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

Mountain Vista Medical Center LP

Mountain Vista Medical Center LP was paid $20.74M by Medicaid between Jan 2018 and Oct 2024, across 240 billing codes. Its largest line is 99285, emergency room visit (most serious) — 19% of everything it billed.

33Billing provider infoMOUNTAIN VISTA MEDICAL CENTER LP
MESA, AZ 85209
33aNPI1235212721assigned 10/20/2006
28Total paid$20.74M
24GClaims609,530
24DCodes billed240
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Acute Care Hospital providers in Arizona

Rank by total paid#26 of 78
Median peer was paid$12.21M
This provider vs. median1.7×

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$200K$400K$600K2018201920202021202220232024
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
201897,515$3.27M
201991,226$3.05M
202084,839$2.79M
2021107,169$3.60M
2022105,039$3.68M
202378,560$2.88M
2024incomplete45,182$1.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 19% 16,263 14,287 $3.93M
74177 Computed tomography, abdomen and pelvis; with contrast material 11% 3,781 3,496 $2.35M
80053 Comprehensive metabolic panel 9.4% 27,490 21,718 $1.95M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.6% 12,535 11,767 $1.57M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.0% 16,293 14,961 $1.44M
74176 Computed tomography, abdomen and pelvis; without contrast material 6.0% 2,853 2,605 $1.25M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5.8% 2,952 2,806 $1.20M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 4.3% 1,231 1,094 $892K
93458 3.4% 751 685 $699K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2.6% 5,440 2,070 $542K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.5% 1,143 1,077 $524K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2.0% 842 803 $418K
228 more codes
72125 Computed tomography, cervical spine; without contrast material 2.0% 1,541 $414K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.9% 7,590 $403K
C1776 Joint device (implantable) 1.6% 402 $332K
70450 Computed tomography, head or brain; without contrast material <1% 5,024 $200K
43235 <1% 714 $194K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 5,755 $174K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,635 $167K
59025 Fetal non-stress test <1% 1,765 $159K
11045 <1% 339 $158K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 508 $141K
27447 <1% 18 $129K
93975 <1% 303 $111K
73562 <1% 840 $104K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,336 $92K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 223 $88K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 307 $86K
80050 General health panel <1% 633 $83K
96361 Intravenous infusion, hydration; each additional hour <1% 7,373 $82K
C1874 Stent, coated/covered, with delivery system <1% 13 $76K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,543 $46K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 866 $46K
58571 <1% 12 $44K
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% 702 $43K
G0378 Hospital observation service, per hour <1% 9,543 $40K
71046 Radiologic examination, chest; 2 views <1% 5,663 $36K
47563 <1% 13 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,282 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 505 $25K
73630 <1% 387 $23K
70486 <1% 108 $21K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 573 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,328 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15,381 $20K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,030 $18K
73030 <1% 588 $17K
73610 <1% 208 $17K
C1726 Catheter, balloon dilatation, non-vascular <1% 152 $16K
73130 <1% 216 $15K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 52 $15K
96375 Therapeutic injection; each additional sequential IV push <1% 10,839 $14K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 755 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,522 $11K
93976 <1% 255 $11K
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% 189 $9K
77067 Screening mammography, bilateral, including computer-aided detection <1% 106 $9K
71275 Computed tomographic angiography, chest, with contrast material <1% 929 $9K
88304 <1% 1,261 $8K
72100 <1% 153 $8K
C1781 Mesh (implantable) <1% 109 $8K
96376 <1% 2,491 $8K
87186 <1% 2,241 $7K
71045 Radiologic examination, chest; single view <1% 9,445 $7K
72131 <1% 29 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 44 $7K
73110 <1% 28 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 13,779 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 8,248 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,442 $5K
93971 <1% 815 $5K
99215 Doctor's office visit, returning patient (complex) <1% 56 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 47 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 312 $4K
73560 <1% 240 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 12 $3K
A4649 Surgical supply; miscellaneous <1% 544 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 336 $3K
99213 Doctor's office visit, returning patient (routine) <1% 217 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,383 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,071 $3K
86900 <1% 2,833 $3K
71250 <1% 13 $2K
97535 Self-care/home management training, each 15 minutes <1% 1,396 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 33,094 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,517 $2K
87428 <1% 1,849 $2K
87088 <1% 2,696 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,966 $1K
99205 Prolong outpt/office vis <1% 12 $1K
84484 <1% 9,977 $1K
84703 <1% 5,334 $1K
81001 <1% 10,411 $1K
94761 <1% 529 $929.12
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,549 $789.76
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 80 $724.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,296 $711.13
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 16 $588.39
74018 <1% 405 $565.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,295 $488.21
83690 <1% 6,723 $448.99
81025 <1% 4,574 $418.92
87400 <1% 973 $414.30
36415 Collection of venous blood by venipuncture <1% 41,128 $401.56
