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

Pomona Valley Hospital Medical Center

Pomona Valley Hospital Medical Center was paid $58.85M by Medicaid between Jan 2018 and Dec 2024, across 411 billing codes. Its largest line is 0450, Emergency room services — 12% of everything it billed.

33Billing provider infoPOMONA VALLEY HOSPITAL MEDICAL CENTER
POMONA, CA 91767
33aNPI1407813660assigned 04/28/2006
28Total paid$58.85M
24GClaims2,125,594
24DCodes billed411
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#52 of 410
Median peer was paid$6.90M
This provider vs. median8.5×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018298,310$7.65M
2019278,969$6.90M
2020237,602$5.77M
2021286,163$7.69M
2022330,658$10.39M
2023372,568$10.91M
2024incomplete321,324$9.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 12% 174,462 153,882 $7.32M
0202U Oncology (prostate), multianalyte, gene expression profiling 3.6% 7,323 7,172 $2.14M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.6% 34,184 14,037 $2.12M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.3% 33,961 31,188 $1.95M
70450 Computed tomography, head or brain; without contrast material 3.2% 18,605 18,020 $1.88M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.1% 12,017 11,624 $1.84M
Z7502 3.1% 47,923 47,435 $1.80M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.4% 22,146 9,325 $1.40M
J3490 Unclassified drugs 1.8% 60,524 33,297 $1.06M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.7% 8,709 8,351 $990K
0360 1.5% 10,092 5,809 $911K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.5% 42,765 39,720 $879K
399 more codes
80053 Comprehensive metabolic panel 1.5% 80,084 $875K
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 1.2% 3,899 $734K
Z9725 1.1% 15,405 $663K
85027 1.0% 98,940 $610K
78815 Positron emission tomography (PET) for limited area imaging 1.0% 653 $593K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 13,923 $579K
99221 <1% 4,145 $575K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,650 $559K
72125 Computed tomography, cervical spine; without contrast material <1% 4,432 $556K
0949 <1% 17,278 $538K
99285 Emergency room visit (most serious) <1% 2,516 $527K
J9271 Injection, pembrolizumab, 1 mg <1% 135 $514K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 6,300 $514K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 7,928 $505K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 15,094 $496K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 10,689 $458K
99499 <1% 3,919 $449K
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% 8,831 $431K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 11,064 $431K
99199 Unlisted special service, procedure or report <1% 10,486 $426K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 10,220 $417K
77067 Screening mammography, bilateral, including computer-aided detection <1% 8,015 $413K
93975 <1% 2,939 $407K
71045 Radiologic examination, chest; single view <1% 38,707 $404K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 19,787 $392K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,612 $391K
99284 Emergency room visit (serious) <1% 4,297 $388K
99070 <1% 47,950 $366K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,487 $366K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,101 $363K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 9,954 $362K
71046 Radiologic examination, chest; 2 views <1% 22,647 $361K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 18,386 $354K
80048 Basic metabolic panel (calcium, ionized) <1% 37,162 $340K
Z7500 <1% 9,955 $338K
97763 <1% 4,156 $334K
97139 <1% 8,994 $328K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,353 $315K
76830 Ultrasound, transvaginal <1% 7,831 $312K
99234 <1% 9,065 $308K
59025 Fetal non-stress test <1% 15,135 $307K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,847 $307K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,909 $304K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 8,298 $304K
96375 Therapeutic injection; each additional sequential IV push <1% 11,394 $295K
