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

Stanford Hospital and Clinics was paid $473K by Medicaid between Jan 2018 and Oct 2024, across 29 billing codes. Its largest line is 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 — 63% of everything it billed.

33Billing provider infoSTANFORD HOSPITAL AND CLINICS
PALO ALTO, CA 94305
33aNPI1174698468assigned 11/21/2006
28Total paid$473K
24GClaims14,325
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#230 of 561
Median peer was paid$222K
This provider vs. median2.1×

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$20K$40K$60K2018201920202021202220232024
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
2018962$10K
20191,378$25K
20202,337$151K
20213,037$141K
20222,844$104K
20232,113$30K
2024incomplete1,654$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 63% 3,871 2,574 $299K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 8.6% 285 63 $41K
87632 5.9% 207 169 $28K
88341 3.0% 136 109 $14K
88350 2.5% 76 75 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 2.5% 1,186 1,124 $12K
80053 Comprehensive metabolic panel 2.4% 1,932 1,739 $11K
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 1.8% 109 86 $8K
84443 Thyroid stimulating hormone (TSH) 1.8% 964 948 $8K
80061 Lipid panel 1.4% 991 984 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 1,292 1,208 $5K
88342 1.0% 544 529 $5K
17 more codes
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 201 $4K
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 <1% 286 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 612 $3K
88323 <1% 209 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 35 $2K
88348 <1% 52 $2K
88313 <1% 114 $2K
88346 <1% 105 $952.17
80197 <1% 321 $877.04
83735 <1% 117 $613.06
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 14 $461.79
88314 <1% 49 $384.25
85027 <1% 48 $245.43
83540 <1% 46 $221.40
81001 <1% 88 $166.25
88312 <1% 18 $110.50
36415 Collection of venous blood by venipuncture <1% 417 $47.03

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 officialBARRIO, DANIEL (INTERIM ADMINISTRATIVE DIRECTOR)
Parent organizationSTANFORD HOSPITAL AND CLINICS