Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Loma Linda University Children's Hospital

Loma Linda University Children's Hospital was paid $107.10M by Medicaid between Jan 2018 and Dec 2024, across 317 billing codes. Its largest line is 99283, emergency room visit (moderate) — 54% of everything it billed.

33Billing provider infoLOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL
LOMA LINDA, CA 92354
33aNPI1366866345assigned 02/11/2014
33bProvider typeChildren's Hospital
28Total paid$107.10M
24GClaims1,255,338
24DCodes billed317
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in California

Rank by total paid#2 of 17
Median peer was paid$1.44M
This provider vs. median74×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018114,924$6.01M
2019117,038$5.98M
2020112,660$5.22M
2021166,870$10.28M
2022219,838$21.20M
2023270,982$29.22M
2024incomplete253,026$29.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 54% 69,654 64,287 $57.59M
0450 Emergency room services 6.8% 13,216 12,335 $7.23M
Z4300 3.9% 40,287 40,032 $4.15M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 2.6% 1,756 1,134 $2.75M
Z7500 2.5% 80,156 71,487 $2.72M
Z4306 2.5% 39,498 39,251 $2.70M
Z4301 1.3% 58,586 56,236 $1.43M
93325 1.3% 10,869 10,664 $1.41M
J0585 Injection, onabotulinumtoxina, 1 unit 1.3% 2,854 1,426 $1.37M
0360 1.2% 7,743 3,998 $1.29M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.1% 6,869 6,807 $1.23M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.0% 4,825 4,656 $1.12M
305 more codes
Z4304 <1% 13,432 $1.04M
Z4303 <1% 22,378 $961K
99221 <1% 5,507 $756K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 11,607 $705K
Z4307 <1% 26,801 $674K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 14,312 $636K
80053 Comprehensive metabolic panel <1% 45,600 $610K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 5,311 $573K
93320 <1% 6,936 $573K
0510 <1% 13,756 $549K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,902 $535K
Z4308 <1% 18,792 $475K
J3490 Unclassified drugs <1% 35,975 $462K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 8,689 $454K
Z7610 <1% 41,033 $450K
76770 <1% 5,514 $438K
44970 <1% 695 $369K
Z4311 <1% 29,233 $352K
59025 Fetal non-stress test <1% 13,689 $341K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,724 $331K
0710 <1% 6,588 $321K
96367 <1% 4,545 $294K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,881 $276K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29,522 $274K
76825 <1% 2,701 $269K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 257 $267K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 4,586 $254K
99213 Doctor's office visit, returning patient (routine) <1% 3,103 $242K
V5008 Hearing screening <1% 4,666 $224K
Z7502 <1% 6,042 $222K
Z4312 <1% 18,228 $219K
96450 <1% 840 $219K
Z4302 <1% 16,586 $216K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 1,100 $211K
96112 <1% 1,274 $194K
J2704 Injection, propofol, 10 mg <1% 9,349 $177K
0720 <1% 4,358 $171K
J0586 Injection, abobotulinumtoxina, 5 units <1% 412 $161K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,755 $154K
J3262 Injection, tocilizumab, 1 mg <1% 734 $154K
76813 <1% 1,976 $154K
99238 Hospital discharge day management, 30 minutes or less <1% 5,996 $152K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12,984 $148K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,076 $146K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,488 $146K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,828 $144K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,585 $140K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,189 $140K
J7050 Infusion, normal saline solution, 250 cc <1% 12,214 $139K
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter <1% 4,168 $139K
76827 <1% 2,696 $134K
99284 Emergency room visit (serious) <1% 605 $133K
0750 <1% 1,357 $122K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 11,548 $118K
85027 <1% 15,491 $114K
92588 <1% 2,277 $113K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,810 $110K
Z4309 <1% 4,415 $110K
X4303 <1% 1,624 $105K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,917 $102K
