ST VINCENT HEALTHCARE LLC
NPI: 1316264567
· PASADENA, CA 91103
· 314000000X
$118K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,123 |
$22K |
| 2019 |
1,886 |
$26K |
| 2020 |
3,745 |
$59K |
| 2021 |
479 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
1,632 |
112 |
$33K |
| 0450 |
|
478 |
400 |
$15K |
| 97530 |
|
847 |
93 |
$14K |
| 99281 |
|
720 |
598 |
$12K |
| 99221 |
|
428 |
393 |
$10K |
| 97535 |
|
683 |
90 |
$10K |
| 97112 |
|
732 |
70 |
$8K |
| 97116 |
|
303 |
31 |
$4K |
| 80053 |
|
378 |
331 |
$3K |
| 85025 |
|
476 |
415 |
$3K |
| 96374 |
|
57 |
50 |
$2K |
| 93000 |
|
28 |
26 |
$672.42 |
| J7030 |
Normal saline solution infus |
142 |
122 |
$554.14 |
| 96375 |
|
16 |
13 |
$448.20 |
| 97166 |
|
27 |
27 |
$421.53 |
| A4649 |
Surgical supplies |
557 |
274 |
$243.54 |
| 81001 |
|
124 |
116 |
$230.98 |
| 93005 |
|
15 |
15 |
$227.61 |
| J3490 |
Drugs unclassified injection |
477 |
201 |
$134.93 |
| 85730 |
|
28 |
25 |
$120.14 |
| 87086 |
|
28 |
26 |
$116.61 |
| 85610 |
|
28 |
25 |
$78.61 |
| J2405 |
Ondansetron hcl injection |
15 |
12 |
$36.57 |
| 81025 |
|
14 |
14 |
$8.61 |