Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI: 1609858950 · EUREKA, CA 95501 · General Acute Care Hospital · NPI assigned 11/14/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$28.68M
Total Medicaid Paid
705,992
Total Claims
570,069
Beneficiaries
323
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationST. JOSEPH HEALTH SYSTEM
NPI Enumeration Date11/14/2005

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 242 $5K
2019 80,641 $3.28M
2020 103,924 $4.41M
2021 124,566 $5.06M
2022 141,964 $5.30M
2023 146,717 $6.23M
2024 107,938 $4.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 49,657 40,088 $4.70M
99281 Emergency department visit for the evaluation and management, self-limited or minor 46,415 39,630 $3.69M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,568 3,486 $1.11M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,104 4,370 $788K
70450 Computed tomography, head or brain; without contrast material 4,195 4,013 $773K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,846 6,522 $728K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,693 4,649 $704K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,418 7,286 $694K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,853 2,836 $612K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,253 12,957 $534K
99201 3,349 2,266 $503K
J3490 Unclassified drugs 66,047 30,777 $478K
96375 Therapeutic injection; each additional sequential IV push 8,313 6,841 $473K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,395 1,391 $470K
77067 Screening mammography, bilateral, including computer-aided detection 3,325 3,309 $458K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,181 1,145 $447K
G9012 Other specified case management service not elsewhere classified 2,852 1,088 $430K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,727 6,696 $393K
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 4,781 4,615 $389K
72125 Computed tomography, cervical spine; without contrast material 1,289 1,274 $378K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 567 565 $362K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,306 2,206 $326K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,734 6,773 $295K
80053 Comprehensive metabolic panel 38,718 32,620 $286K
96361 Intravenous infusion, hydration; each additional hour 6,110 5,380 $283K
70551 Magnetic resonance imaging, brain; without contrast material 721 717 $268K
72141 732 730 $252K
71046 Radiologic examination, chest; 2 views 7,979 7,739 $227K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 41,787 34,849 $223K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,373 1,343 $217K
71275 Computed tomographic angiography, chest, with contrast material 710 693 $203K
95810 Polysomnography; sleep staging with 4 or more additional parameters 543 543 $199K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,814 1,799 $187K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,603 3,387 $181K
97750 2,329 1,602 $181K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,725 1,834 $175K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,842 1,815 $175K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,103 2,053 $174K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,034 1,678 $169K
76830 Ultrasound, transvaginal 1,624 1,606 $155K
97139 3,987 782 $154K
97010 3,982 887 $153K
77066 Tomosynthesis, mammo 899 897 $147K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,892 1,852 $140K
73221 381 372 $139K
71045 Radiologic examination, chest; single view 7,508 7,016 $131K
71260 Computed tomography, thorax, diagnostic; with contrast material 306 305 $114K
71250 569 567 $112K
76770 1,081 1,071 $107K
76642 1,339 1,321 $101K
70486 422 417 $99K
93971 602 594 $96K
84443 Thyroid stimulating hormone (TSH) 7,779 7,365 $93K
83880 3,903 3,608 $91K
59025 Fetal non-stress test 2,749 1,304 $90K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,539 6,281 $87K
77063 Screening digital breast tomosynthesis, bilateral 2,371 2,361 $87K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,636 2,623 $85K
73630 2,167 2,096 $78K
73030 1,970 1,935 $77K
J2704 Injection, propofol, 10 mg 5,497 4,995 $75K
95811 205 204 $71K
93017 620 617 $69K
73610 1,740 1,691 $68K
84484 8,972 7,097 $63K
73130 1,594 1,545 $62K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 263 249 $62K
96367 1,024 822 $60K
72100 1,424 1,412 $60K
