Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Seton Medical Center

Seton Medical Center was paid $4.94M by Medicaid between Jan 2018 and Sep 2021, across 220 billing codes. Its largest line is 0450, Emergency room services — 20% of everything it billed.

33Billing provider infoSETON MEDICAL CENTER
DALY CITY, CA 94015
33aNPI1154428688assigned 09/19/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.94M
24GClaims268,889
24DCodes billed220
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#226 of 410
Median peer was paid$6.90M
This provider vs. median0.7×

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$100K$200K2018201920202021202220232024
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
2018107,032$1.92M
2019103,024$1.80M
202055,572$1.15M
20213,261$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 20% 16,417 14,944 $986K
77067 Screening mammography, bilateral, including computer-aided detection 4.5% 3,724 3,719 $220K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.6% 3,342 3,015 $180K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3.4% 8,749 6,679 $169K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.3% 1,468 1,279 $162K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 1,083 1,039 $161K
80053 Comprehensive metabolic panel 3.1% 16,666 15,619 $155K
70450 Computed tomography, head or brain; without contrast material 2.8% 1,316 1,245 $137K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.5% 19,622 17,763 $123K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.5% 2,203 1,934 $123K
76700 Ultrasound, abdominal, real time with image documentation; complete 2.0% 1,563 1,536 $99K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.8% 5,756 5,700 $90K
208 more codes
84443 Thyroid stimulating hormone (TSH) 1.8% 7,313 $87K
0214 1.7% 64 $86K
0360 1.7% 471 $84K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.5% 1,767 $75K
80061 Lipid panel 1.5% 11,293 $73K
99283 Emergency room visit (moderate) 1.4% 1,893 $70K
96375 Therapeutic injection; each additional sequential IV push 1.4% 1,912 $69K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 574 $62K
71046 Radiologic examination, chest; 2 views 1.2% 3,281 $59K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 993 $58K
96361 Intravenous infusion, hydration; each additional hour 1.1% 2,391 $56K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.1% 894 $54K
0121 <1% 27 $46K
76830 Ultrasound, transvaginal <1% 736 $43K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 834 $40K
81001 <1% 12,242 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,501 $38K
83036 Hemoglobin; glycosylated (A1C) <1% 8,144 $37K
74178 <1% 185 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 550 $35K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 630 $35K
84484 <1% 3,471 $32K
76770 <1% 698 $31K
77065 Tomosynthesis, mammo <1% 414 $31K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 795 $31K
71045 Radiologic examination, chest; single view <1% 3,940 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 772 $29K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 381 $28K
86480 <1% 711 $28K
76642 <1% 492 $27K
J3490 Unclassified drugs <1% 9,131 $25K
80048 Basic metabolic panel (calcium, ionized) <1% 6,473 $25K
76536 <1% 479 $24K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 183 $24K
83690 <1% 2,673 $23K
Z7502 <1% 612 $22K
71250 <1% 250 $22K
77080 <1% 1,533 $19K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,663 $19K
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 <1% 207 $18K
81025 <1% 2,253 $18K
84153 <1% 1,205 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 310 $17K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,916 $17K
83880 <1% 1,537 $17K
0111 <1% 19 $16K
72110 <1% 392 $16K
93017 <1% 331 $16K
73564 <1% 567 $16K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,994 $15K
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 <1% 245 $15K
82043 <1% 5,418 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 271 $15K
77066 Tomosynthesis, mammo <1% 134 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 739 $14K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 666 $13K
99070 <1% 5,006 $12K
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% 164 $12K
73030 <1% 473 $12K
82550 <1% 3,775 $11K
84439 <1% 2,088 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,825 $11K
73630 <1% 455 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 669 $11K
73610 <1% 416 $11K
77412 <1% 158 $10K
0710 <1% 236 $9K
78815 Positron emission tomography (PET) for limited area imaging <1% 14 $9K
87040 <1% 655 $9K
