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 · 282N00000X

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

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 78,679 64,696 $3.38M
74177 6,967 6,143 $1.11M
70450 8,724 7,872 $916K
Z7502 18,538 18,331 $699K
99284 5,174 4,885 $690K
93005 33,031 27,439 $686K
96374 17,909 15,788 $620K
99285 2,035 1,903 $526K
J3490 Drugs unclassified injection 42,559 24,889 $478K
99283 3,705 3,470 $437K
85025 53,399 46,077 $366K
0360 1,676 1,436 $365K
0250 12,182 7,461 $352K
80307 8,681 7,563 $343K
96375 13,194 11,559 $332K
80048 27,552 24,415 $312K
99281 12,789 10,645 $310K
71045 24,487 21,808 $302K
0270 13,866 10,978 $288K
80053 22,829 19,769 $282K
87635 8,580 7,381 $270K
84484 20,465 17,745 $242K
96361 11,509 10,341 $232K
96365 4,594 4,200 $227K
99199 4,464 3,961 $187K
72125 1,433 1,306 $182K
87502 3,315 2,817 $148K
93970 1,265 1,191 $148K
96360 3,662 3,351 $146K
Z9725 3,268 3,161 $141K
96372 8,570 7,508 $140K
74176 1,394 1,254 $128K
83880 6,780 6,154 $128K
99291 711 633 $125K
71275 805 760 $120K
87634 3,344 2,843 $119K
93975 725 627 $116K
J7030 Normal saline solution infus 11,458 9,967 $114K
87633 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 1,739 1,553 $81K
70486 704 621 $74K
82805 1,710 1,560 $72K
J2405 Ondansetron hcl injection 10,486 9,119 $64K
71046 2,366 2,201 $62K
0121 28 26 $61K
85610 13,149 11,854 $60K
83605 5,370 4,788 $59K
J1885 Ketorolac tromethamine inj 10,442 9,027 $59K
0710 2,639 2,483 $57K
86850 4,341 3,917 $57K
76856 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 8,284 7,350 $48K
Q9967 Locm 300-399mg/ml iodine,1ml 3,710 3,137 $46K
73564 1,921 1,633 $45K
36415 11,889 10,950 $44K
Z7610 4,872 4,012 $44K
97110 3,121 878 $42K
99282 452 443 $41K
87088 3,539 3,290 $41K
73130 1,789 1,578 $41K
96366 1,195 1,122 $40K
82077 4,229 3,571 $40K
76801 987 806 $38K
J2704 Inj, 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 2,265 1,987 $32K
59025 2,606 2,092 $32K
J2270 Morphine sulfate injection 5,361 4,512 $30K
88305 708 634 $29K
J0696 Ceftriaxone sodium injection 3,501 3,079 $28K
87491 2,125 1,909 $28K
J2250 Inj midazolam hydrochloride 1,449 1,274 $28K
U0003 Cov-19 amp prb hgh thruput 479 460 $27K
36000 2,029 1,922 $27K
80299 2,274 1,936 $27K
84443 2,481 2,312 $26K
76817 689 536 $25K
0251 823 709 $25K
97140 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 327 315 $24K
82330 1,389 1,279 $23K
76815 567 441 $21K
J2001 Lidocaine injection 1,321 1,194 $20K
87591 2,081 1,872 $20K
90715 698 654 $20K
81003 4,087 3,792 $17K
86900 4,755 4,201 $17K
87651 772 670 $16K
96376 1,416 1,330 $15K
J1100 Dexamethasone sodium phos 1,985 1,722 $15K
S0020 Injection, bupivicaine hydro 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 1,793 1,665 $11K
72100 497 448 $11K
87804 1,147 1,067 $11K
0320 295 270 $10K
0252 446 360 $10K
87077 978 928 $10K
J3475 Inj magnesium sulfate 1,160 1,034 $9K
J2060 Lorazepam injection 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 Levetiracetam injection 107 93 $7K
0241U 246 236 $6K
93306 54 54 $6K
J3010 Fentanyl citrate injection 1,786 1,626 $6K
