Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › PLEASANTON › STANFORD HEALTH CARE TRI-VALLEY

STANFORD HEALTH CARE TRI-VALLEY

NPI: 1144389941 · PLEASANTON, CA 94588 · General Acute Care Hospital · NPI assigned 12/07/2006

$15.90M
Total Medicaid Paid
411,795
Total Claims
342,274
Beneficiaries
206
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWICHELMANN, KYLE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date12/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,201 $1.41M
2019 51,377 $1.48M
2020 38,483 $1.33M
2021 53,538 $2.02M
2022 64,614 $2.85M
2023 71,332 $2.99M
2024 83,250 $3.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 7,362 7,211 $1.70M
99284 Emergency department visit for the evaluation and management, high severity 31,962 28,379 $1.51M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,800 2,746 $944K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,888 8,243 $920K
99070 30,454 14,238 $813K
99231 Subsequent hospital care, per day, straightforward or low complexity 28,495 25,117 $671K
96375 Therapeutic injection; each additional sequential IV push 6,997 6,240 $548K
0450 Emergency room services 9,573 8,616 $535K
J3490 Unclassified drugs 24,568 11,214 $448K
70450 Computed tomography, head or brain; without contrast material 2,942 2,861 $405K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 4,641 4,321 $358K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,153 9,399 $338K
80053 Comprehensive metabolic panel 18,846 17,020 $337K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,296 2,193 $330K
96361 Intravenous infusion, hydration; each additional hour 3,434 3,162 $275K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,008 4,576 $266K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,173 1,160 $248K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,218 21,693 $236K
99199 Unlisted special service, procedure or report 5,315 4,434 $233K
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 2,725 2,452 $183K
71045 Radiologic examination, chest; single view 7,445 7,089 $171K
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 2,338 2,276 $164K
74176 Computed tomography, abdomen and pelvis; without contrast material 890 884 $163K
84484 7,624 6,791 $156K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,900 1,790 $146K
71275 Computed tomographic angiography, chest, with contrast material 486 483 $141K
99283 Emergency department visit for the evaluation and management, moderate severity 429 402 $134K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,509 2,465 $131K
80048 Basic metabolic panel (calcium, ionized) 7,943 7,059 $116K
0250 4,526 2,779 $114K
71046 Radiologic examination, chest; 2 views 3,381 3,264 $111K
59025 Fetal non-stress test 3,550 1,175 $96K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,511 4,207 $88K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 98 96 $84K
83880 2,314 2,174 $84K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,651 1,596 $82K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,650 1,595 $82K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,415 4,849 $79K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,823 2,471 $76K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 4,254 2,172 $75K
87088 6,511 6,166 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited 982 965 $75K
78815 Positron emission tomography (PET) for limited area imaging 65 65 $73K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,356 3,087 $70K
83690 6,687 6,271 $70K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 522 504 $61K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,143 428 $61K
72125 Computed tomography, cervical spine; without contrast material 345 336 $58K
84443 Thyroid stimulating hormone (TSH) 2,584 2,533 $57K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 263 263 $53K
87631 598 573 $53K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 486 446 $49K
93971 399 393 $48K
87040 1,866 1,745 $43K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 504 486 $43K
0516 1,706 1,587 $41K
81001 8,961 8,511 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 500 482 $39K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,424 4,185 $38K
Z7502 1,091 1,032 $37K
0456 1,123 1,025 $37K
70498 145 145 $36K
70496 118 118 $36K
83735 3,592 3,212 $36K
87634 450 440 $35K
73562 1,180 1,118 $35K
73610 1,058 1,015 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,761 1,123 $33K
99281 Emergency department visit for the evaluation and management, self-limited or minor 582 542 $31K
84703 2,810 2,627 $31K
73630 917 864 $30K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,649 644 $30K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 367 182 $29K
82553 1,882 1,685 $29K
0002A 709 709 $28K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 903 866 $28K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 136 105 $27K
