Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Escondido › NPI 1457321317
Hospital

Palomar Health

Palomar Health was paid $144.14M by Medicaid between Jan 2018 and Dec 2024, across 324 billing codes. Its largest line is 0450, Emergency room services — 14% of everything it billed.

33Billing provider infoPALOMAR HEALTH
ESCONDIDO, CA 92029
33aNPI1457321317assigned 01/24/2006
28Total paid$144.14M
24GClaims1,459,443
24DCodes billed324
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#10 of 410
Median peer was paid$6.90M
This provider vs. median21×

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$2.0M$3.0M2018201920202021202220232024
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
2018209,605$26.52M
2019190,272$20.33M
2020169,396$18.35M
2021187,723$16.85M
2022241,562$20.19M
2023253,107$21.26M
2024incomplete207,778$20.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 14% 57,030 50,256 $19.83M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 66,541 60,548 $19.72M
J3490 Unclassified drugs 13% 104,493 47,217 $18.72M
80048 Basic metabolic panel (calcium, ionized) 6.3% 72,006 63,095 $9.04M
80053 Comprehensive metabolic panel 6.2% 36,296 33,513 $8.99M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.4% 18,315 16,998 $4.86M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.7% 12,964 11,963 $3.87M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2.4% 11,686 11,279 $3.48M
0250 1.9% 47,759 17,962 $2.72M
J7030 Infusion, normal saline solution , 1000 cc 1.8% 14,173 12,615 $2.64M
70450 Computed tomography, head or brain; without contrast material 1.7% 16,338 15,596 $2.52M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.7% 10,593 10,256 $2.40M
312 more codes
99499 1.4% 18,767 $2.03M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.3% 10,959 $1.91M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,716 $1.42M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 52,731 $1.36M
71045 Radiologic examination, chest; single view <1% 36,630 $1.28M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 15,601 $1.16M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 9,965 $1.08M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 8,073 $1.04M
72125 Computed tomography, cervical spine; without contrast material <1% 7,255 $1.03M
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 80,084 $999K
71046 Radiologic examination, chest; 2 views <1% 9,391 $928K
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% 16,367 $904K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,383 $903K
97139 <1% 18,438 $870K
81001 <1% 41,847 $712K
80076 <1% 31,845 $657K
0206 <1% 413 $629K
84703 <1% 25,307 $609K
0300 <1% 1,428 $607K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,734 $603K
59025 Fetal non-stress test <1% 10,824 $578K
73562 <1% 3,339 $511K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 3,309 $511K
72131 <1% 3,491 $502K
0121 <1% 291 $495K
84702 <1% 6,244 $494K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,704 $488K
76801 <1% 5,202 $476K
73610 <1% 2,642 $466K
0270 <1% 9,999 $465K
84484 <1% 33,980 $463K
87086 Culture, bacterial; quantitative colony count, urine <1% 15,131 $458K
73630 <1% 3,032 $449K
73030 <1% 2,444 $444K
73130 <1% 2,163 $414K
0171 Inj, epinephrine (belcher) <1% 666 $406K
83690 <1% 36,584 $405K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,983 $399K
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,340 $394K
0762 <1% 895 $393K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,039 $391K
72128 <1% 2,867 $378K
0761 <1% 5,114 $369K
G0378 Hospital observation service, per hour <1% 1,324 $362K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,291 $360K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 3,004 $353K
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% 4,414 $352K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,936 $351K
Z7502 <1% 9,984 $344K
85027 <1% 30,415 $340K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,237 $338K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,120 $334K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,967 $316K
81003 <1% 16,090 $312K
J1815 Injection, insulin, per 5 units <1% 3,090 $312K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 4,093 $307K
97799 <1% 5,671 $291K
93971 <1% 2,764 $261K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,237 $255K
0350 <1% 365 $250K
87077 <1% 7,311 $237K
76830 Ultrasound, transvaginal <1% 3,162 $224K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 8,503 $218K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,274 $213K
