Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Pasadena › NPI 1124173059
Agency

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $6.60M by Medicaid between Jan 2018 and Nov 2024, across 371 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 26% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
PASADENA, CA 91103
33aNPI1124173059assigned 01/23/2007
33bProvider typeHome Health Agency
28Total paid$6.60M
24GClaims248,671
24DCodes billed371
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in California

Rank by total paid#82 of 1,072
Median peer was paid$9K
This provider vs. median709×

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$400K2018201920202021202220232024
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
2018213,561$2.00M
20191,640$285K
20205,289$957K
20215,675$490K
20225,528$486K
20238,537$1.03M
2024incomplete8,441$1.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 26% 13,136 3,826 $1.72M
0112 17% 3,175 2,839 $1.14M
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 15% 6,786 2,658 $982K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 14% 7,156 1,834 $947K
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes 7.1% 3,346 1,320 $468K
0206 3.4% 357 347 $225K
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 2.7% 2,617 620 $176K
0111 2.5% 1,288 1,229 $164K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 2.1% 995 563 $139K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 2.0% 1,130 677 $129K
0200 1.4% 328 314 $89K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.2% 12,002 11,087 $80K
359 more codes
G0162 Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) 1.0% 487 $66K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 316 $44K
Q5001 Hospice or home health care provided in patient's home/residence <1% 2,263 $38K
99284 Emergency room visit (serious) <1% 1,664 $27K
0113 <1% 184 $23K
G0493 Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) <1% 137 $21K
36902 <1% 14 $14K
0122 <1% 1,081 $13K
G2168 Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes <1% 105 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,299 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 320 $7K
G0378 Hospital observation service, per hour <1% 808 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 129 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,249 $4K
86003 <1% 342 $3K
86885 <1% 771 $3K
0637 <1% 1,772 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,304 $2K
86900 <1% 1,513 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 290 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 326 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 677 $2K
70450 Computed tomography, head or brain; without contrast material <1% 1,514 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 303 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 10,265 $1K
86480 <1% 151 $1K
0121 <1% 854 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 208 $1K
78815 Positron emission tomography (PET) for limited area imaging <1% 62 $1K
85027 <1% 12,986 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 6,062 $1K
86901 <1% 1,516 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,430 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,253 $1K
76770 <1% 281 $929.20
86235 <1% 64 $920.00
74183 <1% 120 $878.00
99285 Emergency room visit (most serious) <1% 78 $720.00
84443 Thyroid stimulating hormone (TSH) <1% 5,014 $711.00
86762 <1% 802 $694.00
83880 <1% 690 $667.00
83655 <1% 1,408 $651.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 274 $620.00
80051 <1% 8,138 $618.00
86787 <1% 817 $611.00
82728 <1% 1,465 $577.80
72141 <1% 160 $546.00
71046 Radiologic examination, chest; 2 views <1% 946 $518.31
82565 <1% 10,459 $503.20
85610 <1% 5,272 $500.00
87340 <1% 1,146 $466.00
83970 <1% 772 $456.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 748 $446.18
93970 <1% 55 $437.52
84702 <1% 1,856 $432.00
72156 <1% 19 $430.00
83021 <1% 627 $412.00
84460 <1% 7,596 $375.20
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 573 $372.00
82607 <1% 1,017 $340.40
76830 Ultrasound, transvaginal <1% 652 $336.18
72158 <1% 27 $315.00
86160 <1% 140 $312.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 512 $312.00
