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

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $5.33M by Medicaid between Aug 2023 and Dec 2024, across 157 billing codes. Its largest line is 99283, emergency room visit (moderate) — 63% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
SAN MARCOS, CA 92078
33aNPI1558080861assigned 08/22/2022
28Total paid$5.33M
24GClaims157,071
24DCodes billed157
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#220 of 410
Median peer was paid$6.90M
This provider vs. median0.8×

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

$0$200K$400K$600K2018201920202021202220232024
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
202337,553$1.13M
2024incomplete119,518$4.20M
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 63% 6,343 5,798 $3.36M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 913 887 $583K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6.0% 249 247 $321K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.1% 649 635 $217K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.6% 459 452 $137K
G0378 Hospital observation service, per hour 1.0% 791 519 $54K
86900 <1% 570 525 $33K
71045 Radiologic examination, chest; single view <1% 687 650 $32K
71046 Radiologic examination, chest; 2 views <1% 423 408 $27K
70450 Computed tomography, head or brain; without contrast material <1% 393 379 $25K
86885 <1% 351 344 $25K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 80 80 $22K
145 more codes
84443 Thyroid stimulating hormone (TSH) <1% 1,900 $21K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,690 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 226 $19K
82565 <1% 10,427 $18K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 31 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 8,549 $17K
84702 <1% 2,601 $16K
80051 <1% 8,473 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 1,996 $13K
80061 Lipid panel <1% 1,243 $13K
84460 <1% 5,476 $13K
71275 Computed tomographic angiography, chest, with contrast material <1% 66 $12K
83880 <1% 1,268 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 503 $11K
86901 <1% 570 $10K
86480 <1% 157 $9K
83970 <1% 493 $9K
86141 <1% 1,156 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 380 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 380 $9K
85027 <1% 2,020 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 55 $8K
93017 <1% 48 $8K
82247 <1% 4,361 $7K
84075 <1% 4,254 $7K
93971 <1% 81 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 314 $7K
82728 <1% 699 $7K
81003 <1% 6,081 $7K
82607 <1% 538 $6K
86780 <1% 434 $6K
86803 <1% 480 $6K
87505 <1% 80 $6K
80076 <1% 986 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 316 $5K
83735 <1% 2,248 $5K
82310 <1% 2,025 $5K
82947 <1% 6,562 $5K
84450 <1% 3,441 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,323 $4K
84520 <1% 7,357 $4K
81513 <1% 56 $4K
83550 <1% 735 $4K
83690 <1% 2,846 $4K
0450 Emergency room services <1% 78 $4K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 60 $3K
83520 <1% 338 $3K
87340 <1% 356 $3K
72125 Computed tomography, cervical spine; without contrast material <1% 44 $3K
83540 <1% 743 $3K
85610 <1% 2,224 $3K
0637 <1% 11,765 $2K
82570 <1% 624 $2K
82746 <1% 266 $2K
87481 <1% 75 $2K
84439 <1% 415 $2K
82040 <1% 1,282 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 56 $2K
84132 <1% 891 $2K
73562 <1% 32 $2K
73630 <1% 29 $2K
85730 <1% 588 $2K
87088 <1% 844 $2K
J2785 Injection, regadenoson, 0.1 mg <1% 42 $2K
84295 <1% 677 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 126 $2K
84156 <1% 634 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 1,446 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $1K
84100 <1% 978 $1K
82043 <1% 531 $1K
85652 <1% 874 $1K
84550 <1% 552 $1K
84484 <1% 2,048 $1K
82950 <1% 295 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 158 $1K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 27 $1K
82248 <1% 600 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 456 $1K
73610 <1% 12 $1K
85379 <1% 481 $1K
87449 <1% 116 $996.00
82105 <1% 110 $987.00
86038 <1% 97 $980.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 368 $975.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,327 $954.22
84134 <1% 82 $756.00
86364 <1% 60 $650.00
73030 <1% 14 $642.84
82550 <1% 256 $634.60
80197 <1% 90 $606.00
84165 <1% 125 $598.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 333 $570.39
82977 <1% 77 $531.00
87040 <1% 1,169 $454.22
85014 <1% 325 $380.00
84153 <1% 41 $375.00
85018 <1% 301 $368.00
82962 <1% 906 $352.82
83721 <1% 40 $300.00
86308 <1% 69 $275.00
87324 <1% 54 $270.00
87497 <1% 14 $258.00
86704 <1% 28 $244.00
87210 <1% 104 $242.56
83605 <1% 744 $238.62
J7030 Infusion, normal saline solution , 1000 cc <1% 2,237 $194.26
0250 <1% 938 $161.33
82077 <1% 99 $147.64
J7120 Ringers lactate infusion, up to 1000 cc <1% 653 $145.20
97161 <1% 56 $133.13
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 68 $132.26
83615 <1% 32 $122.00
J2270 Injection, morphine sulfate, up to 10 mg <1% 420 $104.43
87081 <1% 135 $99.68
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 783 $93.64
90656 <1% 203 $90.91
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,450 $90.77
82150 <1% 14 $87.00
90686 <1% 124 $76.08
J1815 Injection, insulin, per 5 units <1% 140 $73.86
G0008 Administration of influenza virus vaccine <1% 108 $73.85
84145 <1% 19 $70.00
87205 <1% 48 $70.00
83718 <1% 13 $69.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 340 $55.70
J3490 Unclassified drugs <1% 319 $55.23
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,165 $54.00
96361 Intravenous infusion, hydration; each additional hour <1% 295 $50.86
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 582 $46.85
J1170 Injection, hydromorphone, up to 4 mg <1% 286 $45.31
82465 <1% 14 $34.41
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 174 $26.72
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 204 $24.02
C9113 Injection, pantoprazole sodium, per vial <1% 21 $20.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 250 $15.68
J3475 Injection, magnesium sulfate, per 500 mg <1% 88 $13.52
J0780 Injection, prochlorperazine, up to 10 mg <1% 70 $13.22
J1644 Injection, heparin sodium, per 1000 units <1% 170 $10.30
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 37 $0.00
90662 0% 89 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 44 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 13 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 16 $0.00
J2060 Injection, lorazepam, 2 mg 0% 12 $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 officialFINLEY, ELIZABETH (SENIOR VICE PRESIDENT/AREA MANAGER)
Same official

Other billing entities under FINLEY, ELIZABETH

Full network →
ProviderLocationPaid
Kaiser Foundation HospitalsSan Diego, CA$93.22M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.