Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

NPI: 1235107566 · LOS ANGELES, CA 90095 · Family Medicine Physician · NPI assigned 03/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HALE, KATHERINE controls 12+ related entities in our dataset. Read more

$35.81M
Total Medicaid Paid
932,307
Total Claims
610,770
Beneficiaries
204
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALE, KATHERINE (DIRECTOR OF ACCOUNTING)
NPI Enumeration Date03/11/2006

Related Entities

Other providers sharing the same authorized official: HALE, KATHERINE

ProviderCityStateTotal Paid
REGENTS OF THE UNIV OF CA EMER MED LOS ANGELES CA $7.58M
REGENTS UNIVERSITY OF CALIFORNIA SANTA MONICA CA $7.36M
JULES STEIN EYE INSTITUTE MEDICAL GROUP LOS ANGELES CA $2.16M
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $1.72M
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $1.58M
REGENTS OF THE UNIVERSITY OF CALIFORNIA VAN NUYS CA $611K
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $287K
UC REGENTS SANTA MONICA CA $231K
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES LOS ANGELES CA $201K
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $191K
UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA $170K
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 92,638 $1.80M
2019 103,239 $2.88M
2020 103,585 $3.59M
2021 141,129 $5.55M
2022 131,425 $6.09M
2023 166,822 $7.84M
2024 193,469 $8.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 182,805 44,042 $7.45M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 122,083 102,877 $5.44M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 39,737 8,465 $4.27M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 44,301 42,399 $2.79M
99215 Prolong outpt/office vis 40,782 35,300 $2.58M
99223 Prolong inpt eval add15 m 28,846 21,770 $2.00M
99232 Subsequent hospital care, per day, moderate complexity 55,222 16,331 $1.44M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,202 36,166 $1.28M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 147,426 107,172 $1.26M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,092 10,738 $744K
99205 Prolong outpt/office vis 6,081 5,915 $494K
99239 Hospital discharge day management, more than 30 minutes 11,094 10,323 $398K
90961 2,594 2,587 $337K
99222 Initial hospital care, per day, moderate complexity 5,080 4,605 $283K
J0897 Injection, denosumab, 1 mg 305 304 $258K
99309 Subsequent nursing facility care, per day, low to moderate complexity 7,467 4,225 $247K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,518 1,512 $200K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 987 983 $173K
99358 Prolong nursin fac eval 15m 3,856 2,844 $171K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,201 2,182 $171K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 804 802 $152K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,211 1,210 $152K
93000 12,121 11,700 $136K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,019 3,000 $132K
93308 4,749 4,152 $120K
J2785 Injection, regadenoson, 0.1 mg 1,149 1,145 $116K
99292 2,296 1,283 $114K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,044 4,373 $114K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,383 1,380 $100K
99220 1,366 1,270 $99K
90966 586 584 $92K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 482 481 $84K
99255 711 673 $83K
20550 3,837 2,780 $82K
93793 14,077 5,780 $79K
99310 Prolong nursin fac eval 15m 1,661 988 $79K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 964 946 $77K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 440 440 $71K
93015 1,452 1,446 $70K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,253 1,628 $67K
93351 409 408 $60K
99497 2,142 1,771 $58K
93320 1,806 1,753 $58K
90962 712 712 $57K
31624 469 393 $56K
93325 7,196 6,468 $53K
20553 1,279 912 $50K
93321 4,472 3,907 $50K
99356 1,790 1,129 $49K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,972 1,917 $46K
90677 339 334 $45K
99244 Office or other outpatient consultation, moderate to high complexity 333 328 $43K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 2,170 2,013 $43K
99152 1,518 1,450 $37K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 609 413 $35K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 578 576 $35K
Q9957 Injection, perflutren lipid microspheres, per ml 676 664 $33K
76937 3,560 2,954 $33K
99306 Prolong nursin fac eval 15m 673 628 $33K
99443 346 323 $27K
43235 236 230 $25K
94010 3,130 3,062 $25K
90686 1,160 1,151 $25K
94729 2,611 2,585 $24K
99496 342 330 $24K
36556 343 292 $22K
99254 195 189 $22K
