Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JOSE › GOOD SAMARITAN HOSPITAL, L.P.

GOOD SAMARITAN HOSPITAL, L.P.

NPI: 1437103777 · SAN JOSE, CA 95124 · 282N00000X

$5.26M
Total Medicaid Paid
236,680
Total Claims
206,522
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,737 $1.61M
2019 35,412 $689K
2020 23,344 $223K
2021 29,037 $228K
2022 32,427 $445K
2023 30,226 $912K
2024 29,497 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 57,816 53,411 $2.15M
0270 20,537 11,528 $672K
0250 6,332 4,177 $336K
T1999 Noc retail items andsupplies 1,873 1,573 $290K
J3490 Drugs unclassified injection 2,507 2,133 $273K
80053 8,392 7,868 $237K
80048 7,351 6,611 $204K
99199 1,490 1,440 $176K
96361 3,853 3,409 $124K
97110 673 271 $54K
71046 1,722 1,658 $54K
74177 1,472 1,429 $51K
71045 5,492 5,266 $50K
U0002 Covid-19 lab test non-cdc 2,345 2,283 $39K
85027 19,890 17,877 $37K
70450 1,570 1,526 $35K
93005 9,564 8,861 $31K
96374 6,682 6,170 $31K
87086 2,101 2,007 $29K
81003 3,983 3,703 $29K
96372 2,498 2,132 $26K
96360 823 815 $26K
0241U 374 374 $19K
84484 4,627 4,068 $17K
99283 450 427 $16K
Q9967 Locm 300-399mg/ml iodine,1ml 3,447 2,077 $16K
87081 319 314 $15K
87632 176 168 $14K
87430 322 317 $12K
99281 207 185 $10K
94640 686 640 $10K
73562 84 83 $8K
87633 421 396 $8K
73610 125 125 $8K
0272 1,526 1,434 $8K
87077 314 304 $7K
97140 104 50 $7K
96375 3,164 2,732 $7K
83690 5,641 5,306 $7K
73630 124 123 $7K
81001 2,562 2,471 $6K
76700 377 371 $6K
84702 239 214 $6K
87635 322 321 $6K
87400 84 82 $5K
80305 193 174 $5K
36416 181 171 $5K
81025 791 768 $4K
99284 215 190 $4K
82553 1,464 1,275 $4K
80307 572 535 $4K
84703 2,289 2,148 $3K
87486 403 378 $3K
87804 212 199 $3K
76705 268 262 $3K
82550 1,866 1,622 $3K
80076 2,443 2,255 $3K
U0003 Cov-19 amp prb hgh thruput 777 759 $3K
84443 437 409 $3K
96365 202 192 $3K
85610 786 728 $3K
83735 927 826 $2K
J7030 Normal saline solution infus 5,423 4,833 $2K
87040 1,134 912 $2K
82248 3,739 3,644 $2K
85730 432 410 $2K
86901 320 309 $2K
85007 1,635 1,480 $1K
74176 105 105 $1K
73140 12 12 $1K
J2405 Ondansetron hcl injection 2,880 2,545 $1K
83880 966 922 $932.98
99211 12 12 $925.92
72100 27 27 $907.82
87636 54 54 $848.00
73130 14 13 $632.82
J1885 Ketorolac tromethamine inj 2,815 2,276 $527.58
J0696 Ceftriaxone sodium injection 724 673 $518.35
70551 29 29 $511.87
86900 320 309 $502.39
Q0162 Ondansetron oral 967 941 $462.78
83605 1,068 955 $449.56
87186 365 353 $441.54
J1170 Hydromorphone injection 424 354 $389.05
87581 403 378 $361.01
73030 12 12 $327.27
87798 403 378 $320.72
J1200 Diphenhydramine hcl injectio 343 295 $317.75
71275 37 37 $313.33
96376 634 479 $301.67
J2270 Morphine sulfate injection 468 423 $277.19
99282 15 12 $237.00
J1100 Dexamethasone sodium phos 275 269 $230.30
76856 115 114 $213.48
72125 12 12 $166.51
76830 103 100 $155.26
85379 94 93 $146.71
86850 30 29 $120.51
A9270 Non-covered item or service 763 335 $73.09
J7040 Normal saline solution infus 35 33 $57.09
87420 72 71 $54.94
J2765 Metoclopramide hcl injection 213 200 $50.29
J2780 Ranitidine hydrochloride inj 17 13 $40.46
87591 72 70 $31.80
87491 73 71 $31.80
J7050 Normal saline solution infus 74 61 $19.61
J2060 Lorazepam injection 134 120 $19.28
80306 39 36 $15.96
87147 13 13 $5.11
90471 14 14 $0.00
J2550 Promethazine hcl injection 24 24 $0.00
87502 27 27 $0.00
90715 14 14 $0.00