Medicaid Provider Spending

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

STANISLAUS SURGICAL HOSPITAL LLC

NPI: 1437121886 · MODESTO, CA 95355 · General Acute Care Hospital · NPI assigned 02/01/2006

$5.46M
Total Medicaid Paid
58,331
Total Claims
54,851
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKASSAHN, KRISTINE (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date02/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,281 $1.41M
2019 14,193 $1.34M
2020 9,673 $838K
2021 10,195 $969K
2022 5,472 $468K
2023 4,200 $330K
2024 1,317 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 5,832 5,790 $838K
0360 1,949 1,937 $380K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 860 844 $372K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,493 3,447 $321K
76641 2,958 2,014 $304K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,718 3,674 $292K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,037 1,016 $279K
76830 Ultrasound, transvaginal 3,248 3,211 $259K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 875 777 $249K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,994 1,942 $201K
76801 2,041 1,906 $166K
77065 Tomosynthesis, mammo 1,065 1,031 $139K
72110 2,444 2,406 $118K
73221 378 356 $115K
70551 Magnetic resonance imaging, brain; without contrast material 365 363 $114K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 288 288 $100K
0710 3,511 3,482 $88K
71046 Radiologic examination, chest; 2 views 3,110 3,041 $87K
72141 313 308 $84K
76770 914 897 $83K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 266 263 $81K
73564 2,502 1,949 $80K
77066 Tomosynthesis, mammo 407 400 $70K
76536 767 758 $53K
74178 123 122 $51K
72050 1,139 1,121 $50K
73030 1,692 1,453 $49K
73630 1,730 1,395 $48K
76642 473 450 $37K
72072 951 935 $33K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 58 56 $33K
73130 944 741 $28K
72114 413 408 $27K
73610 841 753 $25K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 12 12 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 236 118 $22K
76881 218 205 $22K
77063 Screening digital breast tomosynthesis, bilateral 612 611 $19K
70450 Computed tomography, head or brain; without contrast material 106 104 $16K
71250 80 79 $16K
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 221 219 $15K
73110 471 395 $14K
73502 283 278 $12K
77080 120 118 $5K
43235 45 45 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 53 53 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 44 42 $4K
72052 57 57 $4K
72146 13 13 $3K
72220 108 105 $3K
74018 95 94 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 13 13 $2K
73521 49 48 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 21 20 $2K
76870 26 24 $1K
71045 Radiologic examination, chest; single view 96 96 $1K
V2632 Posterior chamber intraocular lens 13 13 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 97 92 $914.80
73080 27 25 $877.09
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 29 29 $867.86
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 49 12 $789.12
81025 163 160 $774.26
80048 Basic metabolic panel (calcium, ionized) 37 37 $405.84
73140 26 25 $344.68
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 13 $278.94
76882 13 12 $156.39
0270 1,069 1,053 $47.66
85014 13 13 $41.28
85018 13 13 $39.72
0250 640 628 $3.23
0370 331 325 $0.00
0258 13 13 $0.00
0251 107 105 $0.00