Medicaid Provider Spending

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

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

NPI: 1477587632 · MISSION HILLS, CA 91345 · General Acute Care Hospital · NPI assigned 07/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$54.07M
Total Medicaid Paid
1,641,648
Total Claims
1,490,075
Beneficiaries
304
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 268,333 $7.61M
2019 230,264 $10.79M
2020 164,397 $4.78M
2021 201,757 $5.48M
2022 241,742 $7.84M
2023 277,623 $9.46M
2024 257,532 $8.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 218,376 197,882 $15.04M
99281 Emergency department visit for the evaluation and management, self-limited or minor 28,364 24,937 $3.57M
80053 Comprehensive metabolic panel 78,094 72,187 $3.07M
70450 Computed tomography, head or brain; without contrast material 16,854 16,316 $2.75M
74176 Computed tomography, abdomen and pelvis; without contrast material 13,053 12,678 $2.24M
99199 Unlisted special service, procedure or report 22,560 20,137 $1.56M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,486 5,312 $1.33M
Z7502 28,627 28,237 $1.04M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 41,238 39,024 $1.04M
71045 Radiologic examination, chest; single view 51,159 49,020 $972K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 87,935 81,185 $951K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 25,589 24,053 $886K
80048 Basic metabolic panel (calcium, ionized) 22,976 21,702 $612K
72125 Computed tomography, cervical spine; without contrast material 2,679 2,630 $592K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,272 4,919 $590K
76700 Ultrasound, abdominal, real time with image documentation; complete 6,867 6,743 $536K
96375 Therapeutic injection; each additional sequential IV push 21,289 19,275 $535K
99283 Emergency department visit for the evaluation and management, moderate severity 7,718 7,313 $507K
81001 51,630 49,132 $488K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25,980 24,135 $486K
99284 Emergency department visit for the evaluation and management, high severity 7,704 7,205 $395K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,044 8,546 $391K
96361 Intravenous infusion, hydration; each additional hour 15,932 14,931 $382K
83690 39,652 37,544 $368K
0762 2,495 1,377 $360K
84484 29,467 25,563 $358K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,987 4,913 $343K
76801 5,209 4,531 $327K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,661 6,406 $321K
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 7,752 7,250 $306K
81025 47,813 45,369 $305K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,739 5,631 $302K
0250 35,143 25,993 $300K
87086 Culture, bacterial; quantitative colony count, urine 23,470 22,626 $275K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,276 1,240 $252K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,162 8,900 $251K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,904 4,096 $249K
81003 35,368 33,392 $244K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,365 3,885 $229K
93975 1,459 1,438 $228K
71275 Computed tomographic angiography, chest, with contrast material 1,251 1,223 $228K
76830 Ultrasound, transvaginal 3,492 3,446 $223K
0214 172 167 $221K
Z9725 4,947 4,911 $213K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,027 8,604 $210K
93971 2,378 2,331 $205K
93970 1,455 1,425 $204K
36415 Collection of venous blood by venipuncture 54,024 47,703 $193K
83880 7,973 7,671 $186K
70486 1,105 1,096 $185K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,524 7,796 $183K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,067 1,026 $174K
83605 10,954 9,242 $173K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,237 4,119 $171K
87040 13,292 7,277 $171K
73630 4,818 4,598 $159K
72100 3,774 3,739 $156K
73610 4,538 4,395 $155K
85027 17,623 16,527 $150K
86901 6,704 6,240 $138K
J2270 Injection, morphine sulfate, up to 10 mg 16,262 14,209 $137K
73030 3,504 3,368 $135K
J2405 Injection, ondansetron hydrochloride, per 1 mg 21,423 19,486 $122K
J1885 Injection, ketorolac tromethamine, per 15 mg 18,329 17,393 $119K
59025 Fetal non-stress test 9,789 4,012 $112K
J3490 Unclassified drugs 20,856 17,262 $110K
