Medicaid Provider Spending

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1134152549 · SANTA ROSA, CA 95405 · General Acute Care Hospital · NPI assigned 07/09/2006

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

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

$48.75M
Total Medicaid Paid
1,000,294
Total Claims
815,259
Beneficiaries
305
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationST JOSEPH HEALTH SYSTEM
NPI Enumeration Date07/09/2006

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
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151,115 $8.10M
2019 141,646 $6.38M
2020 118,219 $5.71M
2021 129,722 $6.06M
2022 154,349 $7.54M
2023 172,621 $8.43M
2024 132,622 $6.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 89,593 74,451 $6.91M
99281 Emergency department visit for the evaluation and management, self-limited or minor 55,376 46,885 $4.44M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35,311 32,071 $2.42M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,375 6,171 $2.18M
99201 29,139 25,309 $2.06M
70450 Computed tomography, head or brain; without contrast material 7,219 6,859 $1.40M
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 13,745 12,733 $1.10M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,086 11,936 $1.09M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,068 6,505 $984K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 20,664 5,403 $967K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,448 2,388 $961K
72125 Computed tomography, cervical spine; without contrast material 3,032 2,922 $954K
97139 17,115 4,557 $803K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,919 1,768 $774K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,137 1,122 $774K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18,252 16,708 $698K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,914 1,888 $677K
96375 Therapeutic injection; each additional sequential IV push 13,170 10,764 $671K
78815 Positron emission tomography (PET) for limited area imaging 240 231 $611K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,714 4,547 $602K
J3490 Unclassified drugs 94,899 44,724 $580K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,052 2,994 $567K
70551 Magnetic resonance imaging, brain; without contrast material 1,153 1,143 $453K
93975 1,542 1,528 $439K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,731 2,618 $435K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,906 10,123 $431K
77067 Screening mammography, bilateral, including computer-aided detection 2,948 2,914 $425K
J9271 Injection, pembrolizumab, 1 mg 30 24 $379K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,281 41,043 $356K
J2704 Injection, propofol, 10 mg 8,981 8,439 $349K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,343 5,477 $347K
97750 3,876 3,192 $329K
80053 Comprehensive metabolic panel 33,224 29,148 $320K
96361 Intravenous infusion, hydration; each additional hour 8,165 7,001 $311K
95811 899 890 $308K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,735 3,608 $307K
73221 762 731 $302K
72141 804 802 $302K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,020 2,940 $288K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,972 2,891 $266K
71045 Radiologic examination, chest; single view 15,813 14,787 $261K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,543 2,512 $259K
97010 5,793 1,321 $257K
76830 Ultrasound, transvaginal 2,652 2,587 $253K
0450 Emergency room services 1,157 1,036 $247K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,986 2,809 $241K
71250 951 935 $218K
71275 Computed tomographic angiography, chest, with contrast material 644 627 $205K
71046 Radiologic examination, chest; 2 views 7,330 7,169 $201K
97799 4,587 1,031 $199K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,362 9,898 $198K
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 2,793 2,596 $194K
J2405 Injection, ondansetron hydrochloride, per 1 mg 15,684 13,646 $189K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,584 3,358 $184K
76770 1,792 1,751 $180K
93971 1,148 1,123 $177K
70486 720 713 $171K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,892 6,833 $157K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,806 1,671 $155K
83880 4,657 4,381 $150K
G9012 Other specified case management service not elsewhere classified 410 359 $144K
J0185 Injection, aprepitant, 1 mg 466 292 $135K
