Medicaid Provider Spending

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1285849026 · FORTUNA, CA 95540 · Critical Access Hospital · NPI assigned 05/14/2007

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

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

$2.67M
Total Medicaid Paid
54,173
Total Claims
44,087
Beneficiaries
119
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY FOR ENROLLMENT)
Parent OrganizationST. JOSEPH HEALTH SYSTEM
NPI Enumeration Date05/14/2007

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 40,821 $2.11M
2019 13,352 $564K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,474 7,468 $1.23M
97139 4,283 875 $170K
99201 940 568 $126K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 897 837 $85K
74177 Computed tomography, abdomen and pelvis; with contrast material 208 207 $84K
J3490 Unclassified drugs 5,780 2,879 $82K
J2704 Injection, propofol, 10 mg 314 298 $72K
70450 Computed tomography, head or brain; without contrast material 258 250 $60K
96375 Therapeutic injection; each additional sequential IV push 705 633 $50K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,021 960 $42K
71046 Radiologic examination, chest; 2 views 974 947 $34K
77067 Screening mammography, bilateral, including computer-aided detection 190 188 $34K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 336 327 $30K
97750 321 321 $29K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 78 77 $29K
80053 Comprehensive metabolic panel 2,803 2,559 $28K
76705 Ultrasound, abdominal, real time with image documentation; limited 308 308 $27K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 210 198 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,625 3,301 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 539 506 $24K
96361 Intravenous infusion, hydration; each additional hour 483 456 $23K
J2405 Injection, ondansetron hydrochloride, per 1 mg 704 659 $21K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 475 474 $18K
59025 Fetal non-stress test 459 199 $15K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 421 348 $13K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 141 141 $13K
84443 Thyroid stimulating hormone (TSH) 997 967 $13K
76700 Ultrasound, abdominal, real time with image documentation; complete 107 107 $13K
71045 Radiologic examination, chest; single view 473 448 $11K
J1885 Injection, ketorolac tromethamine, per 15 mg 586 550 $11K
73562 260 253 $10K
76830 Ultrasound, transvaginal 97 97 $9K
84484 552 494 $8K
87086 Culture, bacterial; quantitative colony count, urine 982 931 $7K
97799 190 37 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 282 260 $7K
80305 412 404 $7K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 44 42 $6K
73030 147 145 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 324 324 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 279 270 $6K
80061 Lipid panel 560 558 $5K
83690 682 637 $5K
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 79 77 $5K
86003 48 48 $5K
87040 200 187 $5K
80048 Basic metabolic panel (calcium, ionized) 570 541 $5K
72100 100 100 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 50 24 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 290 277 $4K
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 24 15 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28 28 $4K
73130 76 76 $4K
83605 281 262 $4K
90715 53 53 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 13 13 $4K
84439 559 552 $4K
73110 90 86 $3K
J2270 Injection, morphine sulfate, up to 10 mg 197 183 $3K
87400 239 238 $3K
73610 82 81 $3K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 79 79 $3K
87186 358 345 $3K
73630 84 83 $3K
81001 931 877 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 33 33 $3K
85610 605 564 $3K
83036 Hemoglobin; glycosylated (A1C) 361 358 $3K
83735 404 364 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 83 83 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 83 83 $2K
81003 882 850 $2K
J1170 Injection, hydromorphone, up to 4 mg 125 109 $2K
85027 284 266 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 83 78 $2K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 12 12 $2K
83880 71 69 $2K
87081 284 279 $2K
82607 152 151 $2K
87340 229 229 $2K
76770 13 12 $2K
86762 155 154 $2K
86695 103 103 $2K
86696 103 103 $2K
85730 179 161 $1K
86592 242 242 $1K
Z9725 25 25 $1K
72040 25 25 $1K
J0690 Injection, cefazolin sodium, 500 mg 24 24 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 106 96 $990.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 99 99 $958.33
88305 Level IV - Surgical pathology, gross and microscopic examination 116 65 $951.20
85379 85 80 $936.24
82962 178 153 $853.21
82746 71 71 $764.59
86901 334 325 $748.02
J2060 Injection, lorazepam, 2 mg 56 55 $745.19
86900 334 325 $718.61
86850 298 294 $670.46
J2765 Injection, metoclopramide hcl, up to 10 mg 65 65 $653.21
86141 69 68 $642.01
86140 143 142 $569.58
83540 103 100 $471.74
83550 85 83 $468.35
81002 258 111 $447.31
87077 57 55 $443.21
87088 55 55 $429.76
87147 82 81 $417.28
85651 198 194 $413.30
82950 122 122 $410.41
86803 42 42 $391.69
85007 130 123 $384.99
J2175 Injection, meperidine hydrochloride, per 100 mg 13 13 $357.68
87070 39 39 $308.28
82570 45 43 $221.31
82550 13 13 $142.74
82728 13 13 $125.58
85652 39 39 $75.27
84481 13 13 $60.53