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 947 897 $60K
76536 763 756 $56K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,150 2,125 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,892 1,584 $54K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 626 517 $54K
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,531 8,409 $52K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,318 7,522 $50K
90715 1,121 1,118 $49K
73562 1,339 1,303 $47K
J1170 Injection, hydromorphone, up to 4 mg 4,390 3,257 $46K
87631 929 903 $46K
83605 5,653 4,726 $44K
73110 1,113 1,073 $43K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,467 1,452 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,468 1,453 $42K
83690 8,632 7,936 $41K
72110 619 614 $41K
J3010 Injection, fentanyl citrate, 0.1 mg 6,639 5,895 $41K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 530 469 $40K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,506 1,480 $37K
72040 958 949 $35K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,876 4,557 $33K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,512 2,097 $32K
80048 Basic metabolic panel (calcium, ionized) 5,240 4,737 $32K
71271 297 297 $32K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,653 5,398 $32K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,629 2,831 $32K
J2270 Injection, morphine sulfate, up to 10 mg 3,219 2,653 $31K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 818 807 $30K
73502 706 689 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 452 452 $29K
J0690 Injection, cefazolin sodium, 500 mg 3,301 2,845 $28K
87040 3,256 2,244 $27K
73564 642 621 $27K
J3480 Injection, potassium chloride, per 2 meq 563 352 $27K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,182 2,490 $26K
A9585 Injection, gadobutrol, 0.1 ml 1,113 1,038 $26K
J1756 Injection, iron sucrose, 1 mg 561 240 $25K
80061 Lipid panel 2,654 2,598 $25K
85055 1,117 947 $25K
81001 8,823 8,216 $25K
83036 Hemoglobin; glycosylated (A1C) 3,271 3,226 $24K
87086 Culture, bacterial; quantitative colony count, urine 4,071 3,880 $24K
97799 610 151 $23K
74018 984 925 $23K
80305 1,986 1,862 $23K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 671 668 $23K
85610 7,507 7,040 $22K
96415 392 292 $21K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 43 40 $21K
83735 4,202 3,386 $21K
99152 326 322 $20K
73080 488 467 $19K
99070 1,078 1,011 $19K
81003 9,928 9,318 $18K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,880 2,362 $18K
97165 210 124 $16K
85027 2,921 2,750 $15K
87077 2,160 2,096 $15K
85379 2,156 2,091 $15K
86140 4,107 3,810 $15K
84439 2,128 2,090 $14K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 61 51 $14K
87186 2,046 1,980 $14K
J2060 Injection, lorazepam, 2 mg 2,227 1,846 $14K
J1040 Injection, methylprednisolone acetate, 80 mg 673 666 $13K
Z9725 301 298 $13K
J3370 Injection, vancomycin hcl, 500 mg 823 692 $13K
77062 101 101 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 153 78 $12K
82728 1,210 1,159 $12K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,774 1,684 $11K
93976 40 40 $11K
88142 2,472 2,468 $11K
96523 702 618 $11K
73140 437 428 $11K
82378 814 680 $11K
81025 3,741 3,611 $10K
0450 Emergency room services 227 204 $9K
76801 114 113 $9K
82607 766 752 $9K
96417 160 103 $9K
94729 132 130 $9K
93970 38 38 $8K
87081 1,774 1,751 $8K
72050 144 143 $8K
82746 723 714 $8K
83615 1,845 1,548 $8K
J0330 Injection, succinylcholine chloride, up to 20 mg 299 297 $8K
77065 Tomosynthesis, mammo 54 52 $7K
87400 788 776 $7K
77336 58 24 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 463 359 $7K
76870 95 93 $7K
87070 1,187 1,149 $7K
85730 1,674 1,611 $7K
J0694 Injection, cefoxitin sodium, 1 gm 367 293 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 13 $7K
73620 255 253 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 417 410 $7K
82805 323 289 $7K
82962 2,283 1,670 $6K
83550 1,122 1,082 $6K
85652 3,270 3,108 $6K
83540 1,330 1,278 $6K
76819 Fetal biophysical profile; without non-stress testing 90 55 $6K
86850 2,787 2,634 $6K
94727 131 130 $6K
94010 126 125 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 147 147 $6K
86901 2,755 2,539 $6K
86900 2,754 2,538 $6K
62323 124 124 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 38 37 $5K
93880 25 25 $5K
86803 447 438 $5K
10060 128 124 $5K
82077 308 267 $5K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 633 580 $4K
73590 128 123 $4K
