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

Stanford Health Care

Stanford Health Care was paid $46.26M by Medicaid between Jan 2018 and Dec 2024, across 267 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.

33Billing provider infoSTANFORD HEALTH CARE
STANFORD, CA 94305
33aNPI1437292927assigned 02/14/2007
33bProvider typeAnesthesiology Physician
28Total paid$46.26M
24GClaims1,181,808
24DCodes billed267
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in California

Rank by total paid#1 of 415
Median peer was paid$17K
This provider vs. median2,647×

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
2018108,427$3.87M
2019107,428$3.84M
2020126,429$4.46M
2021169,332$5.94M
2022186,492$6.94M
2023247,032$9.88M
2024incomplete236,668$11.33M
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 12% 74,083 72,706 $5.66M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.4% 42,458 41,988 $4.36M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.0% 77,483 73,015 $2.79M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.6% 43,921 37,357 $2.61M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.6% 73,087 25,589 $2.59M
88305 Level IV - Surgical pathology, gross and microscopic examination 5.1% 43,115 36,537 $2.35M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.9% 21,499 8,767 $2.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.8% 36,159 35,556 $2.24M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4.3% 187,582 151,538 $1.98M
67028 Intravitreal injection of a pharmacologic agent 4.0% 10,537 8,889 $1.84M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.8% 30,930 30,446 $1.77M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.8% 24,253 23,604 $1.29M
255 more codes
78815 Positron emission tomography (PET) for limited area imaging 2.5% 6,123 $1.16M
99232 Hospital visit by a doctor, follow-up day 2.4% 39,142 $1.11M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.9% 11,379 $863K
71045 Radiologic examination, chest; single view 1.9% 133,677 $859K
70450 Computed tomography, head or brain; without contrast material 1.6% 26,620 $735K
99213 Doctor's office visit, returning patient (routine) 1.1% 22,375 $502K
99223 Prolong inpt eval add15 m <1% 7,929 $461K
71275 Computed tomographic angiography, chest, with contrast material <1% 7,302 $439K
88342 <1% 9,456 $376K
92134 <1% 23,689 $350K
88307 <1% 3,819 $306K
95720 <1% 1,753 $279K
71046 Radiologic examination, chest; 2 views <1% 31,320 $279K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 8,080 $267K
99204 Doctor's office visit, new patient (more involved) <1% 4,113 $258K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 334 $227K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 8,337 $224K
00142 <1% 3,390 $214K
90961 <1% 1,374 $211K
71250 <1% 7,070 $201K
64615 <1% 1,370 $170K
11043 <1% 1,139 $164K
99239 Hospital discharge day management, more than 30 minutes <1% 3,908 $146K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 892 $144K
99205 Prolong outpt/office vis <1% 1,838 $140K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,435 $135K
00731 <1% 1,359 $127K
72125 Computed tomography, cervical spine; without contrast material <1% 3,432 $113K
74183 <1% 1,761 $110K
99244 Office or other outpatient consultation, moderate to high complexity <1% 921 $109K
88313 <1% 2,386 $104K
88341 <1% 2,305 $101K
Q3014 Telehealth originating site facility fee <1% 4,519 $97K
88108 <1% 3,851 $96K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 4,495 $90K
90962 <1% 734 $88K
74174 <1% 1,224 $85K
74018 <1% 13,805 $83K
93308 <1% 3,074 $82K
93970 <1% 2,298 $80K
17311 <1% 232 $79K
88312 <1% 2,138 $77K
17999 <1% 87 $77K
31579 <1% 546 $74K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,131 $74K
88304 <1% 2,907 $74K
99243 <1% 876 $73K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,415 $69K
70498 <1% 1,053 $65K
88173 <1% 1,689 $64K
99245 <1% 405 $58K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 251 $55K
31231 <1% 1,379 $53K
88112 <1% 2,640 $52K
31645 <1% 621 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,507 $51K
85097 <1% 1,122 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,286 $41K
99152 <1% 1,189 $41K
93350 <1% 863 $41K
99203 Doctor's office visit, new patient (routine) <1% 881 $40K
99222 Initial hospital care, per day, moderate complexity <1% 802 $40K
78816 <1% 148 $37K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 112 $36K
70496 <1% 565 $36K
88188 <1% 609 $36K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 616 $34K
94010 <1% 5,172 $34K
93248 <1% 1,779 $33K
93016 <1% 1,482 $33K
93320 <1% 1,264 $32K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 142 $31K
31624 <1% 341 $30K
93321 <1% 2,527 $29K
92133 <1% 2,055 $29K
99255 <1% 302 $28K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,389 $28K
00732 <1% 292 $27K