82785 <1% 80 $311.00
70544 <1% 69 $298.00
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 236 $290.00
80061 Lipid panel <1% 3,637 $254.00
87522 Neg quan hep c or qual rna <1% 79 $243.00
73562 <1% 243 $240.48
84163 <1% 85 $232.00
83550 <1% 1,540 $231.20
86038 <1% 359 $227.20
86147 <1% 29 $220.00
71045 Radiologic examination, chest; single view <1% 700 $211.26
76801 <1% 323 $210.60
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 213 $210.60
88342 <1% 71 $202.00
83540 <1% 1,537 $198.80
85652 <1% 2,324 $190.40
84075 <1% 3,933 $182.00
82784 <1% 165 $180.00
76536 <1% 164 $170.00
82247 <1% 4,287 $167.00
87046 <1% 113 $160.00
87088 <1% 1,243 $153.00
83735 <1% 1,407 $152.80
74170 <1% 17 $145.00
86803 <1% 517 $142.00
73610 <1% 267 $136.74
84439 <1% 722 $132.00
83520 <1% 405 $131.00
70360 <1% 13 $131.00
86140 <1% 1,459 $130.40
82105 <1% 172 $126.00
73221 <1% 119 $124.00
74240 <1% 12 $124.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 212 $123.50
81003 <1% 4,679 $118.00
84450 <1% 2,875 $117.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,536 $114.00
82670 <1% 72 $114.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,510 $114.00
84403 <1% 205 $112.00
84520 <1% 4,335 $110.00
82310 <1% 2,245 $100.20
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 142 $100.00
73502 <1% 143 $99.00
76380 <1% 85 $99.00
84134 <1% 194 $96.20
J3480 Injection, potassium chloride, per 2 meq <1% 43 $90.40
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 75 $89.50
83001 <1% 153 $89.00
70486 <1% 166 $88.18
A9585 Injection, gadobutrol, 0.1 ml <1% 582 $88.14
86780 <1% 530 $84.00
83615 <1% 578 $84.00
84165 <1% 233 $84.00
82746 <1% 444 $83.00
84550 <1% 620 $82.00
87040 <1% 306 $80.00
84132 <1% 576 $72.60
80197 <1% 116 $71.00
83690 <1% 1,405 $70.00
86256 <1% 32 $70.00
86431 <1% 215 $68.40
87505 <1% 44 $68.00
82570 <1% 1,483 $67.00
82043 <1% 1,456 $65.40
85730 <1% 490 $64.00
74018 <1% 96 $62.75
76870 <1% 107 $62.00
73200 <1% 13 $62.00
72100 <1% 157 $62.00
84146 <1% 139 $61.00
J7030 Infusion, normal saline solution , 1000 cc <1% 354 $60.50
44970 <1% 43 $60.00
82947 <1% 3,763 $60.00
86039 <1% 74 $60.00
88341 <1% 32 $59.63
74178 <1% 68 $57.79
86376 <1% 40 $56.00
85379 <1% 210 $54.00
86665 <1% 163 $54.00
84156 <1% 1,390 $52.00
82248 <1% 684 $52.00
78306 <1% 32 $50.00
86360 <1% 323 $50.00
87045 <1% 160 $50.00
84295 <1% 346 $50.00
86225 <1% 111 $49.00
87210 <1% 1,620 $49.00
82550 <1% 248 $48.80
82950 <1% 742 $47.00
84100 <1% 1,175 $46.00
82040 <1% 1,511 $43.00
85014 <1% 1,128 $42.00
86357 <1% 47 $40.00
86355 <1% 47 $40.00
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 12 $40.00
86359 <1% 323 $40.00
87324 <1% 197 $40.00
84153 <1% 294 $39.00
82677 <1% 43 $39.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,108 $37.73
87449 <1% 176 $35.00
73110 <1% 153 $33.00
73590 <1% 79 $33.00
73030 <1% 244 $33.00
80185 <1% 54 $32.00
86317 <1% 198 $32.00
83002 <1% 82 $30.00
89051 <1% 69 $30.00
80164 <1% 144 $30.00
86704 <1% 158 $28.00
82977 <1% 108 $28.00
87186 <1% 133 $25.00
86664 <1% 83 $24.00
86336 <1% 43 $24.00
86677 <1% 347 $22.20
88312 <1% 39 $22.00
82330 <1% 157 $21.00
86708 <1% 57 $21.00
85613 <1% 34 $20.00
82390 <1% 51 $18.00
85046 <1% 381 $18.00
80306 <1% 66 $16.00
85018 <1% 419 $15.00
83721 <1% 488 $15.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 71 $14.80
83935 <1% 12 $12.00
84270 <1% 16 $12.00
87205 <1% 376 $12.00
82150 <1% 109 $12.00
82627 <1% 51 $12.00
85670 <1% 33 $12.00
86709 <1% 52 $12.00
86304 <1% 13 $11.00
80162 <1% 47 $10.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 230 $10.00
0250 <1% 1,872 $9.68
82533 <1% 14 $9.00
0258 <1% 856 $8.92
J2060 Injection, lorazepam, 2 mg <1% 29 $8.46
80178 <1% 79 $8.00
84480 <1% 109 $8.00
80156 <1% 35 $8.00
84155 <1% 176 $8.00
83718 <1% 281 $8.00
82140 <1% 78 $8.00
82103 <1% 13 $7.00
J1815 Injection, insulin, per 5 units <1% 60 $6.16
86308 <1% 147 $6.00
82272 <1% 97 $6.00
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 282 $5.56
87070 <1% 37 $5.00
84484 <1% 346 $5.00
83930 <1% 13 $4.00
80076 <1% 35 $4.00
82465 <1% 322 $4.00
J3010 Injection, fentanyl citrate, 0.1 mg <1% 322 $3.93
86300 <1% 108 $2.00
81015 <1% 94 $2.00
73564 0% 12 $0.00
73700 0% 27 $0.00
73090 0% 75 $0.00