99308 Subsequent nursing facility care, per day, straightforward 753 563 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,894 8,408 $20K
99217 775 762 $20K
95251 1,229 1,218 $19K
99226 494 393 $19K
99000 4,589 4,293 $19K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,822 1,303 $19K
J7050 Infusion, normal saline solution, 250 cc 1,600 804 $19K
93296 1,140 1,129 $19K
20610 968 771 $18K
90715 258 258 $17K
97810 1,409 1,042 $17K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,991 1,591 $17K
93248 1,049 1,043 $16K
99236 Prolong inpt eval add15 m 200 186 $15K
93018 1,229 1,219 $15K
99221 425 400 $15K
99245 85 84 $14K
99238 Hospital discharge day management, 30 minutes or less 679 658 $14K
36410 1,614 1,271 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,345 2,311 $14K
93458 86 82 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 399 388 $13K
77080 482 469 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,794 1,765 $12K
99442 229 221 $12K
94726 1,209 1,202 $11K
93454 66 66 $11K
36415 Collection of venous blood by venipuncture 3,622 3,211 $11K
93295 231 230 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 220 206 $10K
90662 936 936 $9K
90694 282 281 $9K
94618 411 408 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 85 81 $8K
0011A 583 583 $8K
93356 266 266 $8K
0012A 482 480 $8K
93246 936 918 $8K
93294 424 423 $7K
96127 551 541 $7K
93280 303 297 $7K
31645 77 63 $7K
99495 134 132 $7K
90656 311 311 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 69 69 $6K
0002A 312 312 $6K
0001A 420 419 $5K
96375 Therapeutic injection; each additional sequential IV push 179 110 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 85 84 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 31 30 $5K
17110 73 71 $4K
93298 116 114 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 91 55 $4K
83036 Hemoglobin; glycosylated (A1C) 1,042 1,034 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 30 26 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 413 408 $3K
Z4306 60 59 $3K
97139 419 327 $3K
90480 235 235 $3K
80053 Comprehensive metabolic panel 792 706 $3K
69209 289 261 $3K
0296T 278 277 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 53 28 $3K
93244 206 205 $3K
99490 Ccm add 20min 156 156 $2K
99385 14 14 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 342 318 $2K
93451 14 12 $2K
91320 417 417 $2K
0298T 272 269 $2K
99441 64 60 $2K
81002 993 964 $2K
90670 70 65 $2K
96367 45 28 $2K
93016 95 95 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 31 26 $2K
99284 Emergency department visit for the evaluation and management, high severity 31 31 $2K
0031A 83 83 $1K
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth 89 63 $1K
99417 Prolong home eval add 15m 25 25 $1K
93970 37 36 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,236 1,106 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 27 27 $1K
99498 17 14 $996.76
94060 68 68 $978.34
96523 64 53 $909.50
95806 27 27 $898.31
11102 13 13 $894.17
97803 13 12 $893.71
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 31 31 $760.48
99316 14 13 $705.34
17000 25 24 $699.05
99153 Mod sedat endo service >5yrs 74 70 $682.31
99201 12 12 $675.66
1111F 3,222 2,191 $655.49
90732 25 25 $652.74
82947 638 621 $614.38
99307 46 31 $583.68
99235 12 12 $582.58
93242 75 75 $520.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 48 30 $438.91
G0008 Administration of influenza virus vaccine 305 304 $433.02
74328 12 12 $427.56
93283 13 12 $415.38
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 19 13 $407.64
J2405 Injection, ondansetron hydrochloride, per 1 mg 21 12 $376.85
36620 13 13 $344.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 67 66 $324.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 13 12 $295.10
87400 58 58 $212.40
G0009 Administration of pneumococcal vaccine 54 48 $180.00
82378 39 39 $161.80
99418 Prolong nursin fac eval 15m 62 45 $158.50
J0696 Injection, ceftriaxone sodium, per 250 mg 14 12 $151.05
81025 26 26 $135.79
0072A 13 13 $120.00
3075F 156 153 $106.40
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $55.05
J1200 Injection, diphenhydramine hcl, up to 50 mg 21 14 $51.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 14 $43.88
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19 17 $25.49
83615 16 14 $21.68
82962 143 139 $19.16
83037 66 66 $7.00
3078F 2,126 2,014 $0.00
1159F 1,533 1,473 $0.00
1160F 964 923 $0.00
99072 400 394 $0.00
3077F 56 53 $0.00
1126F 2,448 2,249 $0.00
3079F 401 383 $0.00
3074F 2,197 2,076 $0.00
3044F 995 872 $0.00
1125F 199 185 $0.00
1170F 122 114 $0.00