88189 <1% 501 $27K
93018 <1% 1,628 $27K
88321 <1% 582 $26K
72197 <1% 381 $25K
90935 Hemodialysis procedure with single evaluation by a physician <1% 632 $24K
99238 Hospital discharge day management, 30 minutes or less <1% 931 $24K
90838 <1% 556 $24K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 326 $23K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,195 $23K
94618 <1% 1,349 $22K
85060 <1% 1,552 $22K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 940 $22K
92612 <1% 240 $22K
92083 <1% 1,516 $22K
99254 <1% 304 $21K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,137 $20K
17110 <1% 195 $20K
00140 <1% 264 $20K
74328 <1% 709 $19K
92226 <1% 418 $18K
92025 <1% 843 $18K
94729 <1% 3,153 $18K
92201 <1% 678 $17K
70551 Magnetic resonance imaging, brain; without contrast material <1% 330 $17K
75574 <1% 235 $17K
92015 Determination of refractive state <1% 2,086 $16K
00520 <1% 140 $15K
93975 <1% 289 $15K
88309 <1% 137 $14K
43274 <1% 42 $14K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 604 $13K
73030 <1% 1,936 $13K
77014 <1% 470 $12K
95811 <1% 34 $12K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 38 $12K
91122 <1% 116 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 88 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 733 $11K
77300 <1% 48 $11K
70544 <1% 415 $10K
88360 <1% 150 $10K
95951 <1% 68 $10K
94060 <1% 758 $10K
77080 <1% 1,673 $10K
73630 <1% 1,396 $10K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 205 $9K
31575 <1% 192 $9K
88348 <1% 65 $9K
99252 <1% 212 $9K
77427 <1% 99 $9K
88172 <1% 458 $9K
76642 <1% 288 $8K
00813 <1% 67 $8K
99253 <1% 144 $7K
93325 <1% 1,774 $7K
92225 <1% 149 $7K
92613 <1% 245 $7K
77073 <1% 661 $7K
93295 <1% 153 $7K
00811 <1% 92 $7K
90853 Group psychotherapy (other than of a multiple-family group) <1% 571 $6K
17312 <1% 12 $6K
92235 <1% 156 $6K
99417 Prolong home eval add 15m <1% 133 $6K
93000 <1% 333 $6K
93971 <1% 486 $6K
99221 <1% 279 $6K
88350 <1% 113 $5K
20611 <1% 122 $5K
73610 <1% 697 $5K
G0452 Molecular pathology procedure; physician interpretation and report <1% 282 $5K
73564 <1% 504 $5K
72170 <1% 879 $5K
73562 <1% 871 $5K
88311 <1% 653 $4K
93880 <1% 125 $4K
72131 <1% 153 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 116 $4K
93294 <1% 281 $4K
70486 <1% 125 $4K
92020 <1% 314 $4K
92504 <1% 223 $4K
93922 <1% 236 $4K
67228 <1% 12 $4K
76830 Ultrasound, transvaginal <1% 163 $3K
73110 <1% 420 $3K
72158 <1% 48 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,036 $3K
77001 <1% 263 $3K
76770 <1% 121 $3K
43244 <1% 12 $2K
77066 Tomosynthesis, mammo <1% 63 $2K
43264 <1% 26 $2K
73700 <1% 59 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 38 $2K
73502 <1% 260 $2K
88323 <1% 40 $2K
72157 <1% 28 $2K
76937 <1% 184 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 40 $2K
93990 <1% 14 $2K
11721 <1% 196 $2K
72100 <1% 189 $2K
92202 <1% 180 $2K
99358 Prolong nursin fac eval 15m <1% 44 $2K
93923 <1% 38 $2K
11900 <1% 58 $2K
72128 <1% 55 $2K
73130 <1% 226 $2K
92136 <1% 109 $2K
92002 <1% 64 $1K
94726 <1% 172 $1K
76519 <1% 76 $1K
76514 <1% 414 $1K
71010 <1% 269 $1K
88314 <1% 53 $1K
93976 <1% 58 $1K
88346 <1% 39 $1K
51741 <1% 58 $1K
31628 <1% 12 $1K
99451 <1% 42 $1K
20610 <1% 34 $1K
95938 <1% 25 $1K
52287 <1% 12 $1K
75561 <1% 12 $1K
36620 <1% 45 $1K
72132 <1% 12 $1K
73560 <1% 161 $1K
95886 <1% 14 $1K
76942 <1% 65 $1K
92273 <1% 12 $992.07
73590 <1% 138 $946.96
70543 <1% 13 $887.54
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 16 $859.16
00145 <1% 13 $854.70
11102 <1% 12 $849.84
52000 <1% 12 $805.08
78306 <1% 24 $775.10
95874 <1% 37 $752.12
91200 <1% 50 $725.59
92274 <1% 12 $716.35
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $677.27
99356 <1% 17 $670.27
70491 <1% 13 $646.81
74230 <1% 51 $589.22
90836 <1% 24 $564.75
71020 <1% 70 $549.30
88291 <1% 39 $505.17
92557 <1% 24 $496.29
76536 <1% 26 $439.67
20550 <1% 13 $430.87
73552 <1% 47 $422.62
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26 $420.01
99153 Mod sedat endo service >5yrs <1% 12 $407.58
77065 Tomosynthesis, mammo <1% 13 $393.08
91065 <1% 15 $376.11
78264 <1% 12 $354.45
73080 <1% 44 $338.82
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 26 $325.46
1123F <1% 952 $323.60
88365 <1% 14 $299.27
93925 <1% 18 $284.16
70355 <1% 32 $281.61
99217 <1% 14 $275.56
93926 <1% 28 $254.49
93280 <1% 13 $242.48
92550 <1% 25 $233.67
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13 $198.20
76000 <1% 14 $173.13
69210 <1% 12 $169.08
51784 <1% 12 $160.57
99443 <1% 14 $140.87
51797 <1% 12 $137.76
88300 <1% 24 $133.19
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 476 $82.47
80053 Comprehensive metabolic panel <1% 503 $35.94
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 15 $15.13

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 officialBUATHIER, JILL (CHIEF REVENUE CYCLE OFFICER)