99285 Emergency room visit (most serious) <1% 137 $100K
L8699 Prosthetic implant, not otherwise specified <1% 461 $98K
Z7506 <1% 653 $90K
93976 <1% 1,280 $87K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,733 $86K
96361 Intravenous infusion, hydration; each additional hour <1% 5,064 $85K
76801 <1% 1,674 $82K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 6,118 $81K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 13,145 $79K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 1,396 $76K
99218 <1% 508 $74K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,861 $69K
0762 <1% 1,621 $68K
76819 Fetal biophysical profile; without non-stress testing <1% 893 $67K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 4,063 $62K
99070 <1% 77,262 $60K
97803 <1% 995 $58K
93975 <1% 990 $57K
97802 <1% 628 $56K
83735 <1% 6,509 $55K
81001 <1% 19,460 $51K
81003 <1% 13,338 $51K
70450 Computed tomography, head or brain; without contrast material <1% 1,586 $50K
G0378 Hospital observation service, per hour <1% 6,321 $50K
36415 Collection of venous blood by venipuncture <1% 2,891 $49K
99232 Hospital visit by a doctor, follow-up day <1% 934 $47K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,236 $47K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,807 $46K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,306 $46K
87088 <1% 7,868 $43K
X3920 <1% 848 $42K
J9370 Vincristine sulfate, 1 mg <1% 3,161 $42K
96111 <1% 388 $42K
76820 <1% 1,400 $41K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,259 $40K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,440 $37K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 845 $37K
84100 <1% 6,351 $36K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 896 $36K
X4304 <1% 1,093 $35K
96409 <1% 1,393 $35K
87210 <1% 6,900 $35K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,009 $34K
41899 Unlisted procedure, dentoalveolar structures <1% 224 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 990 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 993 $33K
71046 Radiologic examination, chest; 2 views <1% 3,603 $32K
X4100 <1% 612 $31K
86140 <1% 5,030 $28K
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 <1% 383 $28K
42999 <1% 246 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,865 $26K
85007 <1% 6,468 $26K
86850 <1% 3,831 $25K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,217 $24K
24538 <1% 14 $23K
Z9725 <1% 535 $23K
88304 <1% 1,668 $22K
99217 <1% 851 $21K
86900 <1% 5,295 $20K
85046 <1% 2,630 $20K
74018 <1% 4,059 $18K
0761 <1% 437 $18K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,598 $18K
P9016 Red blood cells, leukocytes reduced, each unit <1% 70 $18K
86901 <1% 4,975 $18K
87070 <1% 2,427 $17K
76870 <1% 700 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,208 $17K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 945 $17K
76536 <1% 388 $16K
83615 <1% 2,014 $16K
Z7512 <1% 553 $14K
77075 <1% 391 $14K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,470 $14K
71045 Radiologic examination, chest; single view <1% 1,803 $13K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,393 $13K
0272 <1% 695 $13K
99367 <1% 253 $13K
87077 <1% 4,007 $12K
84702 <1% 1,530 $12K
43762 <1% 357 $12K
99224 <1% 236 $12K
82570 <1% 2,084 $12K
84550 <1% 2,069 $12K
Z4314 <1% 181 $11K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 560 $10K
J9260 Injection, methotrexate sodium, 50 mg <1% 1,227 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,543 $10K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 694 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 1,778 $9K
76857 <1% 349 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,725 $9K
94010 <1% 538 $9K
83690 <1% 3,273 $9K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 12 $8K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,863 $8K
Z7514 <1% 136 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 166 $8K
0270 <1% 1,200 $8K
93321 <1% 165 $8K
73080 <1% 1,656 $8K
0370 <1% 451 $7K
93304 <1% 73 $7K
86945 <1% 207 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 43 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 87 $7K