74181 0% 33 $0.00
72170 0% 48 $0.00
87081 0% 49 $0.00
72040 0% 65 $0.00
0410 0% 42 $0.00
93971 0% 193 $0.00
72081 0% 42 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 92 $0.00
83605 0% 174 $0.00
82951 0% 122 $0.00
J2280 Injection, moxifloxacin, 100 mg 0% 31 $0.00
74022 0% 129 $0.00
87536 0% 127 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 0% 101 $0.00
0305 0% 383 $0.00
88304 0% 48 $0.00
0171 Inj, epinephrine (belcher) 0% 74 $0.00
86335 0% 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 59 $0.00
0370 0% 291 $0.00
82378 0% 128 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 0% 52 $0.00
0306 0% 138 $0.00
73560 0% 53 $0.00
G0008 Administration of influenza virus vaccine 0% 46 $0.00
0324 0% 38 $0.00
73060 0% 14 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 31 $0.00
84478 0% 45 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 18 $0.00
12001 0% 14 $0.00
0023 Pin srv add 30 min pr m 0% 27 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 47 $0.00
0307 0% 113 $0.00
70491 0% 81 $0.00
0301 0% 245 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 0% 15 $0.00
72157 0% 12 $0.00
70543 0% 26 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 55 $0.00
84157 0% 13 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 28 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 112 $0.00
88307 0% 18 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 128 $0.00
0352 0% 15 $0.00
0420 0% 27 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 79 $0.00
0471 0% 12 $0.00
90688 0% 30 $0.00
0350 0% 23 $0.00
V2632 Posterior chamber intraocular lens 0% 33 $0.00
82952 0% 76 $0.00
86301 0% 20 $0.00
72146 0% 45 $0.00
80320 0% 35 $0.00
82945 0% 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 108 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 78 $0.00
J3490 Unclassified drugs 0% 141 $0.00
90656 0% 22 $0.00
86635 0% 34 $0.00
80329 0% 47 $0.00
86880 0% 20 $0.00
0710 0% 220 $0.00
86695 0% 18 $0.00
0255 0% 29 $0.00
84425 0% 29 $0.00
73130 0% 201 $0.00
0300 0% 288 $0.00
86923 0% 67 $0.00
82274 0% 54 $0.00
0302 0% 60 $0.00
0320 0% 91 $0.00
73630 0% 366 $0.00
77002 0% 18 $0.00
86735 0% 12 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 72 $0.00
71250 0% 69 $0.00
47562 0% 49 $0.00
0390 0% 15 $0.00
0272 0% 21 $0.00
88313 0% 15 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 199 $0.00
77080 0% 101 $0.00
0351 0% 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 34 $0.00
76881 0% 49 $0.00
G0297 Low dose ct scan (ldct) for lung cancer screening 0% 71 $0.00
73100 0% 13 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 272 $0.00
0312 0% 46 $0.00
73140 0% 103 $0.00
82705 0% 14 $0.00
86696 0% 18 $0.00
0722 0% 178 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 17 $0.00
73080 0% 77 $0.00
0483 0% 24 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 105 $0.00
72197 0% 13 $0.00
0360 0% 130 $0.00
72131 0% 39 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 27 $0.00
74220 0% 12 $0.00
86334 0% 18 $0.00
93880 0% 49 $0.00
78472 0% 12 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 28 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 54 $0.00
72125 Computed tomography, cervical spine; without contrast material 0% 145 $0.00
86765 0% 15 $0.00
88173 0% 29 $0.00
J7510 Prednisolone oral, per 5 mg 0% 19 $0.00
0203 0% 30 $0.00
0730 0% 24 $0.00
73718 0% 14 $0.00
0309 0% 21 $0.00
0450 Emergency room services 0% 99 $0.00
83525 0% 12 $0.00
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 0% 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 19 $0.00
0424 0% 38 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 15 $0.00
0278 0% 18 $0.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 0% 12 $0.00
76706 0% 13 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 19 $0.00
0361 0% 13 $0.00
76857 0% 12 $0.00
72070 0% 12 $0.00
0762 0% 52 $0.00
0402 0% 36 $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 officialGRICE, WILLIAM (SVP/AREA MGR)
Same official

Other billing entities under GRICE, WILLIAM

Full network →
ProviderLocationPaid
Kaiser Foundation HospitalsLos Angeles, CA$66.22M
Kaiser Foundation HospitalsLos Angeles, CA$27.41M

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