76801 <1% 6,736 $283K
Q3014 Telehealth originating site facility fee <1% 11,952 $280K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,912 $270K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,969 $269K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,154 $268K
84484 <1% 29,029 $263K
36415 Collection of venous blood by venipuncture <1% 41,372 $255K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 5,952 $253K
97161 <1% 5,404 $244K
93971 <1% 3,111 $239K
0750 <1% 2,373 $234K
83690 <1% 33,288 $209K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,726 $205K
96361 Intravenous infusion, hydration; each additional hour <1% 10,116 $201K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 32,666 $196K
87086 Culture, bacterial; quantitative colony count, urine <1% 27,276 $187K
92523 <1% 2,129 $183K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,790 $177K
0710 <1% 7,741 $175K
Z4300 <1% 1,666 $172K
97799 <1% 2,991 $165K
70496 <1% 1,154 $165K
Z7610 <1% 16,389 $165K
93970 <1% 1,288 $158K
0250 <1% 25,531 $156K
76641 <1% 3,743 $156K
84702 <1% 12,234 $150K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,565 $150K
93976 <1% 1,332 $150K
97802 <1% 1,956 $149K
0270 <1% 23,689 $148K
83880 <1% 8,187 $145K
0762 <1% 3,086 $140K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 4,328 $139K
70498 <1% 1,228 $139K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg <1% 92 $139K
72141 <1% 831 $137K
81003 <1% 54,730 $137K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,713 $135K
71250 <1% 1,451 $135K
0301 <1% 2,890 $128K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,977 $125K
95811 <1% 544 $124K
96367 <1% 3,282 $118K
70486 <1% 1,206 $118K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 17,354 $116K
96112 <1% 739 $114K
83605 <1% 11,632 $112K
76770 <1% 2,629 $111K
73630 <1% 7,198 $109K
P9016 Red blood cells, leukocytes reduced, each unit <1% 492 $107K
82948 <1% 17,504 $101K
72100 <1% 4,812 $100K
77063 Screening digital breast tomosynthesis, bilateral <1% 8,002 $99K
77066 Tomosynthesis, mammo <1% 1,555 $97K
73030 <1% 5,818 $97K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 566 $95K
J7030 Infusion, normal saline solution , 1000 cc <1% 19,157 $93K
73130 <1% 5,223 $91K
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 <1% 18,828 $91K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 235 $89K
99238 Hospital discharge day management, 30 minutes or less <1% 2,984 $89K
99218 <1% 628 $88K
73562 <1% 5,327 $88K
73610 <1% 4,957 $86K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 14,323 $86K
85730 <1% 15,924 $86K
G0378 Hospital observation service, per hour <1% 1,238 $81K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,074 $80K
86901 <1% 15,579 $77K
84145 <1% 5,488 $77K
0637 <1% 9,849 $71K
93798 <1% 4,225 $71K
77336 <1% 664 $70K
73221 <1% 473 $70K
84703 <1% 9,194 $69K
90715 <1% 2,533 $66K
85610 <1% 18,045 $65K
86850 <1% 9,050 $63K
81025 <1% 12,578 $63K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,491 $63K
87040 <1% 5,079 $61K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 17,099 $61K
87077 <1% 10,123 $61K
85004 <1% 27,273 $60K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17,203 $60K
87631 <1% 1,265 $59K
96417 <1% 1,895 $58K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,322 $57K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,285 $56K
86900 <1% 15,540 $56K
99232 Hospital visit by a doctor, follow-up day <1% 879 $56K
72040 <1% 2,873 $56K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,786 $56K
73110 <1% 3,065 $55K
0760 <1% 1,835 $54K
73502 <1% 2,617 $50K
84443 Thyroid stimulating hormone (TSH) <1% 3,435 $49K
83036 Hemoglobin; glycosylated (A1C) <1% 6,282 $49K
81001 <1% 12,883 $49K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,477 $47K
76536 <1% 1,809 $47K
76870 <1% 1,313 $45K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,383 $44K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 2,364 $42K
73560 <1% 3,755 $42K
97010 <1% 2,107 $41K
87653 <1% 1,713 $41K
0121 <1% 12 $40K
J1815 Injection, insulin, per 5 units <1% 2,149 $39K
83735 <1% 6,745 $39K
