Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Oakland › NPI 1427123132
Hospital

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $55.67M by Medicaid between Jan 2018 and Dec 2024, across 378 billing codes. Its largest line is 99284, emergency room visit (serious) — 14% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
OAKLAND, CA 94611
33aNPI1427123132assigned 11/21/2006
28Total paid$55.67M
24GClaims2,088,356
24DCodes billed378
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#54 of 410
Median peer was paid$6.90M
This provider vs. median8.1×

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$2.0M2018201920202021202220232024
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
2018224,026$6.63M
2019225,991$2.50M
2020198,111$4.94M
2021282,526$7.07M
2022333,565$8.75M
2023369,702$9.52M
2024incomplete454,435$16.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 42,289 36,146 $7.74M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.4% 28,788 27,294 $4.69M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.2% 16,980 16,097 $4.03M
0450 Emergency room services 7.0% 107,714 91,919 $3.89M
0121 5.8% 258 232 $3.25M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.0% 9,084 8,932 $2.21M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.5% 3,965 3,721 $1.95M
99281 Emergency department visit for the evaluation and management, self-limited or minor 3.0% 21,221 19,729 $1.67M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.4% 15,231 14,821 $1.34M
70450 Computed tomography, head or brain; without contrast material 2.0% 12,240 11,809 $1.10M
G0378 Hospital observation service, per hour 1.9% 3,232 2,523 $1.03M
71046 Radiologic examination, chest; 2 views 1.7% 26,485 25,641 $939K
366 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.2% 17,807 $677K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.2% 41,430 $642K
99199 Unlisted special service, procedure or report 1.1% 11,250 $587K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,465 $524K
71045 Radiologic examination, chest; single view <1% 17,049 $483K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,328 $441K
0270 <1% 10,277 $438K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,210 $437K
0200 <1% 45 $437K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 92,297 $426K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,346 $407K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 13,319 $394K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,145 $372K
73630 <1% 7,566 $350K
96375 Therapeutic injection; each additional sequential IV push <1% 12,864 $344K
76830 Ultrasound, transvaginal <1% 3,524 $340K
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% 5,564 $332K
36415 Collection of venous blood by venipuncture <1% 115,795 $326K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14,031 $301K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 903 $300K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14,032 $298K
80051 <1% 54,405 $298K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 9,006 $293K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,173 $285K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,679 $282K
73564 <1% 3,418 $277K
J3490 Unclassified drugs <1% 39,217 $267K
73610 <1% 5,787 $260K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 5,758 $252K
70486 <1% 1,922 $238K
96361 Intravenous infusion, hydration; each additional hour <1% 10,233 $236K
73130 <1% 5,656 $235K
73030 <1% 5,082 $224K
78815 Positron emission tomography (PET) for limited area imaging <1% 170 $222K
83880 <1% 11,026 $217K
72141 <1% 1,094 $213K
82565 <1% 77,966 $209K
73560 <1% 5,925 $205K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 799 $198K
93971 <1% 1,821 $198K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 10,663 $189K
72125 Computed tomography, cervical spine; without contrast material <1% 1,481 $185K
72100 <1% 3,066 $181K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 382 $181K
71275 Computed tomographic angiography, chest, with contrast material <1% 789 $172K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 6,339 $171K
73110 <1% 3,924 $159K
84484 <1% 20,448 $149K
84460 <1% 54,909 $148K
99070 <1% 8,754 $144K
83690 <1% 32,805 $139K
82947 <1% 62,221 $138K
82247 <1% 44,480 $128K
86900 <1% 5,473 $124K
84450 <1% 43,594 $124K
70491 <1% 840 $124K
84520 <1% 54,719 $119K
73502 <1% 2,388 $112K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,905 $111K
84075 <1% 37,257 $105K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,523 $105K
80048 Basic metabolic panel (calcium, ionized) <1% 16,968 $102K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 762 $102K
73140 <1% 2,723 $101K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,941 $100K