J2505 Injection, pegfilgrastim, 6 mg 18 14 $134K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,419 1,780 $128K
72100 2,778 2,729 $118K
73610 2,954 2,857 $118K
73630 3,236 3,077 $117K
73030 2,938 2,834 $115K
77063 Screening digital breast tomosynthesis, bilateral 2,772 2,719 $113K
Z7502 2,917 2,675 $110K
77334 349 250 $110K
80048 Basic metabolic panel (calcium, ionized) 13,714 12,465 $106K
90715 1,928 1,918 $99K
73130 2,574 2,454 $98K
93970 371 358 $97K
87631 883 871 $95K
73562 2,621 2,479 $92K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,342 9,500 $92K
95810 Polysomnography; sleep staging with 4 or more additional parameters 263 260 $89K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,879 2,560 $82K
84484 9,338 7,605 $81K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,820 1,774 $80K
J3010 Injection, fentanyl citrate, 0.1 mg 10,128 9,188 $77K
76536 966 944 $74K
99152 1,028 955 $73K
83690 11,764 10,768 $72K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,405 2,362 $72K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,404 2,361 $71K
73110 1,807 1,729 $70K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 281 234 $70K
J1170 Injection, hydromorphone, up to 4 mg 6,130 4,692 $68K
A9585 Injection, gadobutrol, 0.1 ml 1,286 1,211 $68K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,928 5,197 $66K
87086 Culture, bacterial; quantitative colony count, urine 8,598 8,222 $65K
J2250 Injection, midazolam hydrochloride, per 1 mg 7,353 6,967 $64K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,388 5,562 $62K
74018 2,221 2,135 $59K
73560 2,197 2,051 $58K
76642 745 716 $58K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 154 146 $58K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 123 119 $57K
J0690 Injection, cefazolin sodium, 500 mg 4,695 4,018 $57K
96367 956 656 $57K
96417 1,014 599 $56K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 616 418 $55K
83605 5,249 4,436 $53K
73502 1,270 1,208 $53K
81001 14,434 13,409 $51K
45380 Colonoscopy, flexible; with biopsy, single or multiple 983 968 $50K
72040 1,385 1,357 $50K
93017 412 403 $50K
J2785 Injection, regadenoson, 0.1 mg 205 200 $50K
80306 1,970 1,860 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,821 5,651 $44K
96415 858 561 $44K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,788 3,345 $41K
87040 3,958 2,704 $41K
J2270 Injection, morphine sulfate, up to 10 mg 3,498 3,149 $37K
99070 2,132 1,877 $37K
95816 498 498 $36K
87070 4,927 4,789 $36K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,101 1,077 $36K
73140 1,435 1,359 $35K
80076 4,888 4,688 $33K
J1644 Injection, heparin sodium, per 1000 units 2,616 1,689 $33K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 232 217 $32K
J1756 Injection, iron sucrose, 1 mg 654 287 $32K
J3480 Injection, potassium chloride, per 2 meq 662 430 $32K
87186 3,575 3,480 $32K
87077 3,926 3,824 $32K
70496 123 119 $31K
76801 407 384 $31K
84443 Thyroid stimulating hormone (TSH) 2,185 2,092 $30K
85055 1,220 947 $28K
59025 Fetal non-stress test 829 407 $28K
76870 363 352 $28K
70498 114 112 $28K
10060 775 749 $28K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 423 410 $27K
85610 6,949 6,441 $25K
72170 814 795 $25K
97164 267 254 $24K
72110 360 352 $23K
Z7500 639 600 $22K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,134 2,696 $21K
97165 249 186 $21K
Z7610 1,883 1,115 $20K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,716 2,508 $20K
81003 8,397 8,052 $20K
J2060 Injection, lorazepam, 2 mg 2,624 2,300 $20K
73080 462 433 $19K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 355 340 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 231 208 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 734 706 $18K
77336 162 74 $18K
12001 616 613 $17K
81025 4,865 4,704 $17K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 861 803 $16K
77300 71 66 $16K
73090 486 438 $15K
82962 5,030 4,102 $15K
73590 480 434 $15K
J1815 Injection, insulin, per 5 units 473 371 $15K
83735 2,380 1,945 $14K
93976 50 50 $14K
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 76 53 $14K
85730 2,348 2,191 $13K
86901 3,885 3,672 $13K
J2370 Injection, phenylephrine hcl, up to 1 ml 438 412 $13K
86900 3,865 3,653 $13K
83615 1,832 1,519 $12K
84145 651 603 $12K
77080 242 236 $11K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,836 1,090 $11K
87075 1,286 1,235 $11K
86850 3,215 3,065 $10K
77066 Tomosynthesis, mammo 65 62 $10K
