Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › PIH HEALTH GOOD SAMARITAN HOSPITAL

PIH HEALTH GOOD SAMARITAN HOSPITAL

NPI: 1508859323 · LOS ANGELES, CA 90017 · General Acute Care Hospital · NPI assigned 08/26/2005

$19.10M
Total Medicaid Paid
819,097
Total Claims
693,201
Beneficiaries
263
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPONCE (AKA CARLSON), SUSANNE (SUE) (SPECIAL PROJECTS)
NPI Enumeration Date08/26/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 113,797 $2.85M
2019 96,613 $2.67M
2020 82,953 $2.20M
2021 96,927 $2.29M
2022 119,767 $2.62M
2023 145,978 $3.17M
2024 163,062 $3.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 78,679 64,696 $3.38M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,967 6,143 $1.11M
70450 Computed tomography, head or brain; without contrast material 8,724 7,872 $916K
Z7502 18,538 18,331 $699K
99284 Emergency department visit for the evaluation and management, high severity 5,174 4,885 $690K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 33,031 27,439 $686K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,909 15,788 $620K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,035 1,903 $526K
J3490 Unclassified drugs 42,559 24,889 $478K
99283 Emergency department visit for the evaluation and management, moderate severity 3,705 3,470 $437K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 53,399 46,077 $366K
0360 1,676 1,436 $365K
0250 12,182 7,461 $352K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,681 7,563 $343K
96375 Therapeutic injection; each additional sequential IV push 13,194 11,559 $332K
80048 Basic metabolic panel (calcium, ionized) 27,552 24,415 $312K
99281 Emergency department visit for the evaluation and management, self-limited or minor 12,789 10,645 $310K
71045 Radiologic examination, chest; single view 24,487 21,808 $302K
0270 13,866 10,978 $288K
80053 Comprehensive metabolic panel 22,829 19,769 $282K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,580 7,381 $270K
84484 20,465 17,745 $242K
96361 Intravenous infusion, hydration; each additional hour 11,509 10,341 $232K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,594 4,200 $227K
99199 Unlisted special service, procedure or report 4,464 3,961 $187K
72125 Computed tomography, cervical spine; without contrast material 1,433 1,306 $182K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,315 2,817 $148K
93970 1,265 1,191 $148K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,662 3,351 $146K
Z9725 3,268 3,161 $141K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,570 7,508 $140K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,394 1,254 $128K
83880 6,780 6,154 $128K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 711 633 $125K
71275 Computed tomographic angiography, chest, with contrast material 805 760 $120K
87634 3,344 2,843 $119K
93975 725 627 $116K
J7030 Infusion, normal saline solution , 1000 cc 11,458 9,967 $114K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 513 474 $110K
0259 4,458 3,335 $103K
80076 13,799 12,386 $98K
81001 28,147 24,372 $93K
83690 15,372 13,507 $86K
0762 1,906 1,481 $82K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,739 1,553 $81K
70486 704 621 $74K
82805 1,710 1,560 $72K
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,486 9,119 $64K
71046 Radiologic examination, chest; 2 views 2,366 2,201 $62K
0121 28 26 $61K
85610 13,149 11,854 $60K
83605 5,370 4,788 $59K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,442 9,027 $59K
0710 2,639 2,483 $57K
86850 4,341 3,917 $57K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,211 1,081 $57K
85730 8,747 7,914 $55K
87040 2,981 2,616 $54K
72131 516 453 $50K
84702 4,123 3,641 $49K
87086 Culture, bacterial; quantitative colony count, urine 8,284 7,350 $48K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,710 3,137 $46K
73564 1,921 1,633 $45K
36415 Collection of venous blood by venipuncture 11,889 10,950 $44K
Z7610 4,872 4,012 $44K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,121 878 $42K
99282 Emergency department visit for the evaluation and management, low to moderate severity 452 443 $41K
87088 3,539 3,290 $41K
73130 1,789 1,578 $41K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,195 1,122 $40K
82077 4,229 3,571 $40K
76801 987 806 $38K
J2704 Injection, propofol, 10 mg 2,148 1,394 $37K
73610 1,765 1,562 $36K
83735 6,868 5,736 $35K
73030 1,642 1,461 $34K
0214 44 37 $33K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,265 1,987 $32K
59025 Fetal non-stress test 2,606 2,092 $32K
J2270 Injection, morphine sulfate, up to 10 mg 5,361 4,512 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination 708 634 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,501 3,079 $28K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,125 1,909 $28K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,449 1,274 $28K
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 479 460 $27K
36000 2,029 1,922 $27K
80299 2,274 1,936 $27K
84443 Thyroid stimulating hormone (TSH) 2,481 2,312 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 689 536 $25K
0251 823 709 $25K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,591 701 $25K
93971 373 326 $25K
73630 1,457 1,218 $25K
87186 3,154 2,833 $24K
80179 2,255 1,925 $24K
76700 Ultrasound, abdominal, real time with image documentation; complete 327 315 $24K
82330 1,389 1,279 $23K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 567 441 $21K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,321 1,194 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,081 1,872 $20K
90715 698 654 $20K
81003 4,087 3,792 $17K