J1815 Injection, insulin, per 5 units 174 106 $4K
84702 451 368 $4K
73090 122 115 $4K
82570 1,074 836 $4K
J1644 Injection, heparin sodium, per 1000 units 493 327 $4K
88342 295 294 $4K
70498 12 12 $4K
87075 564 540 $4K
80143 201 176 $4K
J3475 Injection, magnesium sulfate, per 500 mg 416 341 $4K
96368 123 85 $3K
84100 972 801 $3K
J2370 Injection, phenylephrine hcl, up to 1 ml 301 297 $3K
72072 64 64 $3K
71101 66 65 $3K
73120 142 141 $3K
Z7502 80 75 $3K
87205 1,101 1,022 $3K
86141 343 330 $3K
88304 486 477 $3K
J2785 Injection, regadenoson, 0.1 mg 12 12 $3K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 245 244 $3K
95816 37 37 $3K
93246 138 135 $3K
95806 12 12 $3K
80179 183 160 $3K
87340 392 384 $3K
J2550 Injection, promethazine hcl, up to 50 mg 337 305 $3K
99153 Mod sedat endo service >5yrs 155 155 $3K
93225 41 41 $3K
S0020 Injection, bupivicaine hydrochloride, 30 ml 210 209 $3K
77280 12 12 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 398 392 $3K
82784 271 179 $2K
12001 87 86 $2K
87420 1,041 986 $2K
82550 548 491 $2K
96402 140 132 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 72 38 $2K
J1596 Injection, glycopyrrolate, 0.1 mg 206 205 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27 25 $2K
80074 69 69 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 42 42 $2K
94375 54 54 $2K
84156 798 625 $2K
J7030 Infusion, normal saline solution , 1000 cc 273 228 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 383 376 $2K
95819 26 24 $2K
87147 531 518 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 108 89 $2K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 98 70 $2K
76857 27 27 $1K
J7050 Infusion, normal saline solution, 250 cc 287 185 $1K
86300 97 51 $1K
76882 103 97 $1K
86592 546 539 $1K
84145 77 74 $1K
80164 139 134 $1K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 190 189 $1K
Z7610 102 36 $1K
73560 40 38 $1K
S0164 Injection, pantoprazole sodium, 40 mg 99 81 $1K
88341 12 12 $1K
86038 158 153 $1K
J0780 Injection, prochlorperazine, up to 10 mg 139 128 $1K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 12 12 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 32 20 $975.66
84550 292 276 $961.30
80069 118 106 $930.69
84466 109 105 $913.84
74022 14 13 $893.81
82803 89 71 $876.90
87210 300 281 $834.79
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels 13 13 $832.56
86003 15 13 $813.28
86706 110 107 $809.37
85018 454 372 $770.15
J7120 Ringers lactate infusion, up to 1000 cc 106 92 $735.72
73522 16 16 $730.65
84153 51 49 $689.08
87088 95 90 $653.17
85007 292 270 $642.92
86762 58 55 $556.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 26 $516.02
12011 12 12 $511.20
93242 27 27 $463.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 35 34 $458.64
86780 47 47 $428.64
36415 Collection of venous blood by venipuncture 187 150 $423.72
83970 14 13 $409.73
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 13 13 $381.16
76937 12 12 $364.02
12002 12 12 $340.80
73100 13 13 $297.33
84703 64 63 $273.18
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 53 52 $264.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 16 15 $258.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 52 $245.30
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 29 29 $230.27
88307 14 14 $227.89
80178 43 38 $213.98
80306 14 14 $209.76
0250 242 150 $206.59
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 36 31 $197.43
83921 16 16 $187.88
J2175 Injection, meperidine hydrochloride, per 100 mg 12 12 $182.15
29125 15 15 $177.45
82105 25 25 $175.00
84403 14 13 $173.41
86160 19 12 $168.47
J1171 Injection, hydromorphone, 0.1 mg 21 17 $161.50
84481 14 14 $150.55
82951 16 15 $144.32
82565 39 37 $143.07
80076 27 25 $138.98
83001 12 12 $131.30
82140 13 13 $118.71
86431 27 26 $114.07
84425 12 12 $106.56
86200 12 12 $89.37
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 329 235 $88.97
80047 12 12 $85.02
87427 12 12 $84.72
87045 12 12 $79.92
J8540 Dexamethasone, oral, 0.25 mg 747 510 $72.40
J1940 Injection, furosemide, up to 20 mg 12 12 $61.54
86225 12 12 $60.92
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 644 392 $51.04
85046 14 13 $49.74
87899 12 12 $46.80
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 687 666 $17.90
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 72 70 $5.41
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 14 14 $0.14
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 58 38 $0.00