Pih Health Good Samaritan Hospital

Pih Health Good Samaritan Hospital was paid $19.10M by Medicaid between Jan 2018 and Nov 2024, across 263 billing codes. Its largest line is 0450, Emergency room services — 18% of everything it billed.

33Billing provider infoPIH HEALTH GOOD SAMARITAN HOSPITAL
LOS ANGELES, CA 90017

33aNPI1508859323assigned 08/26/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$19.10M

24GClaims819,097

24DCodes billed263

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#128 of 410

Median peer was paid$6.90M

This provider vs. median2.8×

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.

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	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
2024incomplete	163,062	$3.30M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0450	Emergency room services	18%	78,679	64,696	$3.38M
74177	Computed tomography, abdomen and pelvis; with contrast material	5.8%	6,967	6,143	$1.11M
70450	Computed tomography, head or brain; without contrast material	4.8%	8,724	7,872	$916K
Z7502		3.7%	18,538	18,331	$699K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	3.6%	5,174	4,885	$690K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	3.6%	33,031	27,439	$686K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	3.2%	17,909	15,788	$620K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	2.8%	2,035	1,903	$526K
J3490	Unclassified drugs	2.5%	42,559	24,889	$478K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	2.3%	3,705	3,470	$437K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.9%	53,399	46,077	$366K
0360		1.9%	1,676	1,436	$365K