76819 Fetal biophysical profile; without non-stress testing <1% 1,886 $206K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,251 $203K
70486 <1% 1,261 $192K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,541 $192K
73110 <1% 1,422 $187K
93970 <1% 1,468 $186K
86901 <1% 8,888 $185K
70498 <1% 1,521 $184K
84443 Thyroid stimulating hormone (TSH) <1% 7,966 $169K
0760 <1% 1,267 $162K
70496 <1% 1,322 $156K
0260 <1% 3,323 $155K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,803 $153K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 10,669 $151K
73080 <1% 810 $140K
97750 <1% 1,366 $138K
74018 <1% 1,365 $134K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,501 $133K
87040 <1% 4,300 $123K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 860 $119K
73502 <1% 1,096 $115K
0122 <1% 40 $112K
93976 <1% 667 $112K
72100 <1% 902 $112K
0120 <1% 18 $102K
96375 Therapeutic injection; each additional sequential IV push <1% 4,274 $102K
87503 <1% 2,202 $102K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,596 $98K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 343 $94K
73590 <1% 954 $93K
83880 <1% 6,244 $92K
82550 <1% 6,892 $89K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 891 $85K
96361 Intravenous infusion, hydration; each additional hour <1% 1,706 $80K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 253 $80K
83605 <1% 7,310 $79K
87186 <1% 5,166 $78K
P9016 Red blood cells, leukocytes reduced, each unit <1% 512 $77K
83735 <1% 10,065 $76K
0410 <1% 427 $76K
74022 <1% 887 $74K
85610 <1% 14,440 $71K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,646 $70K
J7050 Infusion, normal saline solution, 250 cc <1% 2,362 $69K
J1170 Injection, hydromorphone, up to 4 mg <1% 5,162 $64K
0730 <1% 422 $63K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 14,312 $63K
90715 <1% 1,488 $62K
85379 <1% 5,616 $59K
86308 <1% 418 $59K
71250 <1% 722 $56K
0710 <1% 675 $56K
85730 <1% 7,456 $52K
86885 <1% 4,605 $52K
76770 <1% 471 $49K
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% 882 $48K
73140 <1% 133 $44K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,441 $41K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 707 $40K
86140 <1% 4,602 $40K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 60 $39K
87070 <1% 867 $39K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,504 $38K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,221 $37K
0370 <1% 251 $37K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 983 $36K
0320 <1% 500 $35K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,639 $34K
0360 <1% 85 $34K
0451 <1% 610 $33K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 138 $33K
94760 <1% 7,575 $32K
0420 <1% 338 $32K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,874 $32K
86900 <1% 4,846 $31K
82962 <1% 2,779 $31K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 804 $29K
0258 <1% 4,541 $28K
82553 <1% 506 $28K
Z7610 <1% 3,102 $28K
95811 <1% 38 $27K
97014 <1% 224 $26K
76870 <1% 363 $26K
0255 <1% 2,612 $26K
J2060 Injection, lorazepam, 2 mg <1% 3,869 $26K
73090 <1% 320 $25K
84100 <1% 3,270 $25K
87420 <1% 285 $24K
97116 <1% 2,725 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,663 $21K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 123 $21K
84145 <1% 1,483 $20K
85652 <1% 3,420 $20K
82805 <1% 936 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 861 $19K
96376 <1% 1,032 $19K
73560 <1% 187 $19K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,768 $19K
85007 <1% 2,918 $18K
99213 Doctor's office visit, returning patient (routine) <1% 280 $18K
0430 <1% 160 $17K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 265 $16K
97597 <1% 185 $16K
51701 <1% 166 $15K
76813 <1% 126 $15K
87081 <1% 574 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,202 $14K
Z9725 <1% 313 $13K
87210 <1% 451 $13K
71101 <1% 43 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 92 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 39 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 663 $13K
70551 Magnetic resonance imaging, brain; without contrast material <1% 94 $12K
80061 Lipid panel <1% 2,111 $12K
73060 <1% 66 $11K
0489 <1% 47 $10K
0400 <1% 66 $10K
86920 <1% 178 $10K
97161 <1% 738 $10K
97166 <1% 397 $9K
93017 <1% 145 $9K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 24 $9K
82140 <1% 884 $9K
94644 <1% 604 $9K
0272 <1% 2,160 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 2,544 $8K
J1630 Injection, haloperidol, up to 5 mg <1% 1,358 $8K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,103 $7K
82010 <1% 871 $7K
97535 Self-care/home management training, each 15 minutes <1% 930 $7K
