Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Garden Grove › NPI 1235296864
Physician

Hiserodt, John

Hiserodt, John was paid $6.30M by Medicaid between Jan 2018 and Nov 2024, across 193 billing codes. Its largest line is G0483, 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; 22 or more drug class(es), including metabolite(s) if performed — 21% of everything it billed.

33Billing provider infoHISERODT, JOHN
GARDEN GROVE, CA 92841
33aNPI1235296864assigned 01/02/2007
33bProvider typeCytopathology Physician
28Total paid$6.30M
24GClaims301,677
24DCodes billed193
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cytopathology Physician providers in California

Rank by total paid#3 of 69
Median peer was paid$50K
This provider vs. median125×

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$400K2018201920202021202220232024
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
2018505$7K
20196,663$288K
20201,913$97K
2021350$8K
202233,900$822K
2023142,772$3.18M
2024incomplete115,574$1.89M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 21% 16,281 11,199 $1.32M
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 16% 4,832 4,641 $1.03M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5.8% 13,077 7,449 $366K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5.0% 2,526 1,532 $316K
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 4.4% 4,230 3,469 $276K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.5% 4,144 3,986 $155K
87631 2.1% 4,208 4,053 $133K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.8% 6,750 6,672 $115K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.8% 7,355 7,326 $114K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.7% 6,848 6,770 $110K
87486 1.4% 4,253 4,101 $89K
80061 Lipid panel 1.3% 11,036 10,990 $84K
181 more codes
84443 Thyroid stimulating hormone (TSH) 1.3% 8,755 $83K
80053 Comprehensive metabolic panel 1.3% 12,419 $83K
87634 1.2% 2,614 $78K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 1,794 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 3,140 $74K
87581 1.2% 4,243 $73K
87541 1.1% 4,240 $72K
86003 <1% 645 $57K
83036 Hemoglobin; glycosylated (A1C) <1% 9,830 $56K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 12,774 $55K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,498 $52K
86235 <1% 746 $50K
80074 <1% 2,077 $44K
84403 <1% 2,373 $41K
87505 <1% 534 $40K
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% 1,023 $38K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,670 $33K
86481 <1% 789 $33K
84402 <1% 1,796 $32K
84153 <1% 2,448 $30K
86696 <1% 2,771 $30K
86780 <1% 4,484 $30K
84270 <1% 1,798 $27K
87077 <1% 5,687 $27K
82670 <1% 1,411 $26K
88112 <1% 555 $26K
87150 <1% 173 $26K
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% 1,771 $26K
82607 <1% 3,108 $25K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,478 $25K
82172 <1% 1,131 $25K
84481 <1% 2,222 $24K
82652 <1% 902 $24K
87481 <1% 1,248 $22K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,332 $21K
82627 <1% 1,098 $20K
99213 Doctor's office visit, returning patient (routine) <1% 395 $19K
82728 <1% 2,651 $19K
86695 <1% 2,637 $19K
