Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Downey › NPI 1518012301
Hospital

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $101.24M by Medicaid between Jan 2018 and Dec 2024, across 382 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
DOWNEY, CA 90242
33aNPI1518012301assigned 01/24/2007
28Total paid$101.24M
24GClaims2,390,781
24DCodes billed382
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#21 of 410
Median peer was paid$6.90M
This provider vs. median15×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018183,830$898K
2019298,915$12.09M
2020269,369$18.08M
2021298,962$13.99M
2022387,200$17.15M
2023462,709$17.94M
2024incomplete489,796$21.08M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 33% 77,186 72,226 $33.18M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 20,192 19,230 $16.54M
G0378 Hospital observation service, per hour 13% 13,906 8,438 $13.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.9% 13,482 13,211 $3.98M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.1% 1,803 1,774 $2.12M
0450 Emergency room services 1.5% 57,595 52,611 $1.56M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 7,308 7,197 $1.50M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 1,582 1,530 $1.45M
70450 Computed tomography, head or brain; without contrast material 1.4% 15,172 14,741 $1.41M
71045 Radiologic examination, chest; single view 1.3% 29,022 27,423 $1.36M
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 5,880 5,793 $959K
59025 Fetal non-stress test <1% 4,665 1,892 $947K
370 more codes
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 10,311 $810K
76830 Ultrasound, transvaginal <1% 9,703 $770K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 9,467 $740K
76818 <1% 7,872 $687K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 560 $635K
86885 <1% 8,669 $598K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 23,072 $554K
86900 <1% 12,725 $550K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,695 $543K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,306 $512K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,684 $507K
93971 <1% 2,587 $435K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,864 $408K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,780 $367K
77080 <1% 3,241 $363K
83880 <1% 17,422 $351K
76770 <1% 3,588 $329K
80051 <1% 127,165 $322K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 25,570 $306K
76641 <1% 3,223 $303K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,592 $301K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 116,602 $293K
47562 <1% 79 $285K
82565 <1% 130,929 $264K
71046 Radiologic examination, chest; 2 views <1% 6,405 $257K
76536 <1% 2,563 $248K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,612 $241K
84702 <1% 37,367 $239K
74183 <1% 533 $213K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,968 $201K
70491 <1% 1,009 $195K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 8,758 $192K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,768 $192K
74178 <1% 434 $190K
86923 <1% 1,540 $189K
71250 <1% 1,539 $188K
70496 <1% 825 $185K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 12,131 $185K
76801 <1% 2,839 $183K
86901 <1% 12,740 $169K
70498 <1% 746 $165K
93970 <1% 688 $164K
96375 Therapeutic injection; each additional sequential IV push <1% 18,071 $156K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,284 $149K
70486 <1% 1,507 $148K
72141 <1% 732 $146K
87505 <1% 1,702 $146K
73630 <1% 3,202 $146K
84460 <1% 59,731 $141K
73030 <1% 2,788 $140K
84443 Thyroid stimulating hormone (TSH) <1% 11,116 $140K
72125 Computed tomography, cervical spine; without contrast material <1% 1,360 $139K
76870 <1% 1,768 $135K
93017 <1% 387 $134K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 1,884 $133K
72100 <1% 1,677 $131K
77066 Tomosynthesis, mammo <1% 1,060 $128K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 17,167 $128K
84520 <1% 112,907 $125K
73610 <1% 2,955 $125K
73562 <1% 2,483 $122K
A9585 Injection, gadobutrol, 0.1 ml <1% 1,284 $121K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,121 $119K
82247 <1% 55,737 $114K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,068 $107K
76881 <1% 1,082 $106K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 480 $105K
82947 <1% 100,408 $103K
83036 Hemoglobin; glycosylated (A1C) <1% 12,179 $99K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,080 $96K
0637 <1% 164,576 $95K
84075 <1% 50,846 $95K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,121 $91K
84484 <1% 40,776 $87K
85610 <1% 60,970 $87K
73130 <1% 1,966 $84K
99199 Unlisted special service, procedure or report <1% 2,883 $82K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,261 $82K
80061 Lipid panel <1% 6,830 $80K
