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

Palomar Health

Palomar Health was paid $1.20M by Medicaid between Jan 2018 and May 2022, across 46 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoPALOMAR HEALTH
ESCONDIDO, CA 92025
33aNPI1588634034assigned 01/26/2006
28Total paid$1.20M
24GClaims5,754
24DCodes billed46
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other Rehabilitation Hospital Unit providers in California

Rank by total paid#11 of 22
Median peer was paid$308K
This provider vs. median3.9×

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
20182,680$623K
20192,904$574K
202149$0.00
2022121$0.00
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% 384 363 $396K
0450 Emergency room services 32% 558 536 $386K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 3.9% 309 120 $46K
80048 Basic metabolic panel (calcium, ionized) 3.6% 430 409 $43K
71046 Radiologic examination, chest; 2 views 2.6% 118 116 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.0% 214 206 $24K
J3490 Unclassified drugs 1.8% 944 464 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.8% 331 321 $22K
80076 1.5% 186 181 $18K
70450 Computed tomography, head or brain; without contrast material 1.3% 33 33 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.3% 78 68 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 96 94 $15K
34 more codes
81001 1.2% 237 $14K
84703 1.1% 165 $14K
71045 Radiologic examination, chest; single view 1.1% 118 $13K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 18 $13K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 1.1% 86 $13K
83690 <1% 145 $10K
84484 <1% 127 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 70 $9K
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% 69 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 86 $8K
85027 <1% 117 $6K
87503 <1% 58 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 46 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 64 $4K
84443 Thyroid stimulating hormone (TSH) <1% 44 $4K
59025 Fetal non-stress test <1% 77 $4K
0761 <1% 39 $3K
82550 <1% 69 $3K
87186 <1% 29 $3K
84702 <1% 15 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 22 $2K
81003 <1% 54 $2K
87077 <1% 37 $2K
82962 <1% 18 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 29 $1K
99213 Doctor's office visit, returning patient (routine) <1% 30 $1K
85610 <1% 38 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 55 $945.06
85730 <1% 14 $595.30
J2270 Injection, morphine sulfate, up to 10 mg <1% 26 $557.12
86901 <1% 14 $542.33
83735 <1% 14 $355.11
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 18 $84.97
0270 0% 25 $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 officialHANSEN, DIANE (PRESIDENT AND CEO)
Parent organizationPALOMAR HEALTH
Same official

Other billing entities under HANSEN, DIANE

Full network →
ProviderLocationPaid
Palomar HealthEscondido, CA$144.14M
Palomar HealthPoway, CA$46.68M
Palomar HealthEscondido, CA$42.20M
MT Graham Regional Medical Center INCSafford, AZ$5.92M
Palomar HealthSan Marcos, CA$2.84M
Palomar HealthPoway, CA$528K
Speech Center of Southern ArizonaTucson, AZ$281K
Palomar HealthEscondido, CA$40K

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