Medicaid Provider Spending

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

PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

NPI: 1477647444 · NORTH HOLLYWOOD, CA 91601 · Skilled Nursing Facility · NPI assigned 10/03/2006

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

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

$273K
Total Medicaid Paid
17,761
Total Claims
9,674
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY FOR ENROLLMENT)
NPI Enumeration Date10/03/2006

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 106 $2K
2019 163 $4K
2020 1,673 $34K
2021 5,506 $80K
2022 5,016 $83K
2023 3,398 $46K
2024 1,899 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,820 1,031 $73K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,416 1,893 $58K
0450 Emergency room services 1,179 1,076 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor 672 618 $20K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,711 810 $17K
59025 Fetal non-stress test 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 424 382 $14K
97014 1,012 330 $10K
0202U Oncology (prostate), multianalyte, gene expression profiling 87 86 $9K
99221 257 222 $6K
97162 109 108 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 124 65 $4K
97161 54 54 $3K
0510 135 134 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 819 745 $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 40 38 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 155 75 $2K
80053 Comprehensive metabolic panel 318 293 $1K
0761 69 51 $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 329 324 $925.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 54 49 $868.73
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 39 37 $734.38
97035 63 24 $366.79
71045 Radiologic examination, chest; single view 42 39 $281.68
81001 200 197 $258.97
96375 Therapeutic injection; each additional sequential IV push 50 44 $258.58
97018 72 24 $232.49
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 35 34 $205.24
80048 Basic metabolic panel (calcium, ionized) 61 59 $186.06
81003 82 76 $117.15
96361 Intravenous infusion, hydration; each additional hour 27 24 $90.65
J2405 Injection, ondansetron hydrochloride, per 1 mg 47 42 $59.40
86850 12 12 $43.80
J7030 Infusion, normal saline solution , 1000 cc 35 29 $36.65
86901 15 12 $34.08
86900 15 12 $23.92
0250 118 102 $5.76
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 56 44 $0.00
A4649 Surgical supply; miscellaneous 42 32 $0.00
0636 12 12 $0.00
36415 Collection of venous blood by venipuncture 46 38 $0.00
J3490 Unclassified drugs 17 14 $0.00