Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › DOWNEY › PIH HEALTH DOWNEY HOSPITAL

PIH HEALTH DOWNEY HOSPITAL

NPI: 1265433551 · DOWNEY, CA 90241 · General Acute Care Hospital · NPI assigned 08/09/2005

$25.37M
Total Medicaid Paid
1,095,256
Total Claims
942,521
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPONCE (AKA CARLSON), SUE (SPECIAL PROJECTS)
NPI Enumeration Date08/09/2005

Related Entities

Other providers sharing the same authorized official: PONCE (AKA CARLSON), SUE

ProviderCityStateTotal Paid
PIH HEALTH WHITTIER HOSPITAL WHITTIER CA $26.12M
PIH HEALTH WHITTIER HOSPITAL LA MIRADA CA $1.53M
PIH HEALTH WHITTIER HOSPITAL LA MIRADA CA $91K
PIH HEALTH WHITTIER HOSPITAL WHITTIER CA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164,678 $2.95M
2019 156,979 $4.31M
2020 125,551 $2.71M
2021 133,859 $3.46M
2022 163,568 $4.36M
2023 186,258 $4.49M
2024 164,363 $3.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 128,088 116,397 $5.15M
74177 Computed tomography, abdomen and pelvis; with contrast material 9,733 9,395 $1.68M
0270 42,319 26,369 $891K
70450 Computed tomography, head or brain; without contrast material 9,910 9,553 $866K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 19,749 18,443 $855K
99281 Emergency department visit for the evaluation and management, self-limited or minor 9,764 8,448 $779K
99284 Emergency department visit for the evaluation and management, high severity 6,570 6,190 $713K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 38,034 34,043 $691K
0250 33,987 20,623 $536K
93975 3,476 3,328 $501K
99283 Emergency department visit for the evaluation and management, moderate severity 4,719 4,461 $450K
J3490 Unclassified drugs 53,284 29,485 $430K
80048 Basic metabolic panel (calcium, ionized) 59,892 54,679 $417K
0214 181 170 $412K
71045 Radiologic examination, chest; single view 38,083 35,854 $405K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 71,481 64,921 $404K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,592 7,840 $364K
96375 Therapeutic injection; each additional sequential IV push 12,948 12,014 $354K
Z7502 9,731 9,551 $343K
0360 2,579 2,407 $323K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,036 2,949 $294K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,738 7,371 $289K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,362 6,026 $285K
99199 Unlisted special service, procedure or report 8,874 8,286 $267K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,654 1,625 $238K
0300 640 594 $237K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,423 3,285 $208K
72125 Computed tomography, cervical spine; without contrast material 1,697 1,670 $208K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 574 553 $202K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,776 1,751 $189K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,859 10,259 $187K
0279 21,144 15,831 $186K
84484 24,946 22,224 $176K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 477 446 $174K
76830 Ultrasound, transvaginal 2,945 2,828 $173K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,116 3,879 $152K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,848 12,336 $147K
71275 Computed tomographic angiography, chest, with contrast material 1,010 980 $144K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,641 2,445 $134K
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 2,852 2,556 $133K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,638 2,581 $132K
76801 3,037 2,649 $129K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 307 293 $123K
80076 18,986 17,803 $118K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,718 2,374 $113K
87634 2,632 2,574 $110K
0121 38 36 $104K
93971 1,439 1,397 $104K
83690 21,143 19,592 $102K
0710 3,496 3,385 $100K
97161 3,732 3,695 $93K
84703 15,424 14,462 $84K
80053 Comprehensive metabolic panel 10,448 9,395 $83K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,466 1,451 $80K
96361 Intravenous infusion, hydration; each additional hour 4,777 4,522 $78K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 254 253 $76K
81003 42,106 36,635 $71K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,433 1,371 $67K
J2704 Injection, propofol, 10 mg 2,783 2,690 $66K
72100 2,790 2,723 $66K
0160 811 594 $66K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,335 10,442 $64K
90715 2,214 2,178 $64K
J7030 Infusion, normal saline solution , 1000 cc 10,164 9,224 $64K
70486 542 534 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material 381 377 $63K
J2270 Injection, morphine sulfate, up to 10 mg 9,557 8,251 $62K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 2,640 2,597 $59K
73610 2,878 2,759 $58K
87086 Culture, bacterial; quantitative colony count, urine 9,658 9,054 $58K
93970 506 500 $57K
77067 Screening mammography, bilateral, including computer-aided detection 2,565 2,564 $56K
73630 2,975 2,775 $56K
73562 3,065 2,785 $54K
73130 2,578 2,383 $54K
0301 952 849 $54K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,311 2,227 $53K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,314 2,230 $53K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,214 10,540 $51K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,696 3,381 $50K
83880 2,727 2,541 $49K
73030 2,630 2,406 $46K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,112 1,003 $45K
71046 Radiologic examination, chest; 2 views 2,519 2,433 $45K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 201 194 $44K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,184 912 $44K
81025 10,934 10,361 $43K
0762 679 603 $43K
76700 Ultrasound, abdominal, real time with image documentation; complete 860 809 $42K
76642 640 638 $39K
84702 3,793 3,266 $38K
73110 1,894 1,811 $37K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,124 3,900 $37K
76641 286 286 $36K
87040 4,823 3,005 $35K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,107 1,051 $29K
