Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORCAL HEALTHCONNECT LLC

NPI: 1235162645 · PETALUMA, CA 94954 · General Acute Care Hospital · NPI assigned 07/09/2006

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

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$12.20M
Total Medicaid Paid
283,038
Total Claims
240,908
Beneficiaries
163
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY FOR ENROLLMENT)
NPI Enumeration Date07/09/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,265 $2.00M
2019 38,059 $1.64M
2020 30,378 $1.31M
2021 37,572 $1.58M
2022 45,937 $1.84M
2023 46,683 $1.93M
2024 45,144 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99281 Emergency department visit for the evaluation and management, self-limited or minor 22,177 19,296 $1.77M
99283 Emergency department visit for the evaluation and management, moderate severity 26,184 22,992 $1.51M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,529 2,431 $827K
93976 2,526 2,505 $724K
77067 Screening mammography, bilateral, including computer-aided detection 4,220 4,156 $618K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,437 4,975 $449K
70450 Computed tomography, head or brain; without contrast material 2,127 2,056 $409K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,384 2,199 $337K
J3490 Unclassified drugs 30,619 15,429 $268K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,528 5,954 $251K
96375 Therapeutic injection; each additional sequential IV push 4,873 4,274 $245K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,287 2,220 $220K
99201 1,355 849 $199K
76830 Ultrasound, transvaginal 2,026 1,970 $196K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,034 839 $189K
77063 Screening digital breast tomosynthesis, bilateral 3,926 3,834 $170K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,941 1,888 $166K
96361 Intravenous infusion, hydration; each additional hour 4,070 3,686 $159K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,462 1,369 $158K
74176 Computed tomography, abdomen and pelvis; without contrast material 818 778 $157K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 380 362 $157K
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 1,875 1,793 $153K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,775 2,401 $143K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,260 698 $114K
80053 Comprehensive metabolic panel 12,889 11,463 $113K
J2704 Injection, propofol, 10 mg 2,768 2,638 $104K
71046 Radiologic examination, chest; 2 views 4,044 3,908 $104K
97139 2,001 532 $102K
76700 Ultrasound, abdominal, real time with image documentation; complete 863 841 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,095 13,197 $93K
71045 Radiologic examination, chest; single view 5,415 5,058 $92K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 259 255 $91K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,483 2,265 $89K
73630 1,988 1,791 $71K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,700 3,542 $68K
87631 1,296 1,150 $65K
73610 1,361 1,274 $55K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,292 4,670 $54K
73030 1,396 1,339 $53K
72100 1,153 1,140 $48K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 551 534 $47K
83880 1,788 1,708 $46K
83605 5,170 4,456 $45K
84484 5,210 4,351 $44K
76641 375 367 $43K
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 648 596 $42K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 368 355 $42K
73130 1,048 965 $40K
0450 Emergency room services 269 245 $38K
76770 349 340 $37K
73562 1,024 954 $36K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,244 3,847 $35K
Z7502 905 851 $35K
83690 6,101 5,567 $33K
71275 Computed tomographic angiography, chest, with contrast material 115 114 $30K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 993 848 $30K
73564 658 602 $27K
J1170 Injection, hydromorphone, up to 4 mg 2,225 1,679 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 486 471 $25K
73110 584 552 $23K
76999 183 180 $22K
87040 2,107 1,451 $21K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,545 1,466 $19K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 764 675 $19K
76536 236 227 $19K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 748 704 $19K
J2270 Injection, morphine sulfate, up to 10 mg 1,809 1,511 $18K
77066 Tomosynthesis, mammo 105 103 $18K
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 95 63 $17K
72125 Computed tomography, cervical spine; without contrast material 56 53 $16K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,274 1,169 $16K
81001 5,095 4,798 $16K
J3010 Injection, fentanyl citrate, 0.1 mg 2,231 1,924 $15K
J0690 Injection, cefazolin sodium, 500 mg 1,331 1,188 $15K
74018 576 549 $15K
80048 Basic metabolic panel (calcium, ionized) 2,094 1,933 $14K
85610 4,237 3,970 $14K
85379 1,562 1,500 $13K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,498 1,446 $12K
76642 158 150 $12K
93971 93 90 $12K
87086 Culture, bacterial; quantitative colony count, urine 1,775 1,708 $12K
J2060 Injection, lorazepam, 2 mg 1,577 1,347 $11K
84145 591 553 $11K
70551 Magnetic resonance imaging, brain; without contrast material 24 24 $9K
Z7610 736 346 $9K
83735 1,736 1,557 $9K
84443 Thyroid stimulating hormone (TSH) 641 611 $9K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 253 243 $8K
81003 3,866 3,647 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 908 769 $8K
72050 119 119 $7K
72110 108 104 $7K
90715 153 150 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg 941 883 $6K
99070 388 360 $6K
81025 2,009 1,910 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 94 88 $6K
80306 378 369 $6K
73221 14 12 $6K
77065 Tomosynthesis, mammo 30 30 $5K
87400 538 526 $5K
71271 36 36 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening 13 13 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 68 68 $5K
72141 12 12 $5K
73502 96 91 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $5K
87077 627 610 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 25 $4K
80076 686 670 $4K
Z9725 82 81 $4K
72040 87 87 $3K
85730 665 632 $3K
71250 14 14 $3K
87081 547 509 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 411 368 $3K
97750 27 27 $2K
73140 81 78 $2K
87186 258 253 $2K
82077 118 108 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 266 254 $2K
J7030 Infusion, normal saline solution , 1000 cc 192 180 $2K
80047 141 140 $1K
S0164 Injection, pantoprazole sodium, 40 mg 83 76 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 15 13 $1K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $1K
82962 357 277 $997.27
85027 211 193 $966.54
86901 422 395 $907.24
82550 194 184 $870.04
86900 404 377 $839.48
73560 28 26 $819.00
82805 40 39 $748.56
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 29 29 $719.52
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 29 29 $716.88
72070 12 12 $533.64
82248 144 137 $517.80
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 36 34 $501.38
80143 27 26 $448.69
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 58 52 $432.80
86140 62 61 $419.94
87807 61 59 $418.46
86850 143 136 $379.96
J7120 Ringers lactate infusion, up to 1000 cc 52 50 $372.76
12001 12 12 $340.80
80179 27 26 $336.17
87420 138 115 $322.92
J3475 Injection, magnesium sulfate, per 500 mg 28 26 $264.14
J7050 Infusion, normal saline solution, 250 cc 48 40 $225.16
J0171 Injection, adrenalin, epinephrine, 0.1 mg 15 13 $192.90
J2919 Injection, methylprednisolone sodium succinate, 5 mg 12 12 $169.14
J2550 Injection, promethazine hcl, up to 50 mg 15 15 $166.08
29125 14 14 $165.62
J2470 Injection, pantoprazole sodium, 40 mg 30 26 $135.45
J1171 Injection, hydromorphone, 0.1 mg 12 12 $118.75
85651 52 51 $91.20
82553 12 12 $88.68
87070 12 12 $66.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $57.98
84100 14 12 $46.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 83 74 $1.78
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 14 12 $0.84