77065 Tomosynthesis, mammo <1% 895 $80K
85027 <1% 16,787 $78K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 498 $78K
73560 <1% 1,522 $74K
J7030 Infusion, normal saline solution , 1000 cc <1% 45,798 $74K
84450 <1% 45,697 $74K
83690 <1% 40,200 $71K
73502 <1% 1,262 $70K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,506 $69K
0250 <1% 17,370 $69K
74018 <1% 1,406 $64K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 10,638 $62K
73110 <1% 1,391 $58K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 3,171 $57K
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% 2,794 $54K
P9021 Red blood cells, each unit <1% 1,196 $53K
76380 <1% 771 $52K
90674 <1% 3,880 $48K
96361 Intravenous infusion, hydration; each additional hour <1% 5,696 $46K
83970 <1% 1,179 $44K
82310 <1% 18,375 $42K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,803 $42K
73221 <1% 189 $42K
87040 <1% 19,261 $41K
93880 <1% 120 $41K
73080 <1% 934 $41K
81003 <1% 60,515 $40K
73140 <1% 985 $40K
86141 <1% 6,233 $40K
83735 <1% 18,411 $39K
82728 <1% 3,617 $39K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 19,042 $38K
82248 <1% 31,040 $37K
87088 <1% 16,776 $36K
J2785 Injection, regadenoson, 0.1 mg <1% 251 $36K
Z7502 <1% 1,570 $35K
72040 <1% 687 $35K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 23,766 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 391 $34K
72197 <1% 84 $34K
73590 <1% 658 $33K
86780 <1% 3,094 $32K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 13,519 $32K
80076 <1% 4,469 $32K
74174 <1% 78 $31K
73100 <1% 409 $29K
86803 <1% 2,664 $28K
82607 <1% 2,535 $28K
83605 <1% 11,879 $27K
J2270 Injection, morphine sulfate, up to 10 mg <1% 13,959 $27K
73090 <1% 605 $26K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 1,646 $25K
72131 <1% 183 $25K
85379 <1% 5,637 $24K
0258 <1% 7,787 $23K
J3490 Unclassified drugs <1% 12,868 $22K
83550 <1% 3,135 $22K
87340 <1% 3,154 $21K
81513 <1% 268 $21K
80306 <1% 3,446 $21K
90686 <1% 2,541 $21K
73120 <1% 203 $20K
87449 <1% 2,759 $20K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,846 $20K
87210 <1% 6,136 $20K
78306 <1% 55 $20K
90791 Psychiatric diagnostic evaluation <1% 581 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,957 $19K
97161 <1% 2,034 $18K
77072 <1% 172 $18K
84100 <1% 11,301 $17K
73564 <1% 156 $17K
82077 <1% 4,315 $17K
99499 <1% 733 $17K
88342 <1% 116 $17K
82040 <1% 6,183 $16K
82746 <1% 1,583 $16K
84146 <1% 797 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,210 $16K
83540 <1% 3,178 $16K
71101 <1% 154 $16K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,331 $15K
90935 Hemodialysis procedure with single evaluation by a physician <1% 149 $15K
82570 <1% 2,922 $14K
82043 <1% 2,390 $14K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 755 $14K
87324 <1% 1,604 $14K
87481 <1% 599 $14K
0710 <1% 2,366 $13K
72050 <1% 100 $13K
83520 <1% 832 $12K
J1815 Injection, insulin, per 5 units <1% 7,651 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,184 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 769 $12K
85730 <1% 3,957 $12K
96367 <1% 1,126 $11K
84439 <1% 2,048 $11K
80179 <1% 2,561 $11K
J1644 Injection, heparin sodium, per 1000 units <1% 6,044 $11K
85652 <1% 6,441 $11K
84132 <1% 4,035 $11K
J2060 Injection, lorazepam, 2 mg <1% 5,192 $10K
73660 <1% 168 $10K
83001 <1% 508 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 269 $10K
J1170 Injection, hydromorphone, up to 4 mg <1% 4,535 $9K
J3475 Injection, magnesium sulfate, per 500 mg <1% 3,322 $9K
84156 <1% 2,492 $8K
72070 <1% 82 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,631 $8K
G0008 Administration of influenza virus vaccine <1% 3,151 $8K
72081 <1% 133 $8K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,053 $8K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,859 $8K
86480 <1% 136 $8K
0370 <1% 2,320 $8K
77061 <1% 75 $8K
82550 <1% 3,263 $8K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 3,018 $7K
74170 <1% 26 $7K
84295 <1% 1,667 $7K
87081 <1% 3,477 $7K
87536 <1% 83 $7K
87205 <1% 3,122 $7K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,591 $7K
86880 <1% 156 $6K
73060 <1% 106 $6K
90656 <1% 733 $6K
82962 <1% 4,610 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,915 $6K
86704 <1% 913 $6K
86787 <1% 413 $5K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 44 $5K
84550 <1% 1,961 $5K
86762 <1% 354 $5K
72170 <1% 42 $5K
73200 <1% 40 $5K
80164 <1% 450 $5K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,898 $5K
83615 <1% 1,562 $5K
87186 <1% 2,286 $5K
84145 <1% 1,587 $5K
73700 <1% 37 $5K
84403 <1% 172 $5K
82627 <1% 203 $5K
44970 <1% 54 $5K
90715 <1% 303 $4K
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,159 $4K
J3370 Injection, vancomycin hcl, 500 mg <1% 958 $4K
86317 <1% 661 $4K
97116 <1% 1,084 $4K
84165 <1% 382 $4K