82947 9,373 7,557 $28K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,731 2,494 $28K
82805 1,141 988 $27K
84443 Thyroid stimulating hormone (TSH) 2,378 2,295 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,140 3,929 $26K
77063 Screening digital breast tomosynthesis, bilateral 2,577 2,576 $26K
73080 1,225 1,177 $25K
0320 790 725 $25K
0750 183 161 $25K
70551 Magnetic resonance imaging, brain; without contrast material 142 141 $24K
45380 Colonoscopy, flexible; with biopsy, single or multiple 360 356 $23K
74018 1,365 1,317 $22K
Z7610 3,377 2,314 $22K
99282 Emergency department visit for the evaluation and management, low to moderate severity 241 230 $22K
J0690 Injection, cefazolin sodium, 500 mg 797 724 $19K
87186 2,941 2,806 $19K
83735 4,435 4,063 $19K
76775 552 521 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 248 246 $17K
77066 Tomosynthesis, mammo 386 385 $16K
83605 2,187 1,914 $15K
73502 675 653 $15K
0730 344 319 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 272 272 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 212 210 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 269 269 $13K
73564 528 485 $13K
85730 3,434 3,214 $13K
12001 1,108 1,084 $12K
88312 214 214 $12K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 88 88 $12K
73140 931 903 $12K
82948 3,973 3,458 $12K
84100 3,888 3,565 $11K
76870 324 314 $11K
J7050 Infusion, normal saline solution, 250 cc 2,866 2,483 $11K
10060 768 736 $11K
72040 610 590 $11K
71250 84 83 $11K
85610 4,467 4,172 $11K
84439 1,666 1,613 $11K
0272 1,146 1,060 $10K
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 354 348 $10K
86328 327 306 $10K
86901 3,906 3,605 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 440 436 $9K
86900 3,869 3,573 $9K
73590 504 469 $9K
12011 502 490 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,385 2,230 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,801 1,742 $9K
J3010 Injection, fentanyl citrate, 0.1 mg 1,694 1,632 $9K
70496 61 57 $9K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,919 1,807 $8K
81002 4,756 4,509 $8K
J7120 Ringers lactate infusion, up to 1000 cc 1,216 1,160 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,321 2,272 $8K
99000 2,795 2,685 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 309 297 $7K
27502 172 168 $7K
73090 455 429 $7K
85378 1,280 1,239 $7K
Z9725 156 155 $7K
70498 44 42 $7K
87807 838 782 $7K
87077 1,236 1,211 $6K
72072 298 295 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 700 650 $6K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 112 107 $6K
85027 1,249 1,126 $5K
93017 79 79 $5K
J2060 Injection, lorazepam, 2 mg 1,112 1,018 $5K
J1170 Injection, hydromorphone, up to 4 mg 715 608 $5K
87210 1,534 1,482 $5K
86850 1,236 1,146 $4K
87486 198 191 $4K
J0780 Injection, prochlorperazine, up to 10 mg 553 533 $4K
87581 197 190 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 55 54 $4K
86140 1,132 1,081 $4K
99070 1,174 660 $4K
77065 Tomosynthesis, mammo 95 95 $3K
29515 495 478 $3K
29125 555 534 $3K
92523 57 56 $3K
97165 162 162 $3K
71101 136 135 $3K
77062 229 229 $3K
36415 Collection of venous blood by venipuncture 4,508 3,794 $3K
J1815 Injection, insulin, per 5 units 978 730 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 155 140 $2K
A4649 Surgical supply; miscellaneous 2,808 1,505 $2K
29540 344 339 $2K
76536 68 68 $2K
71010 223 108 $2K
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 311 307 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 137 135 $2K
70491 13 13 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 61 46 $2K
J1644 Injection, heparin sodium, per 1000 units 188 121 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $1K
80061 Lipid panel 213 198 $1K
P9021 Red blood cells, each unit 15 12 $1K
J3370 Injection, vancomycin hcl, 500 mg 85 64 $1K
A9270 Non-covered item or service 3,539 1,707 $1K
87081 286 281 $1K
87070 237 221 $1K
82550 280 252 $1K
0637 897 384 $1K
0352 13 12 $1K
83036 Hemoglobin; glycosylated (A1C) 186 170 $1K
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 61 59 $921.41
29530 218 210 $904.82
J0360 Injection, hydralazine hcl, up to 20 mg 122 103 $816.28
93925 13 13 $782.53
96367 27 24 $761.26
82010 164 152 $721.35
S0077 Injection, clindamycin phosphate, 300 mg 46 44 $650.82
73660 52 51 $628.74
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 20 13 $615.01
27610 45 42 $602.20
94060 12 12 $531.45
A4217 Sterile water/saline, 500 ml 89 88 $521.65
93041 116 108 $514.45
94729 24 24 $511.20
S0164 Injection, pantoprazole sodium, 40 mg 59 54 $501.26
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 38 36 $488.32
29130 83 81 $461.06
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 505 488 $404.51
90375 14 13 $396.00
94726 18 13 $391.20
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 23 14 $282.28
77061 24 24 $268.05
J1940 Injection, furosemide, up to 20 mg 68 54 $225.31
J7060 5% dextrose/water (500 ml = 1 unit) 64 58 $199.01
29105 15 15 $197.58
J3475 Injection, magnesium sulfate, per 500 mg 16 15 $196.73
81001 486 470 $186.54
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 50 47 $186.45
85651 93 90 $165.73
73060 12 12 $151.91
70360 12 12 $148.90
51702 15 12 $142.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 168 155 $141.03
0370 28 26 $105.74
82140 15 14 $101.91
29505 25 24 $101.88
J7510 Prednisolone oral, per 5 mg 12 12 $99.35
S0020 Injection, bupivicaine hydrochloride, 30 ml 12 12 $97.15
96376 28 28 $72.90
82272 51 49 $69.09
J1953 Injection, levetiracetam, 10 mg 19 14 $60.82
82553 12 12 $48.60
J8540 Dexamethasone, oral, 0.25 mg 19 17 $42.48
0294 13 13 $32.85
99072 272 175 $4.64
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 208 120 $0.00
0760 86 86 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 14 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 15 14 $0.00