76830 Ultrasound, transvaginal 320 310 $27K
85379 1,745 1,703 $25K
Q3014 Telehealth originating site facility fee 1,296 1,019 $24K
87186 2,147 2,087 $23K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,108 1,013 $22K
85027 3,031 2,521 $21K
0001A 714 714 $21K
82962 3,644 3,031 $21K
83605 1,466 1,370 $19K
J1170 Injection, hydromorphone, up to 4 mg 2,059 1,730 $18K
76801 166 144 $18K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 94 87 $17K
93458 13 13 $17K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 106 77 $16K
90715 249 247 $15K
99218 100 63 $14K
36415 Collection of venous blood by venipuncture 1,712 1,442 $14K
J2270 Injection, morphine sulfate, up to 10 mg 1,643 1,495 $13K
73030 420 414 $13K
Z7610 960 450 $13K
87070 891 873 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 102 88 $10K
87077 1,081 1,051 $10K
85610 2,029 1,852 $9K
96367 119 110 $9K
94760 788 679 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 429 253 $8K
J2060 Injection, lorazepam, 2 mg 1,320 1,175 $8K
86900 1,205 1,112 $8K
0270 1,370 608 $7K
81003 2,632 2,516 $7K
73110 233 224 $7K
72100 230 229 $7K
83036 Hemoglobin; glycosylated (A1C) 718 706 $7K
73130 175 165 $7K
85730 996 959 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 191 178 $6K
81025 1,205 1,158 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 558 553 $6K
80061 Lipid panel 336 330 $5K
86901 1,483 1,379 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 939 859 $5K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 14 12 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 847 661 $5K
J1815 Injection, insulin, per 5 units 33 24 $5K
87210 807 771 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 82 81 $4K
71250 52 52 $4K
99232 Subsequent hospital care, per day, moderate complexity 19 13 $4K
86850 1,036 942 $4K
V2632 Posterior chamber intraocular lens 35 27 $4K
70551 Magnetic resonance imaging, brain; without contrast material 24 24 $4K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 332 309 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material 26 26 $4K
Z7500 106 94 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 28 28 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 158 143 $3K
94644 92 86 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 27 27 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 494 453 $3K
74018 93 93 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 338 332 $3K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 14 14 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 112 98 $3K
87430 220 202 $3K
82248 359 346 $3K
93017 26 26 $2K
73140 82 82 $2K
0003A 49 49 $2K
86140 269 260 $2K
84439 166 163 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 17 17 $2K
70486 13 12 $2K
73502 40 40 $2K
J2003 Injection, lidocaine hydrochloride, 1 mg 36 36 $2K
J1171 Injection, hydromorphone, 0.1 mg 41 34 $2K
97750 75 54 $2K
84702 98 81 $2K
71020 44 38 $1K
99152 45 45 $1K
97139 70 13 $1K
82803 65 65 $1K
71101 40 39 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 25 25 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 36 36 $976.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 14 13 $938.50
85007 289 263 $909.47
73080 25 25 $863.57
86780 40 39 $852.73
0012A 30 30 $851.70
81002 161 113 $820.51
0761 31 27 $748.42
A9577 Injection, gadobenate dimeglumine (multihance), per ml 15 15 $718.34
83540 85 82 $714.95
83520 51 43 $701.15
0011A 40 40 $677.60
J2250 Injection, midazolam hydrochloride, per 1 mg 103 100 $676.82
0051A 16 16 $640.00
85652 143 139 $637.99
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 66 30 $592.39
J3010 Injection, fentanyl citrate, 0.1 mg 86 77 $559.79
80299 31 16 $554.62
83550 70 69 $515.16
87641 27 27 $500.65
0760 36 35 $490.84
0064A 12 12 $480.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 293 227 $459.83
96376 14 13 $459.78
88305 Level IV - Surgical pathology, gross and microscopic examination 12 12 $424.86
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13 13 $414.40
71010 20 17 $394.44
82948 87 64 $387.25
94729 13 12 $373.05
87205 78 78 $356.58
29125 13 13 $351.68
J0780 Injection, prochlorperazine, up to 10 mg 26 24 $280.84
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 26 26 $257.07
87340 12 12 $193.69
82550 31 26 $179.42
J1650 Injection, enoxaparin sodium, 10 mg 15 12 $178.38
82728 14 14 $176.28
84100 44 39 $134.80
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 16 16 $107.16
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 17 17 $106.60
86308 13 13 $75.39
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 16 16 $55.38
J2704 Injection, propofol, 10 mg 14 12 $44.32
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 16 15 $0.00
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 51 42 $0.00