70551 Magnetic resonance imaging, brain; without contrast material 404 390 $108K
73130 3,934 3,720 $104K
93458 200 194 $104K
85610 13,143 12,476 $96K
0760 3,524 2,925 $95K
J7030 Infusion, normal saline solution , 1000 cc 16,066 14,359 $93K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,091 1,683 $88K
84702 5,961 5,162 $87K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,194 2,169 $86K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 632 608 $85K
85730 7,509 7,236 $84K
84145 5,824 5,598 $83K
73110 2,342 2,257 $81K
73562 2,128 1,989 $80K
71250 888 843 $79K
84443 Thyroid stimulating hormone (TSH) 4,318 4,235 $79K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,517 2,450 $76K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,064 1,009 $73K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 10,756 10,314 $70K
90715 1,622 1,614 $69K
0160 1,193 618 $67K
76870 989 960 $67K
73590 1,529 1,408 $65K
72040 1,780 1,763 $64K
73560 3,027 2,749 $63K
83735 7,744 6,767 $63K
74018 2,289 2,256 $62K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,986 1,856 $62K
71046 Radiologic examination, chest; 2 views 1,955 1,921 $62K
J0696 Injection, ceftriaxone sodium, per 250 mg 8,490 8,008 $59K
70496 221 217 $57K
0710 3,983 3,825 $57K
0206 81 79 $56K
86900 6,684 6,226 $56K
85379 3,530 3,446 $55K
0122 41 40 $53K
87077 5,263 5,160 $51K
0121 29 28 $49K
87186 5,883 5,759 $46K
96376 4,635 3,803 $46K
76770 774 756 $46K
99221 2,109 1,692 $46K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,078 2,089 $45K
0761 1,371 1,260 $45K
J7050 Infusion, normal saline solution, 250 cc 4,745 4,098 $43K
87631 898 888 $40K
73140 1,444 1,422 $40K
73502 1,096 1,042 $40K
70498 227 226 $40K
86850 2,674 2,589 $36K
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 4,869 4,516 $35K
0682 24 24 $35K
0270 15,137 11,530 $33K
84703 2,344 2,308 $33K
73070 1,199 1,163 $31K
87807 1,037 1,014 $28K
71101 699 691 $28K
73090 1,046 1,019 $27K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 5,796 5,451 $26K
84439 2,804 2,763 $25K
72170 1,104 1,087 $25K
80143 943 918 $24K
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 591 565 $24K
0360 941 915 $24K
0202U Oncology (prostate), multianalyte, gene expression profiling 221 216 $24K
J3010 Injection, fentanyl citrate, 0.1 mg 4,548 4,191 $24K
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 477 456 $24K
80179 912 891 $23K
G0378 Hospital observation service, per hour 136 85 $23K
0370 1,059 1,005 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,198 3,147 $22K
J1170 Injection, hydromorphone, up to 4 mg 2,684 2,294 $22K
92585 523 522 $22K
J1644 Injection, heparin sodium, per 1000 units 2,696 1,336 $21K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,223 1,119 $21K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 89 84 $21K
Z7500 595 524 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,838 2,801 $19K
72072 407 406 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,010 2,968 $19K
29125 1,629 1,595 $18K
J2060 Injection, lorazepam, 2 mg 2,229 2,037 $17K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,245 3,053 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,056 1,029 $16K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,656 883 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,640 2,459 $15K
82550 1,493 1,430 $15K
29515 1,497 1,472 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg 3,322 3,167 $14K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,770 1,715 $13K
80306 563 544 $13K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 403 388 $12K
12001 891 884 $11K
90714 653 647 $11K
93976 94 94 $11K
29130 1,061 1,037 $11K
87420 369 344 $10K
0272 1,066 1,020 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45 41 $10K
86140 1,804 1,762 $10K
85652 1,174 1,151 $9K
83036 Hemoglobin; glycosylated (A1C) 924 897 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 54 54 $9K
J2704 Injection, propofol, 10 mg 2,353 2,202 $9K
96367 350 329 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 25 25 $9K
87081 1,062 1,023 $9K
87400 739 689 $9K
97161 234 227 $8K
93017 187 173 $8K
72131 66 63 $8K
73552 283 271 $8K
87205 1,187 1,034 $8K
80061 Lipid panel 863 825 $8K
29105 537 529 $8K
V5008 Hearing screening 987 965 $8K
