Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Mission Hills › NPI 1477587632
Hospital

Providence Health System - Southern California

Providence Health System - Southern California was paid $54.07M by Medicaid between Jan 2018 and Dec 2024, across 304 billing codes. Its largest line is 0450, Emergency room services — 28% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
MISSION HILLS, CA 91345
33aNPI1477587632assigned 07/11/2006
28Total paid$54.07M
24GClaims1,641,648
24DCodes billed304
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#56 of 410
Median peer was paid$6.90M
This provider vs. median7.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
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
2018268,333$7.61M
2019230,264$10.79M
2020164,397$4.78M
2021201,757$5.48M
2022241,742$7.84M
2023277,623$9.46M
2024incomplete257,532$8.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 28% 218,376 197,882 $15.04M
99281 Emergency department visit for the evaluation and management, self-limited or minor 6.6% 28,364 24,937 $3.57M
80053 Comprehensive metabolic panel 5.7% 78,094 72,187 $3.07M
70450 Computed tomography, head or brain; without contrast material 5.1% 16,854 16,316 $2.75M
74176 Computed tomography, abdomen and pelvis; without contrast material 4.2% 13,053 12,678 $2.24M
99199 Unlisted special service, procedure or report 2.9% 22,560 20,137 $1.56M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.5% 5,486 5,312 $1.33M
Z7502 1.9% 28,627 28,237 $1.04M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 41,238 39,024 $1.04M
71045 Radiologic examination, chest; single view 1.8% 51,159 49,020 $972K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.8% 87,935 81,185 $951K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.6% 25,589 24,053 $886K
292 more codes
80048 Basic metabolic panel (calcium, ionized) 1.1% 22,976 $612K
72125 Computed tomography, cervical spine; without contrast material 1.1% 2,679 $592K
99285 Emergency room visit (most serious) 1.1% 5,272 $590K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 6,867 $536K
96375 Therapeutic injection; each additional sequential IV push <1% 21,289 $535K
99283 Emergency room visit (moderate) <1% 7,718 $507K
81001 <1% 51,630 $488K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 25,980 $486K
99284 Emergency room visit (serious) <1% 7,704 $395K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 9,044 $391K
96361 Intravenous infusion, hydration; each additional hour <1% 15,932 $382K
83690 <1% 39,652 $368K
0762 <1% 2,495 $360K
84484 <1% 29,467 $358K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 4,987 $343K
76801 <1% 5,209 $327K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 6,661 $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 <1% 7,752 $306K
81025 <1% 47,813 $305K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,739 $302K
0250 <1% 35,143 $300K
87086 Culture, bacterial; quantitative colony count, urine <1% 23,470 $275K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,276 $252K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 9,162 $251K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,904 $249K
81003 <1% 35,368 $244K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,365 $229K
93975 <1% 1,459 $228K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,251 $228K
76830 Ultrasound, transvaginal <1% 3,492 $223K
0214 <1% 172 $221K
Z9725 <1% 4,947 $213K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 9,027 $210K
93971 <1% 2,378 $205K
93970 <1% 1,455 $204K
36415 Collection of venous blood by venipuncture <1% 54,024 $193K
83880 <1% 7,973 $186K
70486 <1% 1,105 $185K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,524 $183K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,067 $174K
83605 <1% 10,954 $173K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,237 $171K
87040 <1% 13,292 $171K
73630 <1% 4,818 $159K
72100 <1% 3,774 $156K
73610 <1% 4,538 $155K
85027 <1% 17,623 $150K
86901 <1% 6,704 $138K
J2270 Injection, morphine sulfate, up to 10 mg <1% 16,262 $137K
73030 <1% 3,504 $135K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 21,423 $122K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 18,329 $119K
59025 Fetal non-stress test <1% 9,789 $112K