82746 <1% 1,812 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 501 $19K
84154 <1% 1,552 $19K
86803 <1% 2,238 $18K
88142 <1% 1,742 $16K
87653 <1% 757 $16K
83090 <1% 984 $16K
84146 <1% 1,318 $15K
84305 <1% 881 $15K
87640 <1% 761 $15K
87340 <1% 2,608 $15K
83001 <1% 1,379 $14K
82533 <1% 969 $14K
87480 <1% 632 $14K
84144 <1% 888 $14K
83002 <1% 1,314 $14K
87088 <1% 3,334 $12K
83003 <1% 893 $12K
81001 <1% 4,539 $11K
83013 <1% 519 $11K
87500 <1% 546 $11K
84550 <1% 3,207 $11K
87506 <1% 70 $10K
87070 <1% 2,009 $9K
83540 <1% 2,113 $9K
84439 <1% 1,681 $9K
83550 <1% 1,760 $8K
83525 <1% 924 $8K
87563 <1% 652 $8K
96156 <1% 188 $8K
83695 <1% 862 $8K
87184 <1% 3,343 $8K
83010 <1% 874 $8K
87511 <1% 488 $8K
82610 <1% 620 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 495 $7K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 167 $7K
82523 <1% 487 $7K
84702 <1% 1,044 $7K
84466 <1% 764 $7K
86140 <1% 1,653 $7K
86038 <1% 951 $6K
83690 <1% 1,180 $6K
80081 <1% 231 $6K
82550 <1% 1,082 $6K
83735 <1% 1,172 $6K
82785 <1% 655 $6K
82150 <1% 1,083 $5K
82248 <1% 1,433 $5K
86225 <1% 669 $5K
84480 <1% 702 $5K
87081 <1% 1,214 $4K
86762 <1% 689 $4K
82951 <1% 660 $4K
81002 <1% 2,977 $4K
87660 <1% 458 $4K
87071 <1% 899 $3K
82043 <1% 1,159 $3K
84100 <1% 898 $3K
86430 <1% 866 $3K
85027 <1% 762 $3K
86592 <1% 949 $3K
84436 <1% 723 $3K
81003 <1% 1,397 $3K
87076 <1% 613 $2K
80055 <1% 67 $2K
83516 <1% 155 $2K
82672 <1% 229 $2K
85044 <1% 891 $2K
82105 <1% 51 $2K
85651 <1% 1,106 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 281 $2K
86735 <1% 336 $2K
82570 <1% 616 $2K
85730 <1% 495 $2K
86901 <1% 420 $2K
86787 <1% 351 $2K
86765 <1% 339 $2K
86200 <1% 273 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 202 $1K
86706 <1% 407 $1K
80050 General health panel <1% 958 $1K
80076 <1% 427 $1K
83655 <1% 211 $1K
85610 <1% 537 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 16 $1K
85007 <1% 666 $1K
86364 <1% 55 $987.29
86664 <1% 104 $967.28
83970 <1% 56 $928.12
99000 <1% 253 $918.39
82947 <1% 353 $913.80
86160 <1% 76 $900.08
87186 <1% 224 $878.93
82679 <1% 62 $850.38
84479 <1% 395 $844.14
82950 <1% 367 $800.40
80069 <1% 135 $693.67
86704 <1% 231 $690.08
86376 <1% 82 $679.48
88313 <1% 18 $644.39
88312 <1% 18 $617.50
86665 <1% 107 $578.18
86900 <1% 422 $576.84
86850 <1% 383 $549.51
83721 <1% 122 $500.58
86060 <1% 153 $494.65
86146 <1% 12 $488.84
86663 <1% 107 $437.74
86147 <1% 12 $425.56
36415 Collection of venous blood by venipuncture <1% 3,696 $420.22
82270 <1% 252 $407.96
82565 <1% 130 $372.54
82977 <1% 99 $368.16
86310 <1% 104 $368.01
81000 <1% 219 $351.16
82310 <1% 129 $336.91
86677 <1% 31 $308.99
87205 <1% 111 $274.99
84425 <1% 14 $261.52
84520 <1% 126 $246.07
83876 <1% 16 $239.68
82272 <1% 178 $233.62
81005 <1% 243 $229.91
84132 <1% 127 $215.49
86037 <1% 17 $202.81
84446 <1% 17 $201.96
84295 <1% 126 $192.64
82378 <1% 27 $182.99
86036 <1% 14 $167.02
86141 <1% 39 $166.53
82435 <1% 128 $166.41
80164 <1% 16 $154.48
84460 <1% 26 $108.72
84681 <1% 13 $106.62
86304 <1% 13 $92.14
87338 <1% 16 $87.47
82374 <1% 130 $81.20
86403 <1% 12 $56.57
80051 <1% 12 $49.60
86774 <1% 12 $26.17
99199 Unlisted special service, procedure or report 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.