Hospital
North Sonoma County Health Care District
North Sonoma County Health Care District was paid $5.88M by Medicaid between Jan 2018 and Aug 2022, across 77 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.
33Billing provider infoNORTH SONOMA COUNTY HEALTH CARE DISTRICT
HEALDSBURG, CA 95448
HEALDSBURG, CA 95448
33aNPI1194824573assigned 09/21/2006
33bProvider typeCritical Access Hospital
28Total paid$5.88M
24GClaims81,502
24DCodes billed77
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Critical Access Hospital providers in California
Rank by total paid#9 of 30
Median peer was paid$3.14M
This provider vs. median1.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,124 | $819K | |
| 2019 | 18,719 | $1.15M | |
| 2020 | 13,980 | $1.20M | |
| 2021 | 19,625 | $1.66M | |
| 2022 | 12,054 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 34% | 23,237 | 19,501 | $2.01M |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 15% | 4,358 | 3,855 | $857K |
| 99201 | 5.6% | 2,581 | 1,948 | $331K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 5.5% | 2,822 | 1,010 | $323K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.1% | 1,641 | 1,168 | $298K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 4.6% | 1,668 | 1,489 | $269K |
| 97750 | 3.6% | 1,902 | 1,052 | $214K | |
| 97139 | 3.0% | 2,870 | 926 | $174K | |
| 96375 | Therapeutic injection; each additional sequential IV push | 2.7% | 1,330 | 1,178 | $158K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.6% | 490 | 490 | $154K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.0% | 1,489 | 1,357 | $117K |
| J3490 | Unclassified drugs | 1.8% | 7,177 | 4,534 | $108K |
65 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.7% | 1,389 | $103K |
| 99284 | Emergency room visit (serious) | 1.5% | 1,038 | $88K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 1,033 | $81K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.0% | 82 | $60K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 153 | $36K |
| 71045 | Radiologic examination, chest; single view | <1% | 818 | $32K |
| 80053 | Comprehensive metabolic panel | <1% | 3,190 | $32K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 171 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 579 | $30K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,941 | $29K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,991 | $29K |
| 99070 | <1% | 1,924 | $29K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,402 | $25K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 514 | $25K |
| Q3014 | Telehealth originating site facility fee | <1% | 309 | $23K |
| 73562 | <1% | 262 | $22K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 125 | $19K |
| 76830 | Ultrasound, transvaginal | <1% | 42 | $13K |
| 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% | 175 | $12K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 25 | $11K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 994 | $10K |
| 83690 | <1% | 1,423 | $9K | |
| 73630 | <1% | 103 | $9K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 263 | $8K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 165 | $7K |
| 84484 | <1% | 687 | $7K | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 557 | $7K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 14 | $6K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 882 | $6K |
| 81001 | <1% | 1,489 | $6K | |
| 73110 | <1% | 52 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 283 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 60 | $5K |
| J2704 | Injection, propofol, 10 mg | <1% | 325 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 344 | $4K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 381 | $3K |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 396 | $3K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 15 | $3K |
| 80305 | <1% | 261 | $3K | |
| Z7502 | <1% | 61 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 106 | $2K |
| 73030 | <1% | 15 | $1K | |
| 0002A | <1% | 37 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | $1K |
| 81003 | <1% | 367 | $1K | |
| 85730 | <1% | 218 | $1K | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 149 | $782.59 |
| 87088 | <1% | 82 | $774.41 | |
| 85610 | <1% | 232 | $765.90 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 57 | $749.44 |
| 90756 | <1% | 16 | $719.36 | |
| 0001A | <1% | 25 | $625.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | $437.41 |
| 81025 | <1% | 132 | $426.48 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 57 | $383.90 |
| 0011A | <1% | 14 | $350.00 | |
| 83605 | <1% | 28 | $286.75 | |
| J2060 | Injection, lorazepam, 2 mg | <1% | 30 | $264.71 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 48 | $248.26 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12 | $165.24 |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 12 | $150.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 268 | $115.92 |
| 87186 | <1% | 12 | $94.73 | |
| 82962 | <1% | 13 | $34.28 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 13 | $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 officialBALAND, RICHARD (CFO)
| Provider | Location | Paid |
|---|---|---|
| Northeast Montana Health Services, INC. | Poplar, MT | $1.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.