Medicaid Provider Spending

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

SCRIPPS HEALTH

NPI: 1275899072 · LA JOLLA, CA 92037 · Multi-Specialty Clinic/Center · NPI assigned 04/05/2012

$502K
Total Medicaid Paid
32,708
Total Claims
26,396
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTANDE, BRETT (EXECUTIVE VP/CFO)
NPI Enumeration Date04/05/2012

Related Entities

Other providers sharing the same authorized official: TANDE, BRETT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,605 $43K
2019 10,149 $149K
2020 6,796 $105K
2021 8,297 $165K
2022 2,447 $37K
2023 863 $2K
2024 551 $949.91

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,084 5,930 $181K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,737 3,300 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,065 1,022 $44K
99215 Prolong outpt/office vis 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 355 342 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 615 600 $15K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 283 244 $14K
71045 Radiologic examination, chest; single view 7,943 5,611 $13K
99310 Prolong nursin fac eval 15m 637 325 $13K
99233 Prolong inpt eval add15 m 928 232 $12K
70450 Computed tomography, head or brain; without contrast material 1,065 929 $10K
74176 Computed tomography, abdomen and pelvis; without contrast material 291 275 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 218 209 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 495 470 $8K
99223 Prolong inpt eval add15 m 251 214 $7K
99232 Subsequent hospital care, per day, moderate complexity 422 130 $6K
71046 Radiologic examination, chest; 2 views 1,240 1,157 $6K
93970 246 228 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 197 143 $4K
71250 168 165 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 796 739 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 381 318 $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 254 241 $2K
99205 Prolong outpt/office vis 24 24 $982.91
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 275 267 $754.98
73562 96 94 $463.89
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 18 $438.38
99306 Prolong nursin fac eval 15m 15 13 $420.09
73630 144 137 $396.34
99239 Hospital discharge day management, more than 30 minutes 62 60 $328.90
11721 38 38 $317.64
73030 52 51 $308.72
77067 Screening mammography, bilateral, including computer-aided detection 131 131 $256.81
20610 12 12 $255.33
72125 Computed tomography, cervical spine; without contrast material 12 12 $245.64
72100 25 25 $121.30
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,442 1,151 $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) 13 12 $24.16
74018 19 13 $16.15
81003 147 134 $11.67
93356 12 12 $6.93
36415 Collection of venous blood by venipuncture 30 26 $3.00
73502 14 13 $2.00
84165 12 12 $1.89
G0008 Administration of influenza virus vaccine 119 119 $0.00
90662 107 107 $0.00