J3480 Injection, potassium chloride, per 2 meq <1% 3,453 $4K
0255 <1% 762 $4K
73070 <1% 59 $4K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 1,866 $4K
87631 <1% 295 $4K
90662 <1% 597 $3K
86665 <1% 197 $3K
87070 <1% 991 $3K
86038 <1% 354 $3K
82140 <1% 626 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,153 $3K
72146 <1% 13 $3K
73522 <1% 25 $3K
J1940 Injection, furosemide, up to 20 mg <1% 3,089 $3K
74240 <1% 16 $3K
74181 <1% 13 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 312 $3K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 2,080 $3K
70544 <1% 13 $3K
84153 <1% 172 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 647 $2K
86765 <1% 201 $2K
J0248 Injection, remdesivir, 1 mg <1% 49 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 1,312 $2K
80162 <1% 198 $2K
83721 <1% 257 $2K
A0429 Emergency ambulance ride, basic life support <1% 450 $2K
S0164 Injection, pantoprazole sodium, 40 mg <1% 241 $2K
82105 <1% 143 $2K
82670 <1% 67 $2K
74220 <1% 12 $2K
86364 <1% 157 $2K
74230 <1% 12 $2K
81015 <1% 607 $2K
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg <1% 319 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 26 $2K
88341 <1% 13 $2K
85014 <1% 832 $2K
10060 <1% 28 $2K
86664 <1% 99 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,659 $2K
72110 <1% 12 $1K
82977 <1% 168 $1K
76706 <1% 25 $1K
J0456 Injection, azithromycin, 500 mg <1% 1,408 $1K
86308 <1% 319 $1K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 958 $1K
83993 <1% 65 $1K
82784 <1% 60 $1K
85018 <1% 556 $1K
80329 <1% 987 $1K
80197 <1% 84 $1K
83935 <1% 359 $1K
J1836 Injection, metronidazole, 10 mg <1% 820 $1K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 607 $1K
84155 <1% 269 $1K
74022 <1% 25 $999.95
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 249 $936.25
J0780 Injection, prochlorperazine, up to 10 mg <1% 663 $931.42
80324 <1% 1,036 $930.49
80359 <1% 1,060 $922.97
73600 <1% 14 $903.00
73552 <1% 12 $885.99
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 71 $846.91
86677 <1% 132 $843.30
83930 <1% 261 $831.36
85384 <1% 205 $810.99
82805 <1% 74 $775.10
90792 Psychiatric diagnostic evaluation with medical services <1% 14 $722.75
J1630 Injection, haloperidol, up to 5 mg <1% 413 $717.99
C9113 Injection, pantoprazole sodium, per vial <1% 2,384 $701.77
86769 <1% 70 $699.91
80320 <1% 1,205 $693.26
89051 <1% 102 $646.49
87149 <1% 252 $624.92
12011 <1% 73 $573.38
85046 <1% 148 $558.35
88304 <1% 378 $544.80
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 31 $500.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 275 $487.44
80202 <1% 63 $466.33
12001 <1% 51 $462.60
J3411 Injection, thiamine hcl, 100 mg <1% 175 $446.62
84134 <1% 104 $374.11
82950 <1% 93 $368.64
82951 <1% 26 $363.00
85045 <1% 149 $348.84
J1953 Injection, levetiracetam, 10 mg <1% 48 $301.45
86140 <1% 512 $274.91
J1171 Injection, hydromorphone, 0.1 mg <1% 144 $259.86
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 381 $245.36
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 300 $241.78
83002 <1% 12 $241.38
82465 <1% 87 $225.48
90756 <1% 36 $225.12
84478 <1% 93 $220.23
83021 <1% 12 $219.00
80185 <1% 40 $217.87
90749 <1% 282 $211.17
83718 <1% 46 $204.00
82533 <1% 18 $197.98
29125 <1% 37 $196.47
92610 <1% 13 $173.93
87807 <1% 71 $169.29
86709 <1% 26 $155.64
82378 <1% 12 $146.00
88307 <1% 34 $127.53
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 55 $127.00
J7510 Prednisolone oral, per 5 mg <1% 884 $124.41
86225 <1% 26 $108.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 160 $106.98
82390 <1% 13 $103.00
J2470 Injection, pantoprazole sodium, 40 mg <1% 375 $88.80
82705 <1% 14 $77.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg <1% 26 $74.52
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,327 $74.12
90688 <1% 36 $68.19
82150 <1% 12 $67.00
82952 <1% 14 $64.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 60 $62.42
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 50 $55.84
0272 <1% 179 $53.33
87184 <1% 16 $47.00
83090 <1% 12 $45.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 29 $44.10
C1769 Guide wire <1% 43 $42.81
J1920 Injection, labetalol hydrochloride, 5 mg <1% 28 $19.66
12002 <1% 12 $12.00
J8540 Dexamethasone, oral, 0.25 mg <1% 112 $8.58
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 12 $4.77
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 23 $3.95
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 15 $2.42
0320 0% 21 $0.00
0302 0% 17 $0.00
0301 0% 94 $0.00
3044F 0% 670 $0.00
0305 0% 52 $0.00
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 0% 12 $0.00
80048 Basic metabolic panel (calcium, ionized) 0% 15 $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 officialWINNIK, MITCHELL (SENIOR VICE PRESIDENT/AREA MANAGER)