80047 836 824 $10K
S0020 Injection, bupivicaine hydrochloride, 30 ml 569 555 $10K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 275 267 $9K
85027 1,663 1,422 $8K
85379 887 863 $8K
73564 191 185 $7K
72197 17 15 $7K
99153 Mod sedat endo service >5yrs 409 382 $7K
87205 1,975 1,871 $7K
J3475 Injection, magnesium sulfate, per 500 mg 691 466 $7K
87634 127 120 $6K
81002 3,132 2,866 $6K
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels 106 106 $6K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 195 195 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 635 403 $6K
J0640 Injection, leucovorin calcium, per 50 mg 37 12 $6K
12011 135 135 $6K
71271 44 44 $6K
J3370 Injection, vancomycin hcl, 500 mg 437 336 $6K
86140 1,100 1,014 $5K
96368 189 139 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 173 114 $5K
76999 42 42 $5K
74183 12 12 $5K
99199 Unlisted special service, procedure or report 120 107 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 135 135 $5K
88342 408 385 $5K
12002 174 173 $5K
29125 375 364 $5K
99284 Emergency department visit for the evaluation and management, high severity 16 15 $5K
70491 13 12 $5K
82077 326 299 $5K
86141 436 418 $5K
77081 177 172 $5K
73700 15 14 $4K
76827 57 56 $4K
88304 493 483 $4K
96416 44 24 $4K
96523 288 213 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 65 59 $4K
83036 Hemoglobin; glycosylated (A1C) 562 531 $4K
72146 12 12 $3K
J9190 Injection, fluorouracil, 500 mg 52 25 $3K
87081 668 644 $3K
87147 618 616 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25 25 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 464 393 $3K
72070 67 63 $3K
J7030 Infusion, normal saline solution , 1000 cc 347 293 $3K
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) 30 26 $3K
93880 13 13 $2K
82248 610 559 $2K
29823 12 12 $2K
96402 117 107 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 61 61 $2K
85652 627 601 $2K
82803 185 166 $2K
73070 66 63 $2K
80143 117 107 $2K
J0330 Injection, succinylcholine chloride, up to 20 mg 79 78 $2K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 158 144 $2K
82728 134 131 $2K
73620 69 63 $2K
80061 Lipid panel 216 203 $2K
S0077 Injection, clindamycin phosphate, 300 mg 97 93 $2K
80179 115 106 $2K
85018 773 682 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 71 57 $2K
J7050 Infusion, normal saline solution, 250 cc 395 179 $2K
82805 75 71 $2K
29515 105 103 $1K
0270 34 12 $1K
82550 207 185 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 43 42 $1K
96411 35 24 $1K
84702 123 108 $1K
J3489 Injection, zoledronic acid, 1 mg 12 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 50 44 $1K
0456 39 38 $1K
73600 39 38 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 16 12 $996.18
84439 159 147 $972.84
J0360 Injection, hydralazine hcl, up to 20 mg 69 62 $956.91
82140 72 63 $940.88
73660 39 37 $910.50
73060 28 25 $895.44
72081 25 25 $882.74
84466 54 53 $867.19
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 58 37 $826.46
94729 12 12 $820.68
J7120 Ringers lactate infusion, up to 1000 cc 108 100 $770.72
94726 12 12 $752.16
76882 47 41 $686.80
72050 14 14 $643.80
86923 14 12 $616.00
29130 41 41 $615.34
71010 30 27 $602.31
29505 39 39 $548.21
85014 202 200 $530.88
73521 13 13 $508.08
83540 67 66 $507.73
73120 18 16 $464.40
88142 51 51 $438.25
84132 108 93 $436.86
84100 133 104 $424.96
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 81 77 $367.47
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 75 $352.34
73565 14 14 $351.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 55 54 $328.61
73100 13 13 $324.36
J1953 Injection, levetiracetam, 10 mg 19 14 $302.66
84703 56 54 $297.25
S0164 Injection, pantoprazole sodium, 40 mg 23 14 $245.68
J1171 Injection, hydromorphone, 0.1 mg 31 28 $223.25
82378 16 14 $194.08
J1650 Injection, enoxaparin sodium, 10 mg 30 16 $188.21
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 638 471 $175.38
J1940 Injection, furosemide, up to 20 mg 29 24 $163.44
82746 12 12 $128.13
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 16 12 $114.13
J8540 Dexamethasone, oral, 0.25 mg 1,100 616 $110.89
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,480 966 $107.90
87210 12 12 $81.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 14 14 $69.02
86308 13 12 $46.67
88300 17 16 $28.39
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 649 585 $23.45
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 72 70 $5.50