Q5114 Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg <1% 23 $39K
97165 <1% 791 $39K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,159 $39K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 398 $38K
73590 <1% 2,253 $37K
86140 <1% 6,803 $34K
74022 <1% 1,164 $34K
96415 <1% 1,285 $33K
87186 <1% 4,645 $32K
74018 <1% 2,230 $31K
86923 <1% 470 $30K
73070 <1% 1,825 $29K
88304 <1% 1,723 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 803 $29K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,671 $29K
73564 <1% 1,941 $29K
73090 <1% 1,785 $28K
77334 <1% 32 $27K
72110 <1% 1,292 $26K
J1953 Injection, levetiracetam, 10 mg <1% 624 $26K
0257 <1% 5,763 $25K
0510 <1% 919 $24K
96111 <1% 223 $24K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 674 $24K
0160 <1% 696 $24K
96376 <1% 1,117 $24K
12001 <1% 920 $23K
97113 <1% 679 $23K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,762 $22K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,376 $22K
71101 <1% 744 $21K
82550 <1% 3,224 $21K
82803 <1% 1,496 $21K
99152 <1% 733 $21K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,367 $21K
72070 <1% 1,098 $20K
85378 <1% 2,902 $19K
0272 <1% 1,827 $19K
87081 <1% 2,806 $18K
81015 <1% 10,760 $17K
0682 <1% 78 $17K
73552 <1% 984 $17K
84100 <1% 4,251 $17K
J0640 Injection, leucovorin calcium, per 50 mg <1% 242 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 292 $16K
99217 <1% 551 $15K
82010 <1% 2,038 $15K
73080 <1% 827 $14K
0761 <1% 327 $14K
82375 <1% 1,495 $14K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,989 $14K
80061 Lipid panel <1% 1,641 $14K
0214 <1% 45 $13K
73100 <1% 1,097 $13K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 55 $13K
Z4302 <1% 1,053 $13K
85384 <1% 1,236 $13K
J1750 Injection, iron dextran, 50 mg <1% 63 $12K
99224 <1% 199 $12K
87184 <1% 1,876 $12K
J2704 Injection, propofol, 10 mg <1% 1,451 $11K
J1453 Injection, fosaprepitant, 1 mg <1% 542 $11K
Z4307 <1% 450 $11K
73060 <1% 728 $11K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 277 $11K
J7050 Infusion, normal saline solution, 250 cc <1% 4,790 $11K
73600 <1% 673 $11K
88307 <1% 260 $10K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,309 $10K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,513 $10K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,582 $10K
12011 <1% 597 $10K
72170 <1% 626 $10K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,204 $10K
94060 <1% 287 $10K
82553 <1% 740 $10K
99215 Doctor's office visit, returning patient (complex) <1% 184 $9K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,616 $9K
77290 <1% 32 $9K
77080 <1% 701 $9K
86592 <1% 1,838 $9K
85007 <1% 4,655 $9K
73521 <1% 537 $9K
82731 <1% 105 $9K
99153 Mod sedat endo service >5yrs <1% 913 $9K
73620 <1% 497 $9K
94729 <1% 261 $9K
29125 <1% 1,081 $8K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg <1% 18 $8K
72050 <1% 479 $8K
73140 <1% 618 $8K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,965 $8K
82552 <1% 1,016 $8K
82140 <1% 789 $8K
85009 <1% 2,123 $7K
J9190 Injection, fluorouracil, 500 mg <1% 412 $7K
70491 <1% 55 $7K
J1756 Injection, iron sucrose, 1 mg <1% 102 $7K
J3489 Injection, zoledronic acid, 1 mg <1% 150 $7K
A9585 Injection, gadobutrol, 0.1 ml <1% 1,969 $6K
J2060 Injection, lorazepam, 2 mg <1% 1,831 $6K
77065 Tomosynthesis, mammo <1% 112 $6K
94727 <1% 260 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 41 $6K
J1650 Injection, enoxaparin sodium, 10 mg <1% 932 $6K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 100 $5K
73120 <1% 555 $5K
10060 <1% 237 $5K
J2358 Injection, olanzapine, long-acting, 1 mg <1% 141 $5K
0410 <1% 273 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 383 $5K
74178 <1% 26 $5K
96523 <1% 42 $5K
A0429 Emergency ambulance ride, basic life support <1% 196 $5K
29515 <1% 686 $5K
99225 <1% 87 $5K
97116 <1% 647 $5K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,741 $4K
85651 <1% 1,641 $4K
12002 <1% 335 $4K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,123 $4K
J1644 Injection, heparin sodium, per 1000 units <1% 1,225 $4K