J1200 Diphenhydramine hcl injectio 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 1,186 1,154 $5K
84439 634 576 $5K
Q0162 Ondansetron oral 656 632 $5K
82435 825 755 $5K
J2765 Metoclopramide hcl injection 1,456 1,289 $5K
85018 1,133 1,027 $5K
J7060 5% dextrose/water 988 835 $5K
J1170 Hydromorphone injection 870 670 $5K
83036 994 950 $5K
45380 78 61 $5K
J0131 Inj, acetaminophen (nos) 500 440 $4K
A4217 Sterile water/saline, 500 ml 801 764 $4K
J0690 Cefazolin sodium injection 708 639 $4K
87081 359 342 $4K
J7620 Albuterol ipratrop non-comp 461 373 $4K
43239 87 75 $4K
J1630 Haloperidol injection 698 593 $4K
93293 136 129 $4K
73502 159 144 $4K
J7120 Ringers lactate infusion 390 341 $4K
U0004 Cov-19 test non-cdc hgh thru 79 76 $4K
83615 904 840 $4K
J2930 Methylprednisolone injection 503 435 $3K
85379 455 401 $3K
85380 729 680 $3K
J2272 Inj, morphine (fresenius) 357 270 $3K
73090 206 188 $3K
Z9726 66 66 $3K
J3370 Vancomycin hcl injection 288 261 $3K
76805 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 Hydralazine hcl injection 268 212 $2K
J2919 Inj, methylpred sod succ 5mg 53 44 $2K
73100 127 117 $2K
73560 41 39 $2K
86140 338 317 $2K
73562 92 77 $2K
97161 72 68 $1K
J0665 Inj, bupivacaine, nos, 0.5mg 389 228 $1K
Q0144 Azithromycin dihydrate, oral 119 112 $1K
0160 20 14 $1K
70498 15 15 $992.96
87150 24 21 $991.15
J1980 Hyoscyamine sulfate inj 160 146 $975.77
A9270 Non-covered item or service 876 510 $961.77
73620 69 66 $933.51
S0164 Injection pantroprazole 123 107 $928.30
J1741 Ibuprofen injection 119 114 $829.60
71010 60 43 $814.44
E0114 Crutch underarm pair no wood 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 Inj, lidocaine hcl, 1 mg 99 79 $648.96
73070 40 39 $610.73
J7614 Levalbuterol non-comp unit 50 44 $592.99
74018 48 45 $567.86
A4649 Surgical supplies 4,062 2,821 $539.19
87147 173 167 $483.10
99000 190 167 $477.57
J1815 Insulin injection 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 Adrenalin epinephrine inject 33 12 $360.95
86920 15 14 $324.92
J1940 Furosemide injection 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 16 14 $188.24
82570 490 275 $183.27
J3301 Triamcinolone acet inj nos 35 12 $181.54
86332 489 256 $177.76
84550 119 104 $176.07
J3360 Diazepam injection 15 12 $174.77
J1171 Inj, 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 Normal saline solution infus 27 26 $120.95
12002 13 13 $120.00
45378 14 14 $104.50
82553 12 12 $101.95
0420 16 13 $99.94
0350 40 37 $96.91
J1836 Inj, metronidazole, 10 mg 14 12 $87.06
84156 452 249 $80.08
51701 13 13 $80.00
J1580 Garamycin gentamicin inj 21 12 $74.14
80305 12 12 $71.82
0306 311 264 $70.86
J0134 Inj acetaminophen -fresenius 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 Inj pantoprazole sodium 40mg 15 14 $20.12
J7050 Normal saline solution infus 15 14 $18.39
0305 445 377 $16.54
J7611 Albuterol non-comp con 43 31 $6.63
J7613 Albuterol non-comp unit 29 26 $4.95
0310 162 137 $0.00
0307 88 78 $0.00
A4300 Cath impl vasc access portal 381 329 $0.00
S9445 Pt education noc individ 14 13 $0.00
0730 174 153 $0.00
0510 37 37 $0.00
0302 64 49 $0.00
V2630 Anter chamber intraocul lens 17 12 $0.00