74018 <1% 1,877 $99K
86923 <1% 537 $98K
73080 <1% 2,362 $98K
93976 <1% 367 $95K
71250 <1% 927 $90K
84702 <1% 9,540 $89K
83735 <1% 23,005 $89K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 7,429 $86K
J7120 Ringers lactate infusion, up to 1000 cc <1% 20,939 $86K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 9,398 $85K
84443 Thyroid stimulating hormone (TSH) <1% 14,844 $84K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 999 $83K
80306 <1% 7,217 $82K
81001 <1% 39,060 $80K
72040 <1% 1,574 $77K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 19,909 $76K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 121 $76K
93308 <1% 408 $76K
J7030 Infusion, normal saline solution , 1000 cc <1% 19,164 $75K
59025 Fetal non-stress test <1% 1,167 $72K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,539 $69K
87631 <1% 1,482 $68K
73590 <1% 2,014 $67K
83605 <1% 8,339 $64K
86850 <1% 4,524 $64K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,368 $62K
87506 <1% 502 $61K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,357 $58K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 69 $57K
83036 Hemoglobin; glycosylated (A1C) <1% 19,768 $56K
70496 <1% 244 $56K
87088 <1% 13,930 $55K
73562 <1% 1,517 $54K
87040 <1% 4,963 $53K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 47 $52K
80061 Lipid panel <1% 10,140 $50K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,530 $47K
86780 <1% 7,487 $46K
Z7502 <1% 2,383 $46K
76857 <1% 433 $46K
82077 <1% 4,813 $45K
73090 <1% 1,415 $44K
73660 <1% 848 $43K
86901 <1% 5,480 $43K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,329 $42K
36430 <1% 994 $40K
77080 <1% 622 $39K
84100 <1% 14,476 $39K
82330 <1% 3,789 $39K
70498 <1% 177 $38K
73620 <1% 1,123 $38K
99218 <1% 58 $37K
82962 <1% 14,650 $36K
82728 <1% 7,137 $36K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,626 $36K
81003 <1% 25,060 $36K
J1170 Injection, hydromorphone, up to 4 mg <1% 6,131 $33K
84132 <1% 17,139 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,728 $32K
85027 <1% 13,894 $32K
72070 <1% 476 $31K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,663 $31K
85652 <1% 15,755 $31K
86803 <1% 5,176 $30K
90715 <1% 802 $29K
85610 <1% 14,906 $29K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 266 $29K
0250 <1% 30,568 $28K
0710 <1% 3,426 $26K
0762 <1% 493 $26K
80179 <1% 2,606 $25K
76770 <1% 249 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 454 $24K
76536 <1% 195 $24K
73600 <1% 966 $24K
84295 <1% 8,990 $20K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 742 $19K
73060 <1% 422 $18K
82248 <1% 5,735 $18K
73522 <1% 209 $18K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 5,171 $18K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,803 $18K
86235 <1% 217 $17K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 3,759 $17K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 278 $17K
72131 <1% 129 $16K
85379 <1% 2,830 $16K
10060 <1% 1,169 $16K
87210 <1% 4,120 $16K
72170 <1% 252 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,587 $15K
87340 <1% 3,989 $14K
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,040 $14K
88342 <1% 138 $14K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 745 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $13K
J1815 Injection, insulin, per 5 units <1% 2,850 $13K
82310 <1% 5,516 $13K
86140 <1% 5,978 $13K
J2060 Injection, lorazepam, 2 mg <1% 3,067 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 14 $13K
73221 <1% 58 $12K
82607 <1% 2,581 $12K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 1,471 $12K
73120 <1% 418 $12K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 67 $11K
0637 <1% 61,087 $11K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,157 $11K
73552 <1% 237 $10K
P9016 Red blood cells, leukocytes reduced, each unit <1% 68 $10K
72146 <1% 64 $10K
86480 <1% 362 $10K
12011 <1% 511 $10K
85378 <1% 1,961 $10K
84703 <1% 2,316 $10K
85014 <1% 6,728 $9K
12001 <1% 1,024 $9K
82570 <1% 3,497 $9K
76882 <1% 133 $9K
83550 <1% 3,034 $8K
71101 <1% 125 $8K
J1940 Injection, furosemide, up to 20 mg <1% 1,592 $8K
73020 <1% 299 $8K
82040 <1% 4,190 $8K
84439 <1% 2,596 $8K
76801 <1% 94 $8K
80047 <1% 1,240 $8K
86704 <1% 1,317 $8K
86706 <1% 1,764 $7K
A9585 Injection, gadobutrol, 0.1 ml <1% 701 $7K
84153 <1% 987 $7K
J1953 Injection, levetiracetam, 10 mg <1% 320 $7K
73700 <1% 35 $7K
82550 <1% 1,733 $7K
83970 <1% 201 $6K
76870 <1% 64 $6K
85730 <1% 1,605 $6K
J1630 Injection, haloperidol, up to 5 mg <1% 1,490 $6K
82043 <1% 3,759 $6K
83540 <1% 3,041 $6K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 61 $5K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 277 $5K
87070 <1% 995 $5K
87449 <1% 603 $5K
72197 <1% 12 $5K
83655 <1% 1,018 $5K
87324 <1% 579 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,754 $5K
