Medicaid Provider Spending

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

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

NPI: 1336173269 · BURBANK, CA 91505 · General Acute Care Hospital · NPI assigned 07/10/2006

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

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

$21.99M
Total Medicaid Paid
871,277
Total Claims
770,857
Beneficiaries
301
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date07/10/2006

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 138,741 $2.91M
2019 115,197 $3.98M
2020 82,841 $1.59M
2021 106,258 $2.29M
2022 119,462 $3.51M
2023 155,625 $4.00M
2024 153,153 $3.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 103,445 94,506 $5.38M
99281 Emergency department visit for the evaluation and management, self-limited or minor 11,161 10,054 $1.37M
70450 Computed tomography, head or brain; without contrast material 8,875 8,612 $953K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,032 4,735 $844K
80053 Comprehensive metabolic panel 32,447 29,600 $757K
74176 Computed tomography, abdomen and pelvis; without contrast material 7,241 7,123 $741K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,334 4,155 $719K
0202U Oncology (prostate), multianalyte, gene expression profiling 6,428 6,270 $690K
99199 Unlisted special service, procedure or report 10,542 9,233 $512K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 19,171 18,068 $500K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 26,169 24,697 $481K
80048 Basic metabolic panel (calcium, ionized) 25,858 23,913 $427K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 58,416 52,573 $406K
71045 Radiologic examination, chest; single view 22,821 21,838 $365K
96375 Therapeutic injection; each additional sequential IV push 17,703 15,248 $334K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,543 6,197 $316K
99284 Emergency department visit for the evaluation and management, high severity 4,151 3,887 $314K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,176 4,085 $273K
96361 Intravenous infusion, hydration; each additional hour 11,771 10,858 $257K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,231 6,423 $249K
Z7502 6,986 6,885 $246K
0160 3,027 1,640 $238K
0214 108 99 $235K
71046 Radiologic examination, chest; 2 views 8,696 8,493 $231K
0762 3,100 1,748 $222K
99283 Emergency department visit for the evaluation and management, moderate severity 3,753 3,487 $206K
0121 194 188 $204K
71275 Computed tomographic angiography, chest, with contrast material 1,354 1,329 $174K
84484 21,434 17,736 $166K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 10,821 9,484 $151K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,406 3,297 $136K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,796 5,556 $119K
81001 21,833 20,836 $117K
70496 860 838 $99K
83690 14,426 13,727 $98K
0250 18,855 11,604 $97K
Z9725 2,903 2,861 $87K
83880 6,203 5,936 $87K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,315 7,090 $87K
76830 Ultrasound, transvaginal 2,429 2,369 $83K
J7030 Infusion, normal saline solution , 1000 cc 11,073 9,803 $74K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,828 3,365 $70K
70486 722 710 $66K
78815 Positron emission tomography (PET) for limited area imaging 172 168 $66K
81003 14,497 13,822 $65K
72100 2,364 2,330 $65K
70551 Magnetic resonance imaging, brain; without contrast material 402 383 $64K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,070 1,831 $64K
87086 Culture, bacterial; quantitative colony count, urine 7,860 7,548 $61K
J3490 Unclassified drugs 14,548 10,160 $59K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,571 12,747 $58K
84703 8,951 8,600 $56K
87040 6,348 3,465 $55K
93971 903 879 $55K
J2270 Injection, morphine sulfate, up to 10 mg 9,466 7,827 $52K
70498 601 588 $52K
96376 4,681 3,542 $52K
73630 2,000 1,897 $50K
72125 Computed tomography, cervical spine; without contrast material 389 386 $49K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,122 1,995 $48K
73610 2,147 2,051 $47K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,073 1,406 $46K
73562 2,196 2,045 $45K
J7050 Infusion, normal saline solution, 250 cc 3,132 2,156 $43K
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 2,295 2,059 $41K
90715 1,575 1,560 $38K
