Nursing facility
Providence Health System - Southern California
Providence Health System - Southern California was paid $273K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 27% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NORTH HOLLYWOOD, CA 91601
NORTH HOLLYWOOD, CA 91601
33aNPI1477647444assigned 10/03/2006
33bProvider typeSkilled Nursing Facility
28Total paid$273K
24GClaims17,761
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Skilled Nursing Facility providers in California
Rank by total paid#146 of 547
Median peer was paid$73K
This provider vs. median3.7×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 106 | $2K | |
| 2019 | 163 | $4K | |
| 2020 | 1,673 | $34K | |
| 2021 | 5,506 | $80K | |
| 2022 | 5,016 | $83K | |
| 2023 | 3,398 | $46K | |
| 2024incomplete | 1,899 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 27% | 2,820 | 1,031 | $73K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 21% | 5,416 | 1,893 | $58K |
| 0450 | Emergency room services | 7.7% | 1,179 | 1,076 | $21K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 7.2% | 672 | 618 | $20K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.2% | 1,711 | 810 | $17K |
| 59025 | Fetal non-stress test | 5.9% | 891 | 383 | $16K |
| 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 | 5.0% | 424 | 382 | $14K |
| 97014 | 3.8% | 1,012 | 330 | $10K | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 3.2% | 87 | 86 | $9K |
| 99221 | 2.3% | 257 | 222 | $6K | |
| 97162 | 2.1% | 109 | 108 | $6K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.5% | 124 | 65 | $4K |
30 more codes
| 97161 | 1.2% | 54 | $3K | |
| 0510 | 1.1% | 135 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 819 | $3K |
| 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% | 40 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 155 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 318 | $1K |
| 0761 | <1% | 69 | $1K | |
| 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% | 329 | $925.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 54 | $868.73 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 39 | $734.38 |
| 97035 | <1% | 63 | $366.79 | |
| 71045 | Radiologic examination, chest; single view | <1% | 42 | $281.68 |
| 81001 | <1% | 200 | $258.97 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 50 | $258.58 |
| 97018 | <1% | 72 | $232.49 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 35 | $205.24 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 61 | $186.06 |
| 81003 | <1% | 82 | $117.15 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 27 | $90.65 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 47 | $59.40 |
| 86850 | <1% | 12 | $43.80 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 35 | $36.65 |
| 86901 | <1% | 15 | $34.08 | |
| 86900 | <1% | 15 | $23.92 | |
| 0250 | <1% | 118 | $5.76 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 56 | $0.00 |
| A4649 | Surgical supply; miscellaneous | 0% | 42 | $0.00 |
| 0636 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 46 | $0.00 |
| J3490 | Unclassified drugs | 0% | 17 | $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 FOR ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.