J3490 Unclassified drugs <1% 20,856 $110K
70551 Magnetic resonance imaging, brain; without contrast material <1% 404 $108K
73130 <1% 3,934 $104K
93458 <1% 200 $104K
85610 <1% 13,143 $96K
0760 <1% 3,524 $95K
J7030 Infusion, normal saline solution , 1000 cc <1% 16,066 $93K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,091 $88K
84702 <1% 5,961 $87K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 2,194 $86K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 632 $85K
85730 <1% 7,509 $84K
84145 <1% 5,824 $83K
73110 <1% 2,342 $81K
73562 <1% 2,128 $80K
71250 <1% 888 $79K
84443 Thyroid stimulating hormone (TSH) <1% 4,318 $79K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,517 $76K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,064 $73K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 10,756 $70K
90715 <1% 1,622 $69K
0160 <1% 1,193 $67K
76870 <1% 989 $67K
73590 <1% 1,529 $65K
72040 <1% 1,780 $64K
73560 <1% 3,027 $63K
83735 <1% 7,744 $63K
74018 <1% 2,289 $62K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,986 $62K
71046 Radiologic examination, chest; 2 views <1% 1,955 $62K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 8,490 $59K
70496 <1% 221 $57K
0710 <1% 3,983 $57K
0206 <1% 81 $56K
86900 <1% 6,684 $56K
85379 <1% 3,530 $55K
0122 <1% 41 $53K
87077 <1% 5,263 $51K
0121 <1% 29 $49K
87186 <1% 5,883 $46K
96376 <1% 4,635 $46K
76770 <1% 774 $46K
99221 <1% 2,109 $46K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,078 $45K
0761 <1% 1,371 $45K
J7050 Infusion, normal saline solution, 250 cc <1% 4,745 $43K
87631 <1% 898 $40K
73140 <1% 1,444 $40K
73502 <1% 1,096 $40K
70498 <1% 227 $40K
86850 <1% 2,674 $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 <1% 4,869 $35K
0682 <1% 24 $35K
0270 <1% 15,137 $33K
84703 <1% 2,344 $33K
73070 <1% 1,199 $31K
87807 <1% 1,037 $28K
71101 <1% 699 $28K
73090 <1% 1,046 $27K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 5,796 $26K
84439 <1% 2,804 $25K
72170 <1% 1,104 $25K
80143 <1% 943 $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 <1% 591 $24K
0360 <1% 941 $24K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 221 $24K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,548 $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 <1% 477 $24K
80179 <1% 912 $23K
G0378 Hospital observation service, per hour <1% 136 $23K
0370 <1% 1,059 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,198 $22K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,684 $22K
92585 <1% 523 $22K
J1644 Injection, heparin sodium, per 1000 units <1% 2,696 $21K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,223 $21K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 89 $21K
Z7500 <1% 595 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,838 $19K
72072 <1% 407 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,010 $19K
29125 <1% 1,629 $18K
J2060 Injection, lorazepam, 2 mg <1% 2,229 $17K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,245 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,056 $16K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,656 $15K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,640 $15K
82550 <1% 1,493 $15K
29515 <1% 1,497 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,322 $14K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,770 $13K
80306 <1% 563 $13K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 403 $12K
12001 <1% 891 $11K
90714 <1% 653 $11K
93976 <1% 94 $11K
29130 <1% 1,061 $11K
87420 <1% 369 $10K
0272 <1% 1,066 $10K
99213 Doctor's office visit, returning patient (routine) <1% 45 $10K
86140 <1% 1,804 $10K
85652 <1% 1,174 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 924 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 54 $9K
J2704 Injection, propofol, 10 mg <1% 2,353 $9K
96367 <1% 350 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 25 $9K
87081 <1% 1,062 $9K
87400 <1% 739 $9K
97161 <1% 234 $8K
93017 <1% 187 $8K
72131 <1% 66 $8K
73552 <1% 283 $8K
87205 <1% 1,187 $8K
80061 Lipid panel <1% 863 $8K
29105 <1% 537 $8K
V5008 Hearing screening <1% 987 $8K
74022 <1% 186 $7K
86308 <1% 799 $7K
87070 <1% 447 $7K
29505 <1% 574 $7K
73060 <1% 245 $7K
A4217 Sterile water/saline, 500 ml <1% 1,441 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 39 $7K