83516 <1% 358 $5K
73100 <1% 329 $5K
70360 <1% 71 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 233 $4K
80069 <1% 682 $4K
82803 <1% 421 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 893 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 569 $4K
84156 <1% 2,687 $4K
96376 <1% 3,627 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,928 $4K
88313 <1% 44 $4K
83615 <1% 1,103 $4K
84403 <1% 182 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 1,046 $4K
88307 <1% 160 $4K
86762 <1% 428 $3K
0272 <1% 322 $3K
70460 <1% 37 $3K
87209 <1% 284 $3K
86225 <1% 341 $3K
84550 <1% 1,404 $3K
0370 <1% 2,910 $3K
29125 <1% 663 $2K
96367 <1% 131 $2K
C1769 Guide wire <1% 274 $2K
85045 <1% 972 $2K
76775 <1% 31 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 17 $2K
76000 <1% 195 $2K
12002 <1% 211 $2K
80349 <1% 2,266 $2K
87329 <1% 272 $2K
84146 <1% 159 $2K
86665 <1% 69 $2K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 96 $2K
85018 <1% 1,538 $2K
86038 <1% 216 $1K
70543 <1% 12 $1K
81025 <1% 830 $1K
J1644 Injection, heparin sodium, per 1000 units <1% 288 $1K
83721 <1% 1,072 $1K
87338 <1% 273 $1K
90686 <1% 81 $1K
88304 <1% 362 $1K
82746 <1% 159 $1K
87205 <1% 532 $1K
J2785 Injection, regadenoson, 0.1 mg <1% 13 $1K
82985 <1% 121 $1K
86160 <1% 33 $1K
83001 <1% 58 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 260 $995.88
74170 <1% 12 $943.00
87536 <1% 25 $915.18
72082 <1% 12 $912.46
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 90 $888.02
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 459 $848.80
0636 <1% 406 $841.78
82105 <1% 82 $778.00
86664 <1% 69 $768.91
0300 <1% 110 $768.43
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 39 $735.90
J7060 5% dextrose/water (500 ml = 1 unit) <1% 139 $735.09
84165 <1% 120 $725.55
J1171 Injection, hydromorphone, 0.1 mg <1% 165 $693.70
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 113 $680.20
J1650 Injection, enoxaparin sodium, 10 mg <1% 69 $675.02
87529 <1% 29 $657.29
82140 <1% 93 $611.90
73000 <1% 40 $589.92
72220 <1% 13 $584.29
J3370 Injection, vancomycin hcl, 500 mg <1% 29 $548.79
86593 <1% 185 $545.17
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 13 $532.26
85007 <1% 858 $520.35
82150 <1% 106 $513.38
89051 <1% 110 $474.97
0301 <1% 1,063 $469.63
29515 <1% 145 $460.83
80197 <1% 46 $422.63
99221 <1% 13 $409.29
87517 <1% 14 $402.00
J8540 Dexamethasone, oral, 0.25 mg <1% 1,242 $401.56
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% 146 $381.16
87081 <1% 126 $362.19
82950 <1% 238 $359.71
97161 <1% 132 $332.47
Z7610 <1% 264 $294.78
S0164 Injection, pantoprazole sodium, 40 mg <1% 30 $294.51
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 34 $287.89
85008 <1% 1,090 $287.36
84155 <1% 122 $261.69
83993 <1% 14 $234.00
82374 <1% 87 $232.72
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 24 $212.92
80325 <1% 1,086 $177.53
73070 <1% 15 $172.82
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 35 $167.66
80164 <1% 25 $162.24
82945 <1% 56 $159.83
82784 <1% 26 $159.00
84157 <1% 57 $158.77
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,231 $157.96
74022 <1% 13 $152.80
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 156 $144.60
59899 <1% 18 $140.50
90749 <1% 753 $129.05
J3480 Injection, potassium chloride, per 2 meq <1% 52 $109.35
82977 <1% 12 $106.00
73501 <1% 32 $99.41
96368 <1% 12 $91.12
29130 <1% 17 $72.00
80346 <1% 321 $66.00
83718 <1% 249 $54.34
82435 <1% 37 $53.01
86677 <1% 14 $51.80
86431 <1% 12 $42.00
86787 <1% 40 $37.38
83930 <1% 12 $35.76
J1836 Injection, metronidazole, 10 mg <1% 13 $34.76
0258 <1% 820 $33.93
82465 <1% 276 $27.42
J2470 Injection, pantoprazole sodium, 40 mg <1% 75 $15.68
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 14 $12.39
0306 <1% 213 $6.97
0305 <1% 274 $6.76
0307 <1% 139 $2.76
0730 0% 200 $0.00
76376 0% 335 $0.00
0320 0% 213 $0.00
80361 0% 106 $0.00
80356 0% 28 $0.00
80365 0% 26 $0.00
0302 0% 27 $0.00
J7510 Prednisolone oral, per 5 mg 0% 15 $0.00
82272 0% 12 $0.00
0351 0% 13 $0.00
3046F 0% 14 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 13 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 26 $0.00
0424 0% 49 $0.00
3051F 0% 20 $0.00
80324 0% 387 $0.00
80329 0% 570 $0.00
0410 0% 99 $0.00
80353 0% 103 $0.00
80320 0% 1,058 $0.00
0255 0% 69 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 29 $0.00
97162 0% 35 $0.00
0420 0% 13 $0.00
0324 0% 12 $0.00
3044F 0% 116 $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 officialFRATZKE, MARK (SENIOR VICE PRESIDENT)
Same official

Other billing entities under FRATZKE, MARK

Full network →
ProviderLocationPaid
Kaiser Foundation HospitalsOakland, CA$1.44M
Kaiser Foundation HospitalsOakland, CA$41K

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