76885 <1% 69 $6K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 386 $6K
94770 <1% 309 $6K
82962 <1% 2,946 $6K
0259 <1% 1,660 $6K
73130 <1% 1,131 $6K
84156 <1% 2,036 $6K
82728 <1% 462 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 534 $5K
74455 <1% 78 $5K
J0694 Injection, cefoxitin sodium, 1 gm <1% 606 $5K
85730 <1% 1,787 $5K
90839 <1% 1,506 $5K
85018 <1% 1,885 $5K
X4300 <1% 51 $5K
73630 <1% 993 $5K
73610 <1% 1,153 $5K
99225 <1% 83 $5K
Z5406 <1% 174 $5K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 241 $4K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 29 $4K
73564 <1% 636 $4K
96411 <1% 137 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 983 $3K
43760 <1% 66 $3K
84443 Thyroid stimulating hormone (TSH) <1% 518 $3K
73590 <1% 1,162 $3K
93247 <1% 26 $3K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 337 $3K
73090 <1% 1,875 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 2,121 $3K
85610 <1% 1,779 $3K
83880 <1% 192 $3K
88342 <1% 98 $3K
84703 <1% 4,620 $3K
J1756 Injection, iron sucrose, 1 mg <1% 237 $3K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 405 $2K
87390 <1% 109 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 418 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 441 $2K
73070 <1% 441 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 13 $2K
73060 <1% 1,031 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 1,397 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 877 $2K
99366 <1% 121 $2K
85240 <1% 80 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 94 $2K
74019 <1% 373 $2K
74240 <1% 13 $2K
74022 <1% 476 $2K
73110 <1% 1,069 $2K
83605 <1% 624 $1K
86702 <1% 109 $1K
87497 <1% 23 $1K
85384 <1% 278 $1K
J2252 Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg <1% 95 $1K
J0780 Injection, prochlorperazine, up to 10 mg <1% 299 $1K
87147 <1% 245 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 112 $1K
92552 <1% 41 $1K
73552 <1% 486 $1K
99368 <1% 102 $1K
86701 <1% 109 $1K
93308 <1% 13 $1K
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 <1% 409 $1K
51600 <1% 50 $1K
86762 <1% 70 $1K
42821 <1% 12 $972.00
85652 <1% 948 $965.36
76826 <1% 14 $928.11
70486 <1% 26 $897.93
86787 <1% 43 $874.88
83550 <1% 80 $857.56
86735 <1% 38 $814.53
86765 <1% 38 $805.19
99499 <1% 373 $802.58
87040 <1% 448 $738.88
82150 <1% 650 $738.14
J3480 Injection, potassium chloride, per 2 meq <1% 35 $683.90
86593 <1% 169 $648.68
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 461 $639.56
82248 <1% 129 $571.96
J7060 5% dextrose/water (500 ml = 1 unit) <1% 273 $564.83
93246 <1% 26 $527.89
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 279 $500.48
84484 <1% 138 $480.07
73030 <1% 245 $452.65
86160 <1% 25 $425.25
76010 <1% 49 $407.04
87430 <1% 818 $358.36
76828 <1% 14 $314.33
86803 <1% 13 $307.37
94799 <1% 94 $295.93
87186 <1% 184 $275.15
86780 <1% 21 $225.95
73100 <1% 235 $213.94
90840 <1% 102 $207.94
J3475 Injection, magnesium sulfate, per 500 mg <1% 137 $207.50
76937 <1% 13 $204.88
82247 <1% 141 $196.84
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% 13 $189.00
82330 <1% 81 $159.56
87340 <1% 37 $158.38
82805 <1% 41 $152.51
82550 <1% 141 $151.93
12011 <1% 138 $138.87
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 30 $137.26
76882 <1% 28 $119.13
0250 <1% 213 $104.57
84439 <1% 27 $98.63
86592 <1% 14 $87.18
94664 <1% 65 $82.83
84132 <1% 79 $80.55
12001 <1% 130 $80.31
94760 <1% 33 $73.68
82947 <1% 39 $67.08
82565 <1% 39 $65.40
84295 <1% 43 $64.01
87205 <1% 68 $63.51
82435 <1% 41 $63.11
82375 <1% 42 $51.04
87184 <1% 27 $42.48
83050 <1% 41 $33.93
84145 <1% 14 $27.76
73000 <1% 17 $23.90
J1836 Injection, metronidazole, 10 mg <1% 121 $20.90
31720 <1% 15 $20.00
86308 <1% 106 $12.52
A4217 Sterile water/saline, 500 ml <1% 40 $1.00
25605 0% 16 $0.00
0637 0% 27 $0.00
80143 0% 56 $0.00
73562 0% 15 $0.00
73502 0% 25 $0.00
0271 0% 12 $0.00
A9270 Non-covered item or service 0% 72 $0.00
0636 0% 57 $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 officialHILLIARD, ANTHONY (CEO)
Same official

Other billing entities under HILLIARD, ANTHONY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.