Medicaid Provider Spending

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1235218785 · NAPA, CA 94558 · General Acute Care Hospital · NPI assigned 11/03/2006

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

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

$22.34M
Total Medicaid Paid
484,843
Total Claims
349,421
Beneficiaries
204
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationST. JOSEPH HEALTH SYSTEM
NPI Enumeration Date11/03/2006

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 675 $13K
2019 62,330 $2.68M
2020 67,540 $2.90M
2021 80,303 $3.35M
2022 91,600 $4.09M
2023 100,837 $4.77M
2024 81,558 $4.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99281 Emergency department visit for the evaluation and management, self-limited or minor 33,781 28,681 $2.70M
99283 Emergency department visit for the evaluation and management, moderate severity 36,326 30,083 $2.56M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 55,658 11,882 $2.16M
G9012 Other specified case management service not elsewhere classified 3,562 3,318 $1.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,708 2,602 $909K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 10,468 8,893 $865K
77067 Screening mammography, bilateral, including computer-aided detection 3,975 3,884 $623K
97750 8,385 5,061 $617K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,956 6,154 $565K
97139 14,176 2,865 $546K
J3490 Unclassified drugs 39,520 18,283 $529K
96375 Therapeutic injection; each additional sequential IV push 6,882 5,518 $408K
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 4,935 4,395 $407K
70450 Computed tomography, head or brain; without contrast material 2,050 1,960 $393K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,283 7,366 $327K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,025 1,009 $307K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,769 1,704 $261K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,282 1,938 $256K
97010 7,429 1,597 $253K
0202U Oncology (prostate), multianalyte, gene expression profiling 742 707 $248K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,028 2,725 $240K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,696 1,662 $185K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,649 697 $180K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 801 780 $175K
96361 Intravenous infusion, hydration; each additional hour 4,489 3,714 $173K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,511 1,470 $172K
59025 Fetal non-stress test 4,573 1,700 $166K
0450 Emergency room services 950 866 $164K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 447 414 $163K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 249 245 $160K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,251 3,748 $158K
99201 2,557 2,203 $156K
80053 Comprehensive metabolic panel 15,237 13,007 $156K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,997 2,796 $154K
77063 Screening digital breast tomosynthesis, bilateral 3,205 3,118 $152K
76830 Ultrasound, transvaginal 1,365 1,336 $151K
87631 2,374 2,242 $145K
71045 Radiologic examination, chest; single view 6,930 6,448 $140K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,476 1,439 $135K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,161 15,199 $123K
71046 Radiologic examination, chest; 2 views 4,417 4,252 $120K
97802 834 810 $95K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,329 4,800 $93K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,058 858 $88K
99070 3,024 2,747 $86K
76770 893 869 $85K
Z7502 1,924 1,862 $72K
97799 2,234 466 $70K
97803 1,078 900 $63K
97165 968 512 $61K
72125 Computed tomography, cervical spine; without contrast material 182 177 $60K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,210 1,189 $59K
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 793 702 $57K
73030 1,321 1,284 $56K
72100 1,147 1,111 $50K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,721 1,473 $49K
84484 5,043 4,127 $48K
J2704 Injection, propofol, 10 mg 5,044 4,387 $48K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,531 6,285 $46K
73630 1,262 1,199 $44K
83690 6,202 5,542 $42K
83880 1,471 1,374 $41K
77065 Tomosynthesis, mammo 269 253 $40K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 844 455 $39K
76536 413 401 $38K
73610 977 935 $37K
93971 241 238 $36K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,171 1,112 $36K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 636 478 $34K
73130 914 858 $33K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,197 4,667 $33K
80048 Basic metabolic panel (calcium, ionized) 3,571 3,107 $33K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,148 2,611 $32K
83605 2,780 2,416 $30K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13 12 $30K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,657 3,947 $30K
73560 1,134 1,069 $30K
74176 Computed tomography, abdomen and pelvis; without contrast material 181 172 $29K
