Providence Health System - Southern California
Providence Health System - Southern California was paid $97K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 0450, Emergency room services — 81% of everything it billed.
SAN PEDRO, CA 90732
Next to other Psychiatric Hospital Unit providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 122 | $0.00 | |
| 2019 | 1,943 | $37K | |
| 2020 | 1,146 | $19K | |
| 2021 | 228 | $8K | |
| 2022 | 361 | $8K | |
| 2023 | 1,174 | $20K | |
| 2024incomplete | 277 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0450 | Emergency room services | 81% | 2,270 | 2,140 | $78K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 4.7% | 112 | 107 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.4% | 173 | 163 | $4K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.2% | 110 | 107 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.8% | 50 | 46 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 401 | 375 | $1K |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 94 | 94 | $999.50 |
| 81001 | <1% | 414 | 395 | $732.14 | |
| 80053 | Comprehensive metabolic panel | <1% | 92 | 88 | $441.55 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 66 | 63 | $430.63 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | 28 | $429.04 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | 96 | $396.48 |
11 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 83 | $347.94 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $309.02 |
| 83690 | <1% | 59 | $221.64 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 30 | $175.05 |
| 71045 | Radiologic examination, chest; single view | <1% | 13 | $67.98 |
| 87807 | <1% | 14 | $34.30 | |
| 81003 | <1% | 24 | $33.40 | |
| 0270 | <1% | 412 | $7.00 | |
| J3490 | Unclassified drugs | <1% | 52 | $0.12 |
| 99199 | Unlisted special service, procedure or report | 0% | 417 | $0.00 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 0% | 223 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.