Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LAKE ARROWHEAD › SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT

SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT

NPI: 1528172541 · LAKE ARROWHEAD, CA 92352 · 261QR1300X

$16.18M
Total Medicaid Paid
186,835
Total Claims
157,027
Beneficiaries
128
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,482 $1.81M
2019 11,285 $1.66M
2020 19,856 $1.96M
2021 24,121 $2.28M
2022 36,052 $2.50M
2023 38,734 $2.88M
2024 44,305 $3.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 35,818 31,200 $7.51M
00003 19,259 16,986 $4.44M
87633 1,112 1,098 $468K
99213 17,409 13,744 $425K
99283 6,738 6,058 $407K
97110 10,665 2,084 $263K
99214 3,911 3,039 $182K
80053 8,252 7,570 $175K
0450 2,807 2,481 $151K
85025 8,932 8,172 $141K
96374 1,932 1,814 $141K
84443 3,615 3,582 $129K
82306 3,042 3,028 $120K
90833 1,947 1,799 $118K
87486 1,107 1,093 $82K
87581 1,107 1,093 $82K
70450 433 427 $77K
80061 3,247 3,235 $71K
87631 1,070 1,042 $70K
87635 1,147 1,133 $68K
83036 3,259 3,237 $66K
84439 2,863 2,848 $54K
96375 1,170 1,109 $51K
97750 1,034 959 $50K
G0467 Fqhc visit, estab pt 700 603 $47K
77067 453 453 $47K
93005 1,571 1,496 $44K
G0470 Fqhc visit, mh estab pt 600 476 $41K
G0480 Drug test def 1-7 classes 511 479 $38K
74177 157 155 $36K
96361 1,127 1,074 $32K
96360 451 427 $31K
96372 1,065 1,018 $30K
90837 345 136 $24K
90834 396 174 $23K
Q3014 Telehealth facility fee 1,035 796 $23K
99212 1,260 988 $22K
81001 3,153 3,039 $21K
84153 448 448 $18K
71046 922 900 $18K
87798 289 284 $16K
84484 858 777 $15K
87651 224 217 $15K
93040 517 498 $15K
82607 402 402 $14K
83690 971 902 $13K
G2012 Brief check in by md/qhp 1,072 893 $13K
81003 2,678 2,625 $12K
77063 450 450 $12K
84145 501 474 $11K
83605 504 458 $11K
99070 7,794 4,416 $11K
82746 309 309 $10K
81025 1,106 1,056 $10K
86703 420 419 $10K
96365 103 100 $9K
C9803 Hopd covid-19 spec collect 463 346 $9K
71250 40 40 $9K
99203 121 121 $9K
J7030 Normal saline solution infus 2,332 2,000 $8K
71045 713 683 $8K
87430 312 303 $6K
73564 199 165 $6K
87086 496 482 $5K
0031A 167 167 $5K
74176 40 40 $5K
82270 777 773 $4K
87070 251 242 $4K
85379 217 211 $4K
99202 155 115 $4K
85610 449 429 $3K
0013A 78 42 $3K
83880 109 105 $3K
80306 181 172 $3K
99204 51 42 $3K
0002A 107 107 $3K
97763 76 35 $3K
85651 358 351 $2K
76705 40 40 $2K
99218 13 13 $2K
73030 81 77 $2K
84550 238 218 $2K
76700 25 25 $2K
85730 144 144 $2K
90791 17 13 $2K
0001A 95 95 $2K
0003A 35 19 $1K
87186 75 72 $1K
97140 54 25 $1K
73630 52 43 $1K
82550 108 102 $1K
J1885 Ketorolac tromethamine inj 1,280 1,230 $1K
85652 206 203 $1K
99394 23 17 $1K
82077 67 60 $944.12
80048 50 48 $877.10
83735 66 57 $842.27
G0071 Comm svcs by rhc/fqhc 5 min 76 71 $792.32
73610 25 24 $680.08
82553 31 29 $613.57
74022 12 12 $562.32
97799 33 15 $528.90
86430 39 39 $466.15
99284 13 13 $460.44
90792 13 13 $433.80
85027 31 31 $412.38
99217 13 13 $407.68
84703 26 25 $402.75
73110 15 14 $357.00
J2270 Morphine sulfate injection 84 67 $299.79
0011A 15 15 $240.06
99443 93 72 $228.70
90655 13 12 $206.88
J2405 Ondansetron hcl injection 1,110 989 $203.23
82150 12 12 $179.28
J3490 Drugs unclassified injection 154 71 $176.35
J2060 Lorazepam injection 76 66 $70.73
90471 15 14 $61.56
J7120 Ringers lactate infusion 12 12 $29.88
J7060 5% dextrose/water 15 12 $27.00
J2765 Metoclopramide hcl injection 12 12 $12.60
J7510 Prednisolone oral per 5 mg 20 15 $8.99
J1100 Dexamethasone sodium phos 12 12 $5.07
J0131 Inj, acetaminophen (nos) 26 26 $1.05
36415 27 26 $0.00
3074F 30 17 $0.00
87811 128 19 $0.00
3078F 25 14 $0.00