorphone, up to 4 mg 19 16 $185.28
0636 642 375 $184.29
86850 58 54 $168.92
A4217 Sterile water/saline, 500 ml 30 26 $152.46
84481 12 12 $134.46
J7120 Ringers lactate infusion, up to 1000 cc 14 12 $90.48
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 15 $81.05
A4649 Surgical supply; miscellaneous 312 256 $65.30
J2250 Injection, midazolam hydrochloride, per 1 mg 12 12 $61.04
97530 Therapeutic activities, direct patient contact, each 15 minutes 25 14 $52.23
87070 14 13 $48.55
J2470 Injection, pantoprazole sodium, 40 mg 12 12 $39.29
87147 14 14 $25.44
82570 13 13 $5.18
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12 12 $0.00
0258 24 22 $0.00
A9270 Non-covered item or service 39 15 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 15 13 $0.00