72040 1,252 1,246 $38K
59025 Fetal non-stress test 4,708 2,473 $38K
73130 1,301 1,232 $38K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,680 9,065 $37K
73030 1,772 1,703 $36K
85379 3,703 3,614 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,460 3,290 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 273 267 $34K
84443 Thyroid stimulating hormone (TSH) 2,712 2,618 $32K
84702 3,199 2,800 $31K
0710 3,024 2,914 $30K
80143 1,458 1,400 $29K
80179 1,440 1,393 $29K
0761 1,917 1,596 $28K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,409 1,277 $28K
73110 942 903 $27K
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 891 842 $26K
J1815 Injection, insulin, per 5 units 1,974 1,367 $26K
87081 3,275 3,140 $24K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,399 2,075 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,325 1,295 $24K
96367 1,084 985 $24K
83605 3,957 3,608 $24K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,243 1,233 $24K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,422 4,060 $24K
0760 1,761 1,508 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 685 635 $22K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 611 606 $20K
85610 4,980 4,598 $20K
0122 267 258 $18K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,461 897 $18K
97162 667 650 $17K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,073 2,714 $16K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,056 686 $16K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,273 779 $16K
73140 714 697 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,898 3,540 $15K
0260 205 153 $14K
83735 3,390 2,795 $14K
71250 238 235 $13K
74018 761 740 $13K
J2060 Injection, lorazepam, 2 mg 2,672 2,332 $13K
86901 4,651 4,017 $13K
0370 701 680 $13K
71101 365 358 $12K
84145 1,292 1,232 $12K
87077 1,879 1,832 $12K
J1170 Injection, hydromorphone, up to 4 mg 2,132 1,652 $12K
87186 2,147 2,098 $12K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,079 2,041 $12K
77067 Screening mammography, bilateral, including computer-aided detection 393 393 $11K
86900 4,707 4,072 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 82 81 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 992 966 $11K
0270 10,045 6,079 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 73 72 $10K
86850 2,696 2,573 $10K
85055 977 906 $10K
77336 368 153 $10K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,052 2,018 $10K
85730 2,388 2,242 $10K
80061 Lipid panel 1,283 1,151 $9K
0335 395 265 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,815 1,061 $9K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,759 2,483 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 99 95 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,702 1,665 $8K
86140 1,918 1,862 $8K
36415 Collection of venous blood by venipuncture 6,351 4,709 $8K
87631 197 197 $8K
0360 797 748 $7K
76870 150 147 $7K
J2704 Injection, propofol, 10 mg 1,778 1,698 $7K
73502 339 320 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 151 151 $7K
85652 1,635 1,578 $6K
80076 550 532 $6K
J3370 Injection, vancomycin hcl, 500 mg 573 479 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,074 1,995 $6K
73590 203 190 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 130 127 $6K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,964 1,859 $6K
97161 163 155 $5K
73080 163 160 $5K
P9016 Red blood cells, leukocytes reduced, each unit 62 51 $5K
0272 1,112 1,069 $5K
86141 856 846 $5K
G0378 Hospital observation service, per hour 207 140 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 757 687 $5K
0171 Inj, epinephrine (belcher) 330 329 $5K
85027 1,881 1,606 $4K
76801 143 138 $4K
Z7610 555 442 $4K
97116 763 583 $4K
0023 Pin srv add 30 min pr m 22 16 $4K
J0690 Injection, cefazolin sodium, 500 mg 1,329 1,117 $4K
87807 976 943 $4K
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 1,445 1,330 $4K
82550 586 536 $3K
S0164 Injection, pantoprazole sodium, 40 mg 357 286 $3K
77063 Screening digital breast tomosynthesis, bilateral 299 299 $3K
J1650 Injection, enoxaparin sodium, 10 mg 717 494 $3K
93970 42 42 $3K
0301 1,314 1,185 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14 13 $3K
73560 148 136 $3K
J1953 Injection, levetiracetam, 10 mg 175 150 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 1,876 1,689 $3K