74022 186 185 $7K
86308 799 795 $7K
87070 447 425 $7K
29505 574 566 $7K
73060 245 239 $7K
A4217 Sterile water/saline, 500 ml 1,441 1,236 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 39 38 $7K
J1815 Injection, insulin, per 5 units 809 547 $7K
Z7610 2,565 2,241 $6K
J0690 Injection, cefazolin sodium, 500 mg 1,655 1,500 $6K
12011 282 282 $6K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 580 475 $6K
82150 567 553 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 32 32 $6K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 92 84 $5K
87210 609 596 $5K
92558 205 205 $5K
J1650 Injection, enoxaparin sodium, 10 mg 527 338 $5K
0636 5,586 4,179 $4K
A4649 Surgical supply; miscellaneous 3,070 2,255 $4K
J7120 Ringers lactate infusion, up to 1000 cc 1,339 1,205 $4K
73080 147 147 $4K
0301 1,308 1,196 $4K
0940 188 142 $4K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 9,517 9,060 $4K
0324 874 854 $4K
A9585 Injection, gadobutrol, 0.1 ml 196 194 $3K
99152 146 140 $3K
J3370 Injection, vancomycin hcl, 500 mg 196 171 $3K
81002 776 651 $3K
J3475 Injection, magnesium sulfate, per 500 mg 119 99 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 577 235 $3K
0361 31 30 $3K
84100 683 503 $3K
82805 136 133 $2K
84550 585 527 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 220 212 $2K
0171 Inj, epinephrine (belcher) 12 12 $2K
76818 401 348 $2K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 12 12 $2K
71010 268 150 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 223 195 $2K
82077 29 27 $1K
70360 71 71 $1K
12002 76 76 $1K
0300 1,674 1,434 $1K
0350 1,554 1,520 $1K
S0164 Injection, pantoprazole sodium, 40 mg 104 89 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) 93 87 $1K
76010 13 12 $1K
93990 15 15 $1K
C1769 Guide wire 260 245 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 130 127 $945.18
88342 46 41 $907.66
73620 55 54 $905.41
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 126 113 $746.80
10061 73 68 $745.60
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 138 127 $742.80
S0020 Injection, bupivicaine hydrochloride, 30 ml 108 104 $707.29
10060 63 62 $629.18
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 101 92 $612.29
97116 190 90 $586.14
87147 76 75 $572.23
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $568.97
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,708 1,613 $547.54
97535 Self-care/home management training, each 15 minutes 134 118 $441.63
0470 16 16 $400.15
82330 68 65 $339.22
82731 15 12 $332.18
J1940 Injection, furosemide, up to 20 mg 46 40 $313.52
87088 45 45 $271.93
85018 119 112 $267.66
73660 12 12 $266.51
83550 43 40 $252.97
76857 12 12 $230.24
83540 43 40 $220.15
J2370 Injection, phenylephrine hcl, up to 1 ml 13 13 $209.03
J1171 Injection, hydromorphone, 0.1 mg 48 39 $191.58
J8540 Dexamethasone, oral, 0.25 mg 428 414 $189.79
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 40 39 $188.80
85651 28 25 $174.23
J0330 Injection, succinylcholine chloride, up to 20 mg 52 49 $173.71
0258 661 601 $164.68
36600 29 27 $162.42
86920 13 13 $147.20
0410 206 203 $142.19
82728 14 14 $134.23
86592 26 26 $118.01
J2470 Injection, pantoprazole sodium, 40 mg 35 33 $115.96
J1630 Injection, haloperidol, up to 5 mg 17 12 $107.41
0637 641 444 $103.83
82570 29 25 $68.12
J2175 Injection, meperidine hydrochloride, per 100 mg 29 25 $48.87
J7060 5% dextrose/water (500 ml = 1 unit) 13 13 $34.64
J1953 Injection, levetiracetam, 10 mg 14 13 $32.96
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $26.68
88304 13 12 $21.66
0302 588 510 $12.07
99001 15 15 $4.97
0305 898 842 $4.97
A9270 Non-covered item or service 391 141 $4.51
J7510 Prednisolone oral, per 5 mg 13 13 $3.50
0307 456 437 $2.80
99070 37 24 $0.89
0320 93 91 $0.00
0730 299 288 $0.00
0480 103 101 $0.00
0402 150 145 $0.00
0424 94 90 $0.00
0921 13 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 28 25 $0.00
15853 40 39 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 12 12 $0.00
A0425 Ground mileage, per statute mile 43 42 $0.00
0278 43 43 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 28 25 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,145 1,475 $0.00
0255 85 83 $0.00
0306 639 607 $0.00
0771 29 26 $0.00
0420 94 90 $0.00
0310 27 26 $0.00