251 more codes

0250		1.8%	12,182	$352K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	1.8%	8,681	$343K
96375	Therapeutic injection; each additional sequential IV push	1.7%	13,194	$332K
80048	Basic metabolic panel (calcium, ionized)	1.6%	27,552	$312K
99281	Emergency department visit for the evaluation and management, self-limited or minor	1.6%	12,789	$310K
71045	Radiologic examination, chest; single view	1.6%	24,487	$302K
0270		1.5%	13,866	$288K
80053	Comprehensive metabolic panel	1.5%	22,829	$282K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.4%	8,580	$270K
84484		1.3%	20,465	$242K
96361	Intravenous infusion, hydration; each additional hour	1.2%	11,509	$232K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.2%	4,594	$227K
99199	Unlisted special service, procedure or report	<1%	4,464	$187K
72125	Computed tomography, cervical spine; without contrast material	<1%	1,433	$182K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	3,315	$148K
93970		<1%	1,265	$148K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	3,662	$146K
Z9725		<1%	3,268	$141K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	8,570	$140K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	1,394	$128K
83880		<1%	6,780	$128K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	711	$125K
71275	Computed tomographic angiography, chest, with contrast material	<1%	805	$120K
87634		<1%	3,344	$119K
93975		<1%	725	$116K
J7030	Infusion, normal saline solution , 1000 cc	<1%	11,458	$114K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	513	$110K
0259		<1%	4,458	$103K
80076		<1%	13,799	$98K
81001		<1%	28,147	$93K
83690		<1%	15,372	$86K
0762		<1%	1,906	$82K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	1,739	$81K
70486		<1%	704	$74K
82805		<1%	1,710	$72K
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	10,486	$64K
71046	Radiologic examination, chest; 2 views	<1%	2,366	$62K
0121		<1%	28	$61K
85610		<1%	13,149	$60K
83605		<1%	5,370	$59K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	10,442	$59K
0710		<1%	2,639	$57K
86850		<1%	4,341	$57K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	1,211	$57K
85730		<1%	8,747	$55K
87040		<1%	2,981	$54K
72131		<1%	516	$50K
84702		<1%	4,123	$49K
87086	Culture, bacterial; quantitative colony count, urine	<1%	8,284	$48K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	3,710	$46K
73564		<1%	1,921	$45K
36415	Collection of venous blood by venipuncture	<1%	11,889	$44K
Z7610		<1%	4,872	$44K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	3,121	$42K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	452	$41K
87088		<1%	3,539	$41K
73130		<1%	1,789	$41K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	1,195	$40K
82077		<1%	4,229	$40K
76801		<1%	987	$38K
J2704	Injection, propofol, 10 mg	<1%	2,148	$37K
73610		<1%	1,765	$36K
83735		<1%	6,868	$35K
73030		<1%	1,642	$34K
0214		<1%	44	$33K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	2,265	$32K
59025	Fetal non-stress test	<1%	2,606	$32K
J2270	Injection, morphine sulfate, up to 10 mg	<1%	5,361	$30K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	708	$29K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	3,501	$28K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	2,125	$28K
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	1,449	$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	<1%	479	$27K
36000		<1%	2,029	$27K
80299		<1%	2,274	$27K
84443	Thyroid stimulating hormone (TSH)	<1%	2,481	$26K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	689	$25K
0251		<1%	823	$25K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	2,591	$25K
93971		<1%	373	$25K
73630		<1%	1,457	$25K
87186		<1%	3,154	$24K
80179		<1%	2,255	$24K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	327	$24K
82330		<1%	1,389	$23K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	567	$21K
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	1,321	$20K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	2,081	$20K
90715		<1%	698	$20K
81003		<1%	4,087	$17K
86900		<1%	4,755	$17K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	772	$16K
96376		<1%	1,416	$15K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,985	$15K
S0020	Injection, bupivicaine hydrochloride, 30 ml	<1%	91	$15K
86901		<1%	4,705	$15K
0300		<1%	1,126	$14K
76802		<1%	560	$13K
73110		<1%	620	$13K
73590		<1%	686	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,793	$11K
72100		<1%	497	$11K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,147	$11K
0320		<1%	295	$10K
0252		<1%	446	$10K
87077		<1%	978	$10K
J3475	Injection, magnesium sulfate, per 500 mg	<1%	1,160	$9K
J2060	Injection, lorazepam, 2 mg	<1%	1,548	$9K
70496		<1%	44	$9K
82948		<1%	2,279	$8K
82550		<1%	1,393	$8K
0370		<1%	274	$7K
87905		<1%	894	$7K
71250		<1%	81	$7K
73080		<1%	350	$7K
J1953	Injection, levetiracetam, 10 mg	<1%	107	$7K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	246	$6K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	54	$6K