87186 <1% 1,242 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 276 $8K
82274 <1% 1,627 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 24 $8K
83605 <1% 729 $8K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 366 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,604 $7K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 313 $7K
93350 <1% 108 $7K
84466 <1% 1,382 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 42 $7K
85610 <1% 2,312 $7K
86803 <1% 419 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 148 $6K
J2270 Injection, morphine sulfate, up to 10 mg <1% 763 $6K
87077 <1% 1,415 $6K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 159 $6K
83970 <1% 353 $5K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 1,044 $5K
93971 <1% 57 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $5K
80069 <1% 1,212 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 39 $4K
82962 <1% 1,153 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 234 $4K
85730 <1% 765 $4K
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 417 $4K
84550 <1% 1,960 $4K
82728 <1% 813 $4K
83735 <1% 881 $4K
83540 <1% 1,411 $4K
80076 <1% 764 $3K
73110 <1% 143 $3K
71275 Computed tomographic angiography, chest, with contrast material <1% 17 $3K
73130 <1% 120 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 511 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 12 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 531 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 141 $3K
84481 <1% 372 $3K
87340 <1% 289 $3K
85379 <1% 238 $3K
82607 <1% 1,543 $3K
82746 <1% 453 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 503 $2K
72100 <1% 88 $2K
J7050 Infusion, normal saline solution, 250 cc <1% 816 $2K
85027 <1% 679 $2K
82553 <1% 197 $2K
84460 <1% 1,508 $2K
94060 <1% 68 $2K
94010 <1% 328 $2K
94644 <1% 75 $2K
86706 <1% 166 $2K
72050 <1% 39 $2K
86780 <1% 202 $2K
82040 <1% 679 $2K
0250 <1% 285 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 29 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 366 $1K
84450 <1% 680 $1K
85652 <1% 1,010 $1K
84100 <1% 538 $1K
0510 <1% 31 $1K
J2060 Injection, lorazepam, 2 mg <1% 231 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 50 $1K
82378 <1% 85 $1K
36415 Collection of venous blood by venipuncture <1% 15,186 $993.44
81005 <1% 291 $816.44
99199 Unlisted special service, procedure or report <1% 16 $778.23
82150 <1% 114 $744.54
74018 <1% 44 $722.59
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 135 $691.77
86038 <1% 230 $680.14
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 32 $635.71
87070 <1% 68 $627.42
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 109 $543.86
86901 <1% 99 $479.64
J7120 Ringers lactate infusion, up to 1000 cc <1% 63 $463.56
85611 <1% 61 $393.03
72114 <1% 12 $387.82
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 16 $381.30
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 85 $332.81
Z7610 <1% 41 $326.64
86900 <1% 100 $317.96
83520 <1% 55 $312.08
94729 <1% 14 $305.88
94726 <1% 14 $280.38
A9585 Injection, gadobutrol, 0.1 ml <1% 29 $267.33
73565 <1% 12 $264.07
72070 <1% 12 $262.14
82565 <1% 114 $262.08
82248 <1% 108 $244.90
84156 <1% 285 $204.97
73080 <1% 12 $202.18
J1170 Injection, hydromorphone, up to 4 mg <1% 43 $195.69
80074 <1% 12 $177.66
J3010 Injection, fentanyl citrate, 0.1 mg <1% 46 $162.01
85007 <1% 76 $150.08
J2704 Injection, propofol, 10 mg <1% 17 $123.19
83883 <1% 14 $122.80
82947 <1% 30 $117.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 12 $106.44
84075 <1% 75 $87.02
82105 <1% 27 $67.88
86140 <1% 33 $60.40
84132 <1% 32 $60.16
82272 <1% 84 $51.02
82533 <1% 14 $30.91
86334 <1% 12 $29.25
86800 <1% 27 $28.54
0272 <1% 108 $22.14
86431 <1% 13 $17.85
83516 <1% 16 $17.20
82985 <1% 80 $16.41
86376 <1% 13 $13.16
85045 0% 13 $0.00
0300 0% 168 $0.00
0320 0% 149 $0.00
0424 0% 44 $0.00
82088 0% 13 $0.00
0730 0% 93 $0.00
0412 0% 26 $0.00
0302 0% 15 $0.00
0483 0% 24 $0.00
A9270 Non-covered item or service 0% 1,350 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 459 $0.00
0301 0% 169 $0.00
0258 0% 155 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 126 $0.00
0271 0% 44 $0.00
0305 0% 139 $0.00
0352 0% 14 $0.00
0420 0% 42 $0.00
0306 0% 129 $0.00
84244 0% 13 $0.00
G0378 Hospital observation service, per hour 0% 30 $0.00
0255 0% 14 $0.00
0307 0% 39 $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 officialFERRELLI, JOHN (PRESIDENT & CEO)
Same official

Other billing entities under FERRELLI, JOHN

Full network →
ProviderLocationPaid
Seton Medical CenterDaly City, CA$411.87
Seton Medical CenterDaly City, CA$7.08

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