86900 4,755 4,201 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 772 670 $16K
96376 1,416 1,330 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,985 1,722 $15K
S0020 Injection, bupivicaine hydrochloride, 30 ml 91 89 $15K
86901 4,705 4,201 $15K
0300 1,126 963 $14K
76802 560 471 $13K
73110 620 516 $13K
73590 686 613 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,793 1,665 $11K
72100 497 448 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,147 1,067 $11K
0320 295 270 $10K
0252 446 360 $10K
87077 978 928 $10K
J3475 Injection, magnesium sulfate, per 500 mg 1,160 1,034 $9K
J2060 Injection, lorazepam, 2 mg 1,548 1,300 $9K
70496 44 38 $9K
82948 2,279 1,882 $8K
82550 1,393 1,297 $8K
0370 274 266 $7K
87905 894 841 $7K
71250 81 70 $7K
73080 350 299 $7K
J1953 Injection, levetiracetam, 10 mg 107 93 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 246 236 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 54 54 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 1,786 1,626 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,696 1,457 $6K
84132 947 858 $6K
0301 481 397 $6K
87808 880 823 $6K
84295 828 759 $6K
92650 482 467 $5K
87210 903 817 $5K
82947 383 341 $5K
0258 536 457 $5K
80061 Lipid panel 1,186 1,154 $5K
84439 634 576 $5K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 656 632 $5K
82435 825 755 $5K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,456 1,289 $5K
85018 1,133 1,027 $5K
J7060 5% dextrose/water (500 ml = 1 unit) 988 835 $5K
J1170 Injection, hydromorphone, up to 4 mg 870 670 $5K
83036 Hemoglobin; glycosylated (A1C) 994 950 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 78 61 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 500 440 $4K
A4217 Sterile water/saline, 500 ml 801 764 $4K
J0690 Injection, cefazolin sodium, 500 mg 708 639 $4K
87081 359 342 $4K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 461 373 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 87 75 $4K
J1630 Injection, haloperidol, up to 5 mg 698 593 $4K
93293 136 129 $4K
73502 159 144 $4K
J7120 Ringers lactate infusion, up to 1000 cc 390 341 $4K
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 79 76 $4K
83615 904 840 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 503 435 $3K
85379 455 401 $3K
85380 729 680 $3K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 357 270 $3K
73090 206 188 $3K
Z9726 66 66 $3K
J3370 Injection, vancomycin hcl, 500 mg 288 261 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 38 36 $3K
82150 665 623 $3K
96367 81 72 $2K
81025 617 544 $2K
76870 58 51 $2K
36600 364 332 $2K
87430 220 210 $2K
72040 119 108 $2K
84100 1,326 826 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 268 212 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 53 44 $2K
73100 127 117 $2K
73560 41 39 $2K
86140 338 317 $2K
73562 92 77 $2K
97161 72 68 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 389 228 $1K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 119 112 $1K
0160 20 14 $1K
70498 15 15 $992.96
87150 24 21 $991.15
J1980 Injection, hyoscyamine sulfate, up to 0.25 mg 160 146 $975.77
A9270 Non-covered item or service 876 510 $961.77
73620 69 66 $933.51
S0164 Injection, pantoprazole sodium, 40 mg 123 107 $928.30
J1741 Injection, ibuprofen, 100 mg 119 114 $829.60
71010 60 43 $814.44
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 43 38 $767.53
82248 170 155 $741.48
87581 35 29 $704.84
Z7514 12 12 $701.64
87497 860 463 $696.40
82140 60 56 $689.44
87486 35 29 $673.65
J2003 Injection, lidocaine hydrochloride, 1 mg 99 79 $648.96
73070 40 39 $610.73
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 50 44 $592.99
74018 48 45 $567.86
A4649 Surgical supply; miscellaneous 4,062 2,821 $539.19
87147 173 167 $483.10
99000 190 167 $477.57
J1815 Injection, insulin, per 5 units 117 82 $473.45
71101 33 27 $444.27
93280 13 13 $435.33
87799 360 227 $426.67
86780 58 52 $397.99
J0171 Injection, adrenalin, epinephrine, 0.1 mg 33 12 $360.95
86920 15 14 $324.92
J1940 Injection, furosemide, up to 20 mg 64 56 $303.97
80197 950 494 $267.64
71100 17 12 $253.20
85027 84 79 $243.57
72072 14 14 $238.81
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 16 14 $188.24
82570 490 275 $183.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 35 12 $181.54
86332 489 256 $177.76
84550 119 104 $176.07
J3360 Injection, diazepam, up to 5 mg 15 12 $174.77
J1171 Injection, hydromorphone, 0.1 mg 23 17 $174.45
0294 102 77 $138.61
73140 13 12 $133.28
87807 30 26 $129.93
85651 153 148 $121.41
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 27 26 $120.95
12002 13 13 $120.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 14 $104.50
82553 12 12 $101.95
0420 16 13 $99.94
0350 40 37 $96.91
J1836 Injection, metronidazole, 10 mg 14 12 $87.06
84156 452 249 $80.08
51701 13 13 $80.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 21 12 $74.14
80305 12 12 $71.82
0306 311 264 $70.86
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 14 14 $70.55
87070 14 12 $39.33
S0028 Injection, famotidine, 20 mg 147 140 $25.65
0272 111 103 $23.71
0636 269 214 $22.82
J2470 Injection, pantoprazole sodium, 40 mg 15 14 $20.12
J7050 Infusion, normal saline solution, 250 cc 15 14 $18.39
0305 445 377 $16.54
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 43 31 $6.63
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 29 26 $4.95
0310 162 137 $0.00
0307 88 78 $0.00
A4300 Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access 381 329 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 14 13 $0.00
0730 174 153 $0.00
0510 37 37 $0.00
0302 64 49 $0.00
V2630 Anterior chamber intraocular lens 17 12 $0.00