J1815 Injection, insulin, per 5 units <1% 809 $7K
Z7610 <1% 2,565 $6K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,655 $6K
12011 <1% 282 $6K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 580 $6K
82150 <1% 567 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 32 $6K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 92 $5K
87210 <1% 609 $5K
92558 <1% 205 $5K
J1650 Injection, enoxaparin sodium, 10 mg <1% 527 $5K
0636 <1% 5,586 $4K
A4649 Surgical supply; miscellaneous <1% 3,070 $4K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,339 $4K
73080 <1% 147 $4K
0301 <1% 1,308 $4K
0940 <1% 188 $4K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 9,517 $4K
0324 <1% 874 $4K
A9585 Injection, gadobutrol, 0.1 ml <1% 196 $3K
99152 <1% 146 $3K
J3370 Injection, vancomycin hcl, 500 mg <1% 196 $3K
81002 <1% 776 $3K
J3475 Injection, magnesium sulfate, per 500 mg <1% 119 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 577 $3K
0361 <1% 31 $3K
84100 <1% 683 $3K
82805 <1% 136 $2K
84550 <1% 585 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 220 $2K
0171 Inj, epinephrine (belcher) <1% 12 $2K
76818 <1% 401 $2K
A0427 Emergency ambulance ride, advanced life support <1% 12 $2K
71010 <1% 268 $2K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 223 $2K
82077 <1% 29 $1K
70360 <1% 71 $1K
12002 <1% 76 $1K
0300 <1% 1,674 $1K
0350 <1% 1,554 $1K
S0164 Injection, pantoprazole sodium, 40 mg <1% 104 $1K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 93 $1K
76010 <1% 13 $1K
93990 <1% 15 $1K
C1769 Guide wire <1% 260 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 130 $945.18
88342 <1% 46 $907.66
73620 <1% 55 $905.41
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 126 $746.80
10061 <1% 73 $745.60
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 138 $742.80
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 108 $707.29
10060 <1% 63 $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) <1% 101 $612.29
97116 <1% 190 $586.14
87147 <1% 76 $572.23
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 12 $568.97
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,708 $547.54
97535 Self-care/home management training, each 15 minutes <1% 134 $441.63
0470 <1% 16 $400.15
82330 <1% 68 $339.22
82731 <1% 15 $332.18
J1940 Injection, furosemide, up to 20 mg <1% 46 $313.52
87088 <1% 45 $271.93
85018 <1% 119 $267.66
73660 <1% 12 $266.51
83550 <1% 43 $252.97
76857 <1% 12 $230.24
83540 <1% 43 $220.15
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 13 $209.03
J1171 Injection, hydromorphone, 0.1 mg <1% 48 $191.58
J8540 Dexamethasone, oral, 0.25 mg <1% 428 $189.79
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 40 $188.80
85651 <1% 28 $174.23
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 52 $173.71
0258 <1% 661 $164.68
36600 <1% 29 $162.42
86920 <1% 13 $147.20
0410 <1% 206 $142.19
82728 <1% 14 $134.23
86592 <1% 26 $118.01
J2470 Injection, pantoprazole sodium, 40 mg <1% 35 $115.96
J1630 Injection, haloperidol, up to 5 mg <1% 17 $107.41
0637 <1% 641 $103.83
82570 <1% 29 $68.12
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 29 $48.87
J7060 5% dextrose/water (500 ml = 1 unit) <1% 13 $34.64
J1953 Injection, levetiracetam, 10 mg <1% 14 $32.96
J0780 Injection, prochlorperazine, up to 10 mg <1% 12 $26.68
88304 <1% 13 $21.66
0302 <1% 588 $12.07
99001 <1% 15 $4.97
0305 <1% 898 $4.97
A9270 Non-covered item or service <1% 391 $4.51
J7510 Prednisolone oral, per 5 mg <1% 13 $3.50
0307 <1% 456 $2.80
99070 <1% 37 $0.89
0320 0% 93 $0.00
0730 0% 299 $0.00
0480 0% 103 $0.00
0402 0% 150 $0.00
0424 0% 94 $0.00
0921 0% 13 $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% 28 $0.00
15853 0% 40 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 12 $0.00
A0425 Ground mileage, per statute mile 0% 43 $0.00
0278 0% 43 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 28 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 0% 2,145 $0.00
0255 0% 85 $0.00
0306 0% 639 $0.00
0771 0% 29 $0.00
0420 0% 94 $0.00
0310 0% 27 $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 officialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Same official

Other billing entities under ANDERSON, DONALD

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