84439 455 451 $3K
76641 69 69 $3K
J3475 Injection, magnesium sulfate, per 500 mg 359 336 $3K
J2175 Injection, meperidine hydrochloride, per 100 mg 441 429 $3K
0324 659 634 $3K
77300 26 26 $2K
86920 62 57 $2K
83036 Hemoglobin; glycosylated (A1C) 428 416 $2K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 6,175 5,402 $2K
0258 799 737 $2K
0940 335 237 $2K
80047 301 294 $2K
85014 338 325 $2K
J1630 Injection, haloperidol, up to 5 mg 266 247 $2K
87210 297 289 $2K
0300 2,168 1,762 $2K
72170 91 90 $2K
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 162 139 $2K
A9585 Injection, gadobutrol, 0.1 ml 129 125 $2K
0042T 15 15 $2K
29125 29 29 $1K
0510 614 590 $1K
J1644 Injection, heparin sodium, per 1000 units 571 303 $1K
82077 42 39 $1K
87147 111 111 $1K
87205 414 369 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 124 98 $1K
J1453 Injection, fosaprepitant, 1 mg 21 12 $1K
96417 171 111 $1K
0352 629 613 $1K
72131 13 13 $1K
J1836 Injection, metronidazole, 10 mg 124 102 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 12 12 $971.54
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 263 206 $925.55
76700 Ultrasound, abdominal, real time with image documentation; complete 24 24 $924.28
88342 103 103 $848.69
92610 52 52 $833.93
A9270 Non-covered item or service 936 290 $814.66
12001 124 124 $787.46
93880 12 12 $753.28
93017 28 27 $722.35
29515 115 114 $710.61
86308 161 159 $708.32
J7120 Ringers lactate infusion, up to 1000 cc 207 180 $687.86
76376 47 43 $676.31
76770 16 15 $661.26
87070 154 145 $635.95
J0780 Injection, prochlorperazine, up to 10 mg 173 168 $625.49
0361 35 27 $613.50
72072 15 15 $601.23
77066 Tomosynthesis, mammo 13 13 $587.73
C1769 Guide wire 12 12 $566.61
92526 28 25 $533.32
82803 35 33 $523.72
0637 963 415 $518.25
0350 62 62 $502.90
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $480.80
0636 3,607 2,762 $474.17
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 293 118 $469.30
86592 90 89 $464.92
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $403.88
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 53 40 $403.28
Z9727 13 13 $390.00
J0360 Injection, hydralazine hcl, up to 20 mg 127 109 $377.82
A4649 Surgical supply; miscellaneous 413 293 $367.49
84100 191 143 $363.58
77080 12 12 $322.95
12011 28 28 $321.60
96415 37 26 $316.37
82140 42 39 $302.94
J0330 Injection, succinylcholine chloride, up to 20 mg 80 77 $270.72
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 90 69 $270.25
71010 40 30 $269.52
10061 12 12 $234.75
88307 25 25 $220.06
76642 12 12 $218.93
29130 39 39 $186.37
82728 43 40 $186.08
81025 51 51 $179.53
71020 17 15 $177.79
73090 12 12 $168.61
12002 24 24 $144.38
J0456 Injection, azithromycin, 500 mg 45 37 $139.02
J1920 Injection, labetalol hydrochloride, 5 mg 61 54 $122.23
87899 18 12 $120.80
82247 35 29 $109.34
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 81 78 $106.66
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 39 37 $104.05
0306 1,171 1,101 $102.62
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 539 494 $100.55
0351 336 331 $95.49
J2470 Injection, pantoprazole sodium, 40 mg 40 29 $90.79
A4217 Sterile water/saline, 500 ml 18 16 $81.49
J0692 Injection, cefepime hydrochloride, 500 mg 25 25 $75.93
29505 12 12 $75.19
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) 159 158 $73.53
J1171 Injection, hydromorphone, 0.1 mg 36 28 $73.14
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 28 27 $62.15
99152 12 12 $56.65
83615 12 12 $49.44
84550 26 25 $48.75
96040 27 27 $34.80
82009 13 12 $32.39
0730 303 290 $29.84
82248 14 12 $21.28
99153 Mod sedat endo service >5yrs 29 28 $21.12
J1940 Injection, furosemide, up to 20 mg 17 14 $18.89
0305 1,092 1,023 $18.76
81002 13 12 $7.89
0307 461 446 $4.06
Q5001 Hospice or home health care provided in patient's home/residence 34 26 $0.06
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 162 154 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 151 145 $0.01
0424 92 89 $0.00
0302 820 680 $0.00
0278 39 38 $0.00
0402 65 64 $0.00
0320 14 14 $0.00
15853 13 12 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,846 1,163 $0.00
0410 649 631 $0.00
0771 296 254 $0.00
0310 45 45 $0.00
0720 115 115 $0.00
0420 91 88 $0.00
0255 47 45 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 26 25 $0.00