86703 <1% 433 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 114 $4K
97172 <1% 97 $4K
0258 <1% 1,145 $4K
80076 <1% 501 $4K
84439 <1% 582 $4K
0370 <1% 50 $4K
71020 <1% 146 $3K
0271 <1% 678 $3K
70360 <1% 230 $3K
96416 <1% 72 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 410 $3K
93880 <1% 31 $3K
94664 <1% 328 $3K
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 77 $3K
75571 <1% 84 $3K
87420 <1% 152 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 111 $2K
71010 <1% 144 $2K
70547 <1% 13 $2K
36600 <1% 703 $2K
85576 <1% 298 $2K
87070 <1% 158 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 80 $2K
Z7514 <1% 31 $2K
76937 <1% 69 $2K
A4649 Surgical supply; miscellaneous <1% 1,382 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 647 $2K
49083 <1% 24 $2K
82607 <1% 180 $2K
J3480 Injection, potassium chloride, per 2 meq <1% 438 $2K
85008 <1% 2,095 $2K
73000 <1% 91 $1K
X4303 <1% 22 $1K
47562 <1% 12 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 80 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 269 $1K
0324 <1% 167 $1K
93017 <1% 31 $1K
J2785 Injection, regadenoson, 0.1 mg <1% 12 $1K
96368 <1% 86 $1K
87340 <1% 174 $1K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 370 $1K
88342 <1% 44 $1K
92521 <1% 12 $1K
27502 <1% 47 $1K
J1940 Injection, furosemide, up to 20 mg <1% 344 $1K
29505 <1% 105 $1K
93925 <1% 16 $990.33
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 28 $946.41
87210 <1% 107 $944.17
82533 <1% 138 $914.64
88341 <1% 12 $889.24
58558 <1% 12 $864.00
0420 <1% 37 $843.25
97162 <1% 39 $838.90
S0164 Injection, pantoprazole sodium, 40 mg <1% 33 $816.45
97152 <1% 16 $799.52
J0780 Injection, prochlorperazine, up to 10 mg <1% 167 $753.74
29105 <1% 64 $670.61
87493 <1% 32 $634.61
84132 <1% 177 $629.49
86803 <1% 48 $596.80
J0360 Injection, hydralazine hcl, up to 20 mg <1% 106 $581.01
86870 <1% 13 $562.84
87205 <1% 109 $549.47
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 15 $504.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 30 $496.40
87045 <1% 45 $469.78
85018 <1% 515 $451.94
J1630 Injection, haloperidol, up to 5 mg <1% 135 $448.94
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 13 $407.00
82150 <1% 97 $380.97
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 56 $370.30
71271 <1% 12 $368.08
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 210 $347.69
82728 <1% 25 $322.06
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 225 $315.19
29705 <1% 55 $310.98
27610 <1% 29 $305.35
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 14 $293.77
87425 <1% 29 $280.87
72081 <1% 12 $279.10
92611 <1% 13 $264.60
87075 <1% 18 $238.18
0300 <1% 461 $235.43
74000 <1% 15 $225.82
88302 <1% 12 $225.04
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $216.00
87427 <1% 30 $205.71
97163 <1% 15 $200.00
29130 <1% 25 $174.51
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 14 $168.84
74019 <1% 13 $161.36
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 36 $157.48
89055 <1% 43 $138.65
87209 <1% 14 $137.42
85347 <1% 47 $114.31
84156 <1% 42 $112.52
82330 <1% 13 $108.46
J3370 Injection, vancomycin hcl, 500 mg <1% 31 $101.05
87177 <1% 12 $96.71
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 13 $91.28
76882 <1% 24 $79.66
82746 <1% 12 $77.11
29075 <1% 14 $64.80
87046 <1% 33 $62.81
80164 <1% 12 $55.84
J1171 Injection, hydromorphone, 0.1 mg <1% 76 $49.65
J8597 Antiemetic drug, oral, not otherwise specified <1% 75 $45.18
C9113 Injection, pantoprazole sodium, per vial <1% 14 $39.24
82248 <1% 48 $35.52
85390 <1% 12 $27.99
0305 <1% 398 $13.50
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 31 $12.50
0307 <1% 18 $2.80
0730 0% 85 $0.00
0302 0% 42 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 0% 359 $0.00
0306 0% 293 $0.00
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 0% 31 $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 officialHESTER, JULI (EXECUTIVE DIRECTOR OF FINANCE)
Same official

Other billing entities under HESTER, JULI

Full network →
ProviderLocationPaid
Pomona Valley Hospital Medical CenterPomona, CA$7K

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