97162 <1% 457 $6K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,021 $6K
J0780 Injection, prochlorperazine, up to 10 mg <1% 600 $6K
93798 <1% 120 $6K
0949 <1% 67 $6K
72110 <1% 26 $6K
J1644 Injection, heparin sodium, per 1000 units <1% 1,880 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 494 $6K
94645 <1% 658 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 74 $5K
85576 <1% 284 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 660 $5K
84439 <1% 821 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 804 $4K
97163 <1% 48 $4K
92526 <1% 194 $4K
82248 <1% 727 $4K
87205 <1% 726 $4K
0301 <1% 82 $4K
G0288 Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery <1% 78 $4K
82728 <1% 731 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 172 $4K
84550 <1% 526 $3K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 283 $3K
0324 <1% 43 $3K
70491 <1% 29 $3K
12001 <1% 39 $3K
80164 <1% 166 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 387 $3K
10060 <1% 28 $3K
71020 <1% 49 $3K
87147 <1% 102 $3K
72050 <1% 12 $3K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 29 $3K
88342 <1% 91 $2K
J2704 Injection, propofol, 10 mg <1% 194 $2K
85384 <1% 220 $2K
97165 <1% 134 $2K
87324 <1% 146 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 50 $2K
83615 <1% 428 $2K
88313 <1% 113 $2K
29125 <1% 30 $2K
86780 <1% 239 $2K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 24 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 68 $2K
82607 <1% 365 $2K
82247 <1% 95 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 932 $2K
87449 <1% 126 $2K
87177 <1% 112 $2K
Z7500 <1% 52 $2K
86141 <1% 72 $2K
71010 <1% 47 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 199 $2K
82570 <1% 328 $2K
12002 <1% 12 $2K
82565 <1% 282 $1K
J1953 Injection, levetiracetam, 10 mg <1% 64 $1K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 107 $1K
92610 <1% 68 $1K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 51 $1K
84450 <1% 261 $1K
J1756 Injection, iron sucrose, 1 mg <1% 25 $1K
87088 <1% 41 $1K
80047 <1% 48 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12 $1K
84156 <1% 299 $1K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 14 $1K
82746 <1% 172 $925.40
98960 <1% 83 $849.43
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 413 $847.58
36415 Collection of venous blood by venipuncture <1% 895 $831.47
0310 <1% 14 $812.75
84466 <1% 209 $784.06
76376 <1% 50 $765.05
80178 <1% 61 $761.46
84460 <1% 133 $754.55
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 12 $742.50
87075 <1% 84 $718.92
0100U <1% 22 $672.61
84132 <1% 273 $672.09
J3475 Injection, magnesium sulfate, per 500 mg <1% 184 $653.85
12011 <1% 14 $611.84
97016 <1% 41 $579.75
83540 <1% 209 $564.24
51702 <1% 12 $559.81
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 50 $485.51
90686 <1% 47 $470.42
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 29 $451.00
87045 <1% 12 $427.82
90853 Group psychotherapy (other than of a multiple-family group) <1% 72 $381.26
84520 <1% 88 $372.78
0271 <1% 93 $336.15
87427 <1% 13 $335.85
J1940 Injection, furosemide, up to 20 mg <1% 62 $324.41
87046 <1% 14 $259.92
83930 <1% 72 $253.85
S0164 Injection, pantoprazole sodium, 40 mg <1% 19 $250.50
84146 <1% 29 $201.56
82947 <1% 19 $196.13
J3370 Injection, vancomycin hcl, 500 mg <1% 27 $169.89
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 48 $137.72
84403 <1% 14 $136.55
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 12 $94.62
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 88 $81.75
J3480 Injection, potassium chloride, per 2 meq <1% 85 $77.18
72170 <1% 13 $66.50
J8540 Dexamethasone, oral, 0.25 mg <1% 30 $40.11
S0028 Injection, famotidine, 20 mg <1% 57 $38.61
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 12 $15.20
36430 0% 19 $0.00
87340 0% 14 $0.00
90832 Psychotherapy session, about 30 minutes 0% 14 $0.00
84112 0% 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 49 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 26 $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 officialHANSEN, DIANE (PRESIDENT AND CEO)
Parent organizationPALOMAR HEALTH
Same official

Other billing entities under HANSEN, DIANE

Full network →
ProviderLocationPaid
Palomar HealthPoway, CA$46.68M
Palomar HealthEscondido, CA$42.20M
MT Graham Regional Medical Center INCSafford, AZ$5.92M
Palomar HealthSan Marcos, CA$2.84M
Palomar HealthEscondido, CA$1.20M
Palomar HealthPoway, CA$528K
Speech Center of Southern ArizonaTucson, AZ$281K
Palomar HealthEscondido, CA$40K

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