76642 304 296 $27K
J3010 Injection, fentanyl citrate, 0.1 mg 3,927 3,686 $25K
88342 1,280 1,242 $25K
83735 3,659 3,204 $25K
J1170 Injection, hydromorphone, up to 4 mg 2,153 1,709 $24K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 518 485 $24K
73110 619 585 $24K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,669 1,030 $23K
87040 2,240 1,499 $23K
71275 Computed tomographic angiography, chest, with contrast material 71 70 $23K
A9585 Injection, gadobutrol, 0.1 ml 512 466 $23K
81001 4,686 4,234 $22K
73221 54 52 $22K
72141 62 62 $22K
84145 1,033 970 $20K
87086 Culture, bacterial; quantitative colony count, urine 2,776 2,626 $19K
76641 205 202 $18K
88313 1,087 1,057 $18K
J2270 Injection, morphine sulfate, up to 10 mg 1,704 1,482 $18K
81025 4,421 4,141 $17K
J0690 Injection, cefazolin sodium, 500 mg 1,911 1,688 $16K
90715 352 350 $16K
70551 Magnetic resonance imaging, brain; without contrast material 46 42 $15K
82947 2,952 1,996 $15K
74018 538 511 $14K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,598 1,420 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,535 1,471 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material 38 37 $13K
87077 1,650 1,595 $13K
97164 219 116 $12K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,122 1,960 $12K
81003 5,311 4,956 $11K
84443 Thyroid stimulating hormone (TSH) 764 728 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 306 298 $11K
0353U 191 185 $11K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,584 1,228 $10K
85610 2,711 2,538 $10K
87081 1,514 1,456 $10K
Z9725 227 218 $10K
70498 31 31 $9K
99152 158 153 $9K
70496 30 30 $9K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,369 1,259 $9K
87186 1,117 1,078 $8K
73502 193 187 $8K
72050 101 97 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 211 202 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 548 447 $7K
73562 198 195 $7K
73140 201 197 $6K
70486 26 26 $6K
77066 Tomosynthesis, mammo 28 27 $6K
76870 53 52 $5K
87070 846 807 $5K
85379 567 553 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 183 177 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 182 176 $5K
71250 29 29 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 63 61 $4K
72170 121 115 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 76 74 $4K
96367 65 50 $4K
77080 72 68 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 689 644 $3K
82077 136 125 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27 27 $3K
85027 427 381 $3K
J2060 Injection, lorazepam, 2 mg 437 357 $3K
92522 15 15 $3K
93970 12 12 $3K
76801 24 24 $3K
80047 283 275 $2K
J1815 Injection, insulin, per 5 units 122 93 $2K
86901 916 816 $2K
86900 900 802 $2K
87641 56 54 $2K
85730 334 320 $2K
73080 55 52 $2K
J7030 Infusion, normal saline solution , 1000 cc 237 203 $2K
J1644 Injection, heparin sodium, per 1000 units 218 138 $2K
86140 348 332 $2K
93017 12 12 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 227 182 $1K
87205 491 451 $1K
J2560 Injection, phenobarbital sodium, up to 120 mg 14 12 $1K
10060 36 36 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 127 83 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 24 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 21 19 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 100 68 $991.51
12001 27 26 $969.73
J7050 Infusion, normal saline solution, 250 cc 214 119 $933.20
81002 503 484 $917.22
86850 326 293 $872.50
J3475 Injection, magnesium sulfate, per 500 mg 61 53 $845.07
87420 332 304 $784.32
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 30 27 $764.75
J7120 Ringers lactate infusion, up to 1000 cc 103 96 $763.78
36415 Collection of venous blood by venipuncture 65 56 $752.16
J0780 Injection, prochlorperazine, up to 10 mg 85 75 $666.84
72040 12 12 $656.20
87075 81 80 $597.56
J2550 Injection, promethazine hcl, up to 50 mg 56 51 $516.91
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 88 84 $490.77
Z7610 119 66 $390.42
83036 Hemoglobin; glycosylated (A1C) 57 56 $376.14
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 13 $331.38
88304 50 50 $305.00
J2470 Injection, pantoprazole sodium, 40 mg 58 51 $293.48
82248 50 49 $258.04
80061 Lipid panel 28 28 $237.05
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 21 20 $234.49
82550 28 26 $164.86
82803 14 12 $146.94
J3360 Injection, diazepam, up to 5 mg 13 12 $145.50
29125 13 13 $140.13
82140 15 15 $139.80
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 17 12 $101.87
J1171 Injection, hydromorphone, 0.1 mg 20 15 $95.34
84100 21 12 $74.22
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $66.90
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 87 75 $28.13
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 114 111 $4.18
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 57 55 $4.09
J8540 Dexamethasone, oral, 0.25 mg 31 30 $3.68
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 20 20 $0.19