Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pajaro Valley Health Care District Hospital Corporation

Pajaro Valley Health Care District Hospital Corporation was paid $8.99M by Medicaid between Jun 2023 and Nov 2024, across 174 billing codes. Its largest line is 99281, Emergency department visit for the evaluation and management, self-limited or minor — 26% of everything it billed.

33Billing provider infoPAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION
WATSONVILLE, CA 95076
33aNPI1619607488assigned 06/14/2022
33bProvider typePharmacy
28Total paid$8.99M
24GClaims180,294
24DCodes billed174
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers

Next to other Pharmacy providers in California

Rank by total paid#5 of 179
Median peer was paid$2K
This provider vs. median5,097×

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$250K$500K$750K2018201920202021202220232024
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
202369,008$3.36M
2024incomplete111,286$5.63M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99281 Emergency department visit for the evaluation and management, self-limited or minor 26% 27,292 24,676 $2.31M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.5% 1,632 1,603 $491K
70450 Computed tomography, head or brain; without contrast material 3.9% 1,528 1,490 $347K
77067 Screening mammography, bilateral, including computer-aided detection 3.9% 1,999 1,999 $347K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.8% 3,365 3,191 $342K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3.2% 3,991 3,895 $291K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.6% 5,156 4,693 $231K
70551 Magnetic resonance imaging, brain; without contrast material 2.3% 290 288 $211K
96361 Intravenous infusion, hydration; each additional hour 2.0% 3,027 2,879 $177K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.8% 1,306 1,305 $165K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.8% 1,308 1,233 $158K
96375 Therapeutic injection; each additional sequential IV push 1.6% 2,329 2,193 $146K
162 more codes
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.6% 211 $146K
99213 Doctor's office visit, returning patient (routine) 1.5% 724 $139K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.5% 1,269 $138K
76830 Ultrasound, transvaginal 1.4% 1,167 $127K
80053 Comprehensive metabolic panel 1.4% 9,320 $126K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.4% 147 $122K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.3% 1,284 $119K
72125 Computed tomography, cervical spine; without contrast material 1.3% 377 $114K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.3% 1,789 $113K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.2% 1,116 $108K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 1,814 $99K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.1% 2,933 $98K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 9,725 $97K
71046 Radiologic examination, chest; 2 views 1.0% 3,351 $91K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,995 $88K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 545 $86K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,371 $71K
97535 Self-care/home management training, each 15 minutes <1% 2,255 $70K
93976 <1% 220 $68K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 284 $65K
59025 Fetal non-stress test <1% 1,047 $65K
93971 <1% 343 $59K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 401 $55K
76801 <1% 599 $54K
V5008 Hearing screening <1% 640 $54K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 443 $46K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 421 $44K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 528 $43K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 440 $43K
83605 <1% 2,754 $43K
76642 <1% 482 $42K
76770 <1% 361 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 471 $41K
81025 <1% 3,802 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 117 $40K
71275 Computed tomographic angiography, chest, with contrast material <1% 164 $37K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 478 $36K
84484 <1% 2,106 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,775 $32K
77066 Tomosynthesis, mammo <1% 162 $31K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 18,590 $28K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 340 $28K
83690 <1% 2,994 $28K
Z7502 <1% 683 $26K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,443 $26K
73030 <1% 593 $24K
73562 <1% 659 $23K
73610 <1% 485 $21K
81001 <1% 5,024 $21K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 540 $20K
76536 <1% 219 $20K
73630 <1% 494 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 59 $18K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $18K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,046 $17K
72100 <1% 357 $15K
83880 <1% 497 $15K
84443 Thyroid stimulating hormone (TSH) <1% 666 $14K
81002 <1% 2,727 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,871 $14K
73564 <1% 319 $13K
J7030 Infusion, normal saline solution , 1000 cc <1% 973 $13K
87040 <1% 568 $12K
87186 <1% 1,028 $12K
71045 Radiologic examination, chest; single view <1% 1,022 $12K
84702 <1% 533 $12K
93017 <1% 170 $11K
77065 Tomosynthesis, mammo <1% 80 $11K
86403 <1% 403 $11K
86141 <1% 754 $11K
87077 <1% 1,093 $11K
76641 <1% 83 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 172 $10K
83735 <1% 1,153 $10K
73130 <1% 232 $9K
74018 <1% 314 $9K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 670 $9K
73502 <1% 225 $8K
82962 <1% 1,966 $8K
76857 <1% 110 $7K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 816 $7K
77080 <1% 151 $7K
80061 Lipid panel <1% 338 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 755 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 630 $6K
J1170 Injection, hydromorphone, up to 4 mg <1% 532 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 642 $6K
Z9725 <1% 137 $6K
87634 <1% 72 $6K
80179 <1% 297 $6K
72110 <1% 69 $5K
82652 <1% 96 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 375 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 375 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 446 $5K
J2785 Injection, regadenoson, 0.1 mg <1% 12 $4K
85610 <1% 763 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 273 $4K
84145 <1% 137 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 390 $4K
80048 Basic metabolic panel (calcium, ionized) <1% 341 $4K
86850 <1% 274 $3K
82728 <1% 158 $3K
84466 <1% 162 $3K
72040 <1% 77 $3K
73560 <1% 117 $3K
85730 <1% 383 $3K
82570 <1% 347 $3K
90715 <1% 40 $3K
73110 <1% 63 $3K
86901 <1% 616 $3K
J2060 Injection, lorazepam, 2 mg <1% 309 $2K
85379 <1% 191 $2K
76882 <1% 142 $2K
82803 <1% 60 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 13 $2K
73140 <1% 79 $2K
85027 <1% 207 $2K
83540 <1% 175 $2K
73590 <1% 54 $2K
84703 <1% 131 $1K
Z7610 <1% 131 $1K
87806 <1% 34 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 122 $1K
85651 <1% 206 $1K
93350 <1% 13 $1K
84156 <1% 259 $1K
82247 <1% 155 $1K
S0164 Injection, pantoprazole sodium, 40 mg <1% 74 $1K
76775 <1% 12 $1K
86900 <1% 289 $1K
82043 <1% 120 $953.53
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 93 $911.15
96367 <1% 15 $844.58
82248 <1% 103 $781.65
80069 <1% 64 $766.65
83655 <1% 62 $733.04
84100 <1% 105 $655.08
73080 <1% 13 $642.43
84439 <1% 43 $487.45
84153 <1% 15 $427.50
82550 <1% 57 $406.84
J7050 Infusion, normal saline solution, 250 cc <1% 49 $373.77
82951 <1% 17 $350.03
0450 Emergency room services <1% 12 $347.20
86592 <1% 53 $342.65
J3475 Injection, magnesium sulfate, per 500 mg <1% 30 $335.53
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 12 $235.44
87210 <1% 25 $220.25
99156 <1% 56 $218.00
87070 <1% 12 $165.48
J2470 Injection, pantoprazole sodium, 40 mg <1% 19 $146.30
87045 <1% 12 $117.04
82952 <1% 17 $106.59
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 13 $90.06
83970 <1% 12 $74.21
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 <1% 14 $69.49
96379 <1% 803 $55.50
87046 <1% 12 $32.40
J3010 Injection, fentanyl citrate, 0.1 mg <1% 29 $8.23
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 30 $8.20
J1171 Injection, hydromorphone, 0.1 mg <1% 16 $2.89

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 officialVRANJES, MATKO (CEO)