Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Mark Twain Medical Center

Mark Twain Medical Center was paid $10.57M by Medicaid between Jan 2018 and Dec 2024, across 169 billing codes. Its largest line is 0450, Emergency room services — 42% of everything it billed.

33Billing provider infoMARK TWAIN MEDICAL CENTER
SAN ANDREAS, CA 95249
33aNPI1508968819assigned 09/05/2006
28Total paid$10.57M
24GClaims253,217
24DCodes billed169
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#177 of 410
Median peer was paid$6.90M
This provider vs. median1.5×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201837,194$1.54M
201937,308$1.57M
202029,687$1.23M
202131,406$1.42M
202234,895$1.56M
202345,302$1.84M
2024incomplete37,425$1.40M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 42% 17,694 15,954 $4.42M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.6% 8,600 2,757 $486K
99199 Unlisted special service, procedure or report 2.8% 4,434 4,041 $292K
77067 Screening mammography, bilateral, including computer-aided detection 2.6% 1,818 1,816 $274K
80053 Comprehensive metabolic panel 2.4% 16,689 15,708 $253K
A9150 Non-prescription drugs 2.0% 2,273 1,185 $209K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.8% 3,780 3,509 $189K
84443 Thyroid stimulating hormone (TSH) 1.8% 8,302 8,156 $188K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.6% 1,514 1,464 $169K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.6% 3,264 2,961 $166K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.6% 20,799 19,088 $165K
A9270 Non-covered item or service 1.5% 3,099 1,766 $161K
157 more codes
J1885 Injection, ketorolac tromethamine, per 15 mg 1.3% 2,984 $140K
80061 Lipid panel 1.3% 7,792 $139K
J3490 Unclassified drugs 1.3% 3,446 $137K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 1.3% 2,127 $137K
36415 Collection of venous blood by venipuncture 1.1% 9,374 $119K
96361 Intravenous infusion, hydration; each additional hour 1.1% 1,536 $119K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.1% 1,220 $119K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.1% 2,895 $113K
J7030 Infusion, normal saline solution , 1000 cc 1.0% 2,129 $108K
76830 Ultrasound, transvaginal <1% 919 $90K
97750 <1% 662 $83K
70450 Computed tomography, head or brain; without contrast material <1% 1,406 $82K
71046 Radiologic examination, chest; 2 views <1% 2,548 $77K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,792 $75K
83036 Hemoglobin; glycosylated (A1C) <1% 4,901 $72K
76641 <1% 583 $70K
96375 Therapeutic injection; each additional sequential IV push <1% 3,014 $69K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 679 $68K
97139 <1% 1,029 $68K
99283 Emergency room visit (moderate) <1% 533 $63K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,281 $61K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,406 $60K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,951 $57K
80048 Basic metabolic panel (calcium, ionized) <1% 5,341 $56K
84439 <1% 4,063 $56K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 459 $55K
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% 867 $55K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,807 $55K
0510 <1% 1,072 $54K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,199 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,267 $48K
G0378 Hospital observation service, per hour <1% 989 $47K
81001 <1% 9,635 $46K
73030 <1% 1,094 $43K
Z7502 <1% 1,057 $39K
87088 <1% 2,821 $33K
99284 Emergency room visit (serious) <1% 235 $30K
72100 <1% 631 $29K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 462 $28K
83880 <1% 2,086 $26K
73630 <1% 594 $24K
87634 <1% 1,321 $24K
71045 Radiologic examination, chest; single view <1% 2,892 $23K
87081 <1% 985 $22K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 310 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,595 $21K
99214 Doctor's office visit, returning patient (more involved) <1% 482 $21K
80076 <1% 3,838 $19K
99213 Doctor's office visit, returning patient (routine) <1% 672 $18K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 1,614 $17K
0250 <1% 8,067 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 123 $16K
J2704 Injection, propofol, 10 mg <1% 63 $16K
87430 <1% 628 $15K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 306 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 453 $14K
81025 <1% 2,313 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 454 $13K
73562 <1% 322 $13K
73130 <1% 316 $12K
87186 <1% 1,586 $12K
0760 <1% 227 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 228 $12K
0710 <1% 250 $11K
82607 <1% 904 $11K
87077 <1% 1,250 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 219 $11K
86140 <1% 1,699 $11K
27096 <1% 21 $11K
85610 <1% 3,408 $10K
99203 Doctor's office visit, new patient (routine) <1% 153 $10K
82728 <1% 509 $10K
84484 <1% 2,813 $9K
82746 <1% 369 $8K
83540 <1% 891 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 106 $8K
85018 <1% 2,096 $8K
83690 <1% 3,364 $8K
85730 <1% 2,432 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 15 $7K
81002 <1% 1,869 $7K
84153 <1% 253 $7K
84466 <1% 356 $6K
84481 <1% 281 $6K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 193 $6K
73564 <1% 124 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 221 $6K
72040 <1% 141 $6K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 621 $6K
99215 Doctor's office visit, returning patient (complex) <1% 107 $6K
87070 <1% 504 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 84 $5K
85651 <1% 1,063 $5K
0270 <1% 668 $5K
73110 <1% 112 $5K
85027 <1% 654 $5K
83735 <1% 1,037 $4K
86803 <1% 183 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 411 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 51 $3K
73502 <1% 54 $3K
84403 <1% 65 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 52 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 174 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 12 $2K
82043 <1% 252 $2K
92551 <1% 82 $2K
83605 <1% 855 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 185 $2K
73610 <1% 41 $2K
90715 <1% 41 $2K
86710 <1% 72 $1K
87040 <1% 406 $1K
86780 <1% 124 $1K
86038 <1% 92 $1K
99244 Office or other outpatient consultation, moderate to high complexity <1% 12 $1K
96127 <1% 168 $1K
73600 <1% 27 $1K
96376 <1% 119 $837.15
82150 <1% 255 $799.63
85652 <1% 239 $763.41
86430 <1% 75 $721.59
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 241 $720.49
87340 <1% 38 $708.94
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 12 $666.34
71275 Computed tomographic angiography, chest, with contrast material <1% 24 $640.78
94729 <1% 13 $610.35
94060 <1% 13 $605.86
93971 <1% 13 $587.39
80074 <1% 12 $579.26
94726 <1% 13 $542.36
82962 <1% 29 $520.88
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 12 $446.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 13 $436.13
77080 <1% 13 $416.76
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 204 $402.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 24 $360.38
99173 <1% 91 $332.86
84145 <1% 124 $329.20
J2060 Injection, lorazepam, 2 mg <1% 103 $286.01
86039 <1% 29 $250.00
83655 <1% 25 $195.09
82550 <1% 27 $178.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 12 $172.82
86160 <1% 12 $159.24
82248 <1% 13 $95.42
84550 <1% 14 $84.93
85007 <1% 64 $73.48
72020 <1% 54 $44.18
76000 <1% 25 $41.28
84703 <1% 28 $15.87
J3010 Injection, fentanyl citrate, 0.1 mg <1% 13 $9.19
0370 0% 16 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 13 $0.00
0253 0% 60 $0.00
0272 0% 25 $0.00
0360 0% 14 $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 officialCHIVERS, JOHN (CHIEF FINANCIAL OFFICER)