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	1,786	$6K
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	1,696	$6K
84132		<1%	947	$6K
0301		<1%	481	$6K
87808		<1%	880	$6K
84295		<1%	828	$6K
92650		<1%	482	$5K
87210		<1%	903	$5K
82947		<1%	383	$5K
0258		<1%	536	$5K
80061	Lipid panel	<1%	1,186	$5K
84439		<1%	634	$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	<1%	656	$5K
82435		<1%	825	$5K
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	1,456	$5K
85018		<1%	1,133	$5K
J7060	5% dextrose/water (500 ml = 1 unit)	<1%	988	$5K
J1170	Injection, hydromorphone, up to 4 mg	<1%	870	$5K
83036	Hemoglobin; glycosylated (A1C)	<1%	994	$5K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	78	$5K
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	500	$4K
A4217	Sterile water/saline, 500 ml	<1%	801	$4K
J0690	Injection, cefazolin sodium, 500 mg	<1%	708	$4K
87081		<1%	359	$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	<1%	461	$4K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	87	$4K
J1630	Injection, haloperidol, up to 5 mg	<1%	698	$4K
93293		<1%	136	$4K
73502		<1%	159	$4K
J7120	Ringers lactate infusion, up to 1000 cc	<1%	390	$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	<1%	79	$4K
83615		<1%	904	$4K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	503	$3K
85379		<1%	455	$3K
85380		<1%	729	$3K
J2272	Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg	<1%	357	$3K
73090		<1%	206	$3K
Z9726		<1%	66	$3K
J3370	Injection, vancomycin hcl, 500 mg	<1%	288	$3K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	38	$3K
82150		<1%	665	$3K
96367		<1%	81	$2K
81025		<1%	617	$2K
76870		<1%	58	$2K
36600		<1%	364	$2K
87430		<1%	220	$2K
72040		<1%	119	$2K
84100		<1%	1,326	$2K
J0360	Injection, hydralazine hcl, up to 20 mg	<1%	268	$2K
J2919	Injection, methylprednisolone sodium succinate, 5 mg	<1%	53	$2K
73100		<1%	127	$2K
73560		<1%	41	$2K
86140		<1%	338	$2K
73562		<1%	92	$2K
97161		<1%	72	$1K
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	<1%	389	$1K
Q0144	Azithromycin dihydrate, oral, capsules/powder, 1 gram	<1%	119	$1K
0160		<1%	20	$1K
70498		<1%	15	$992.96
87150		<1%	24	$991.15
J1980	Injection, hyoscyamine sulfate, up to 0.25 mg	<1%	160	$975.77
A9270	Non-covered item or service	<1%	876	$961.77
73620		<1%	69	$933.51
S0164	Injection, pantoprazole sodium, 40 mg	<1%	123	$928.30
J1741	Injection, ibuprofen, 100 mg	<1%	119	$829.60
71010		<1%	60	$814.44
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	<1%	43	$767.53
82248		<1%	170	$741.48
87581		<1%	35	$704.84
Z7514		<1%	12	$701.64
87497		<1%	860	$696.40
82140		<1%	60	$689.44
87486		<1%	35	$673.65
J2003	Injection, lidocaine hydrochloride, 1 mg	<1%	99	$648.96
73070		<1%	40	$610.73
J7614	Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	<1%	50	$592.99
74018		<1%	48	$567.86
A4649	Surgical supply; miscellaneous	<1%	4,062	$539.19
87147		<1%	173	$483.10
99000		<1%	190	$477.57
J1815	Injection, insulin, per 5 units	<1%	117	$473.45
71101		<1%	33	$444.27
93280		<1%	13	$435.33
87799		<1%	360	$426.67
86780		<1%	58	$397.99
J0171	Injection, adrenalin, epinephrine, 0.1 mg	<1%	33	$360.95
86920		<1%	15	$324.92
J1940	Injection, furosemide, up to 20 mg	<1%	64	$303.97
80197		<1%	950	$267.64
71100		<1%	17	$253.20
85027		<1%	84	$243.57
72072		<1%	14	$238.81
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	16	$188.24
82570		<1%	490	$183.27
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	35	$181.54
86332		<1%	489	$177.76
84550		<1%	119	$176.07
J3360	Injection, diazepam, up to 5 mg	<1%	15	$174.77
J1171	Injection, hydromorphone, 0.1 mg	<1%	23	$174.45
0294		<1%	102	$138.61
73140		<1%	13	$133.28
87807		<1%	30	$129.93
85651		<1%	153	$121.41
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	27	$120.95
12002		<1%	13	$120.00
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	14	$104.50
82553		<1%	12	$101.95
0420		<1%	16	$99.94
0350		<1%	40	$96.91
J1836	Injection, metronidazole, 10 mg	<1%	14	$87.06
84156		<1%	452	$80.08
51701		<1%	13	$80.00
J1580	Injection, garamycin, gentamicin, up to 80 mg	<1%	21	$74.14
80305		<1%	12	$71.82
0306		<1%	311	$70.86
J0134	Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg	<1%	14	$70.55
87070		<1%	14	$39.33
S0028	Injection, famotidine, 20 mg	<1%	147	$25.65
0272		<1%	111	$23.71
0636		<1%	269	$22.82
J2470	Injection, pantoprazole sodium, 40 mg	<1%	15	$20.12
J7050	Infusion, normal saline solution, 250 cc	<1%	15	$18.39
0305		<1%	445	$16.54
J7611	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg	<1%	43	$6.63
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	29	$4.95
0310		0%	162	$0.00
0307		0%	88	$0.00
A4300	Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access	0%	381	$0.00
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	0%	14	$0.00
0730		0%	174	$0.00
0510		0%	37	$0.00
0302		0%	64	$0.00
V2630	Anterior chamber intraocular lens	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 officialPONCE (AKA CARLSON), SUSANNE (SUE) (SPECIAL PROJECTS)