Clinic
Scripps Health
Scripps Health was paid $502K by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoSCRIPPS HEALTH
LA JOLLA, CA 92037
LA JOLLA, CA 92037
33aNPI1275899072assigned 04/05/2012
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$502K
24GClaims32,708
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#54 of 170
Median peer was paid$145K
This provider vs. median3.5×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,605 | $43K | |
| 2019 | 10,149 | $149K | |
| 2020 | 6,796 | $105K | |
| 2021 | 8,297 | $165K | |
| 2022 | 2,447 | $37K | |
| 2023 | 863 | $2K | |
| 2024incomplete | 551 | $949.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 7,084 | 5,930 | $181K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,737 | 3,300 | $71K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.8% | 1,065 | 1,022 | $44K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 1,217 | 1,091 | $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 | 3.1% | 355 | 342 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 615 | 600 | $15K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.9% | 283 | 244 | $14K |
| 71045 | Radiologic examination, chest; single view | 2.6% | 7,943 | 5,611 | $13K |
| 99310 | Prolong nursin fac eval 15m | 2.6% | 637 | 325 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 928 | 232 | $12K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.9% | 1,065 | 929 | $10K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.7% | 291 | 275 | $8K |
34 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.6% | 218 | $8K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 495 | $8K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 251 | $7K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 422 | $6K |
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 1,240 | $6K |
| 93970 | <1% | 246 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 197 | $4K |
| 71250 | <1% | 168 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 796 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 381 | $3K |
| 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% | 254 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 24 | $982.91 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 275 | $754.98 |
| 73562 | <1% | 96 | $463.89 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $438.38 |
| 99306 | Prolong nursin fac eval 15m | <1% | 15 | $420.09 |
| 73630 | <1% | 144 | $396.34 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 62 | $328.90 |
| 11721 | <1% | 38 | $317.64 | |
| 73030 | <1% | 52 | $308.72 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 131 | $256.81 |
| 20610 | <1% | 12 | $255.33 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 12 | $245.64 |
| 72100 | <1% | 25 | $121.30 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 1,442 | $102.72 |
| 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) | <1% | 13 | $24.16 |
| 74018 | <1% | 19 | $16.15 | |
| 81003 | <1% | 147 | $11.67 | |
| 93356 | <1% | 12 | $6.93 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $3.00 |
| 73502 | <1% | 14 | $2.00 | |
| 84165 | <1% | 12 | $1.89 | |
| G0008 | Administration of influenza virus vaccine | 0% | 119 | $0.00 |
| 90662 | 0% | 107 | $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 officialTANDE, BRETT (EXECUTIVE VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Scripps Health | San Diego, CA | $64.23M |
| Scripps Health | Encinitas, CA | $11.95M |
| Scripps Health | La Jolla, CA | $9.79M |
| Scripps Health | La Jolla, CA | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.