83605 <1% 4,504 $399.49
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,506 $399.07
85379 <1% 1,522 $391.62
83880 <1% 2,190 $386.22
82962 <1% 8,143 $374.14
73502 <1% 53 $358.26
99214 Doctor's office visit, returning patient (more involved) <1% 14 $335.73
A9270 Non-covered item or service <1% 9,799 $290.79
85610 <1% 8,549 $290.36
97597 <1% 23 $275.60
85027 <1% 3,918 $265.32
84702 <1% 1,381 $257.99
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 38 $256.30
81003 <1% 8,273 $252.67
83735 <1% 4,656 $245.49
90715 <1% 600 $243.20
85730 <1% 4,628 $208.23
J7030 Infusion, normal saline solution , 1000 cc <1% 8,996 $207.12
97162 <1% 788 $193.03
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,507 $123.93
87040 <1% 2,645 $122.19
80061 Lipid panel <1% 385 $121.46
82550 <1% 1,775 $115.14
J2270 Injection, morphine sulfate, up to 10 mg <1% 10,609 $110.11
87086 Culture, bacterial; quantitative colony count, urine <1% 3,342 $107.02
88342 <1% 705 $94.08
87081 <1% 665 $91.71
J3490 Unclassified drugs <1% 431 $89.53
84443 Thyroid stimulating hormone (TSH) <1% 1,225 $86.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 671 $85.07
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12,964 $84.65
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 4,101 $84.26
97165 <1% 690 $80.54
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,862 $75.41
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,961 $73.84
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 1,055 $73.77
J2060 Injection, lorazepam, 2 mg <1% 2,024 $65.43
83036 Hemoglobin; glycosylated (A1C) <1% 1,517 $63.10
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,199 $60.95
82947 <1% 838 $52.56
J1170 Injection, hydromorphone, up to 4 mg <1% 3,567 $50.88
73090 <1% 19 $50.60
76801 <1% 202 $46.38
J2704 Injection, propofol, 10 mg <1% 10,133 $43.11
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 56 $42.99
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 56 $42.99
87070 <1% 540 $41.17
80047 <1% 1,563 $41.04
94760 <1% 773 $40.51
J0690 Injection, cefazolin sodium, 500 mg <1% 6,122 $34.48
87077 <1% 1,276 $28.31
J0780 Injection, prochlorperazine, up to 10 mg <1% 515 $27.43
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,928 $26.86
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% 756 $25.00
86901 <1% 2,834 $22.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 853 $22.30
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 506 $21.54
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 3,406 $20.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 622 $17.70
86850 <1% 2,584 $15.16
82077 <1% 349 $13.82
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 9,334 $13.14
J3370 Injection, vancomycin hcl, 500 mg <1% 1,994 $9.54
87205 <1% 642 $9.43
J1644 Injection, heparin sodium, per 1000 units <1% 5,694 $9.19
97116 <1% 715 $7.21
C9113 Injection, pantoprazole sodium, per vial <1% 550 $7.06
80076 <1% 165 $6.54
J7050 Infusion, normal saline solution, 250 cc <1% 491 $5.18
87420 <1% 125 $4.68
84100 <1% 287 $4.21
87147 <1% 277 $3.91
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 228 $0.80
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 1,949 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 239 $0.00
A6255 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 0% 62 $0.00
85347 0% 279 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 631 $0.00
97161 0% 1,131 $0.00
99152 0% 1,747 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 0% 167 $0.00
84439 0% 98 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 295 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 376 $0.00
C1758 Catheter, ureteral 0% 1,126 $0.00
85007 0% 214 $0.00
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 0% 226 $0.00
80143 0% 316 $0.00
80179 0% 281 $0.00
29125 0% 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 48 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 224 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 0% 15 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 87 $0.00
96367 0% 19 $0.00
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 0% 56 $0.00
87075 0% 16 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 49 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 184 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 0% 166 $0.00
J1956 Injection, levofloxacin, 250 mg 0% 20 $0.00
84600 0% 13 $0.00
83540 0% 12 $0.00
82948 0% 24 $0.00
C1769 Guide wire 0% 1,937 $0.00
72170 0% 29 $0.00
86140 0% 164 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 1,758 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 1,600 $0.00
99153 Mod sedat endo service >5yrs 0% 1,188 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 35 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 454 $0.00
97035 0% 441 $0.00
80329 0% 664 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 131 $0.00
80320 0% 1,481 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 139 $0.00
J0456 Injection, azithromycin, 500 mg 0% 33 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 94 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 284 $0.00
88307 0% 172 $0.00
A4215 Needle, sterile, any size, each 0% 395 $0.00
87807 0% 161 $0.00
84132 0% 44 $0.00
76830 Ultrasound, transvaginal 0% 96 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 306 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 79 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 19 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 16 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 34 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 24 $0.00
36416 0% 31 $0.00
82553 0% 45 $0.00
97166 0% 31 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 0% 13 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 26 $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 officialGOLICH, JACOB (HOSPITAL CEO)
Same official

Other billing entities under GOLICH, JACOB

Full network →
ProviderLocationPaid
Mountain Vista Medical Center, LPFlorence, AZ$8.21M

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