Medicaid Provider Spending

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

PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION

NPI: 1619607488 · WATSONVILLE, CA 95076 · Pharmacy · NPI assigned 06/14/2022

$8.99M
Total Medicaid Paid
180,294
Total Claims
159,969
Beneficiaries
174
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVRANJES, MATKO (CEO)
NPI Enumeration Date06/14/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 69,008 $3.36M
2024 111,286 $5.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99281 Emergency department visit for the evaluation and management, self-limited or minor 27,292 24,676 $2.31M
74177 Computed tomography, abdomen and pelvis; with contrast material 1,632 1,603 $491K
70450 Computed tomography, head or brain; without contrast material 1,528 1,490 $347K
77067 Screening mammography, bilateral, including computer-aided detection 1,999 1,999 $347K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 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 3,991 3,895 $291K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,156 4,693 $231K
70551 Magnetic resonance imaging, brain; without contrast material 290 288 $211K
96361 Intravenous infusion, hydration; each additional hour 3,027 2,879 $177K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,306 1,305 $165K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,308 1,233 $158K
96375 Therapeutic injection; each additional sequential IV push 2,329 2,193 $146K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 211 210 $146K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 724 672 $139K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,269 1,257 $138K
76830 Ultrasound, transvaginal 1,167 1,161 $127K
80053 Comprehensive metabolic panel 9,320 8,645 $126K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 147 146 $122K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,284 1,267 $119K
72125 Computed tomography, cervical spine; without contrast material 377 372 $114K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,789 1,390 $113K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,116 1,099 $108K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,814 1,338 $99K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,933 882 $98K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,725 8,934 $97K
71046 Radiologic examination, chest; 2 views 3,351 3,272 $91K
77063 Screening digital breast tomosynthesis, bilateral 1,995 1,995 $88K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 545 545 $86K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,371 1,361 $71K
97535 Self-care/home management training, each 15 minutes 2,255 755 $70K
93976 220 219 $68K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 284 284 $65K
59025 Fetal non-stress test 1,047 767 $65K
93971 343 342 $59K
74176 Computed tomography, abdomen and pelvis; without contrast material 401 397 $55K
76801 599 572 $54K
V5008 Hearing screening 640 635 $54K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 443 441 $46K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 421 405 $44K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 528 491 $43K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 440 389 $43K
83605 2,754 2,621 $43K
76642 482 479 $42K
76770 361 361 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 471 466 $41K
81025 3,802 3,649 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material 117 116 $40K
71275 Computed tomographic angiography, chest, with contrast material 164 163 $37K
45380 Colonoscopy, flexible; with biopsy, single or multiple 478 476 $36K
84484 2,106 1,927 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,775 1,748 $32K
77066 Tomosynthesis, mammo 162 162 $31K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 18,590 11,590 $28K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 340 340 $28K
83690 2,994 2,844 $28K
Z7502 683 655 $26K
87086 Culture, bacterial; quantitative colony count, urine 2,443 2,370 $26K
73030 593 591 $24K
73562 659 654 $23K
73610 485 480 $21K
81001 5,024 4,811 $21K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 540 522 $20K
76536 219 218 $20K
73630 494 491 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 59 59 $18K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $18K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,046 1,935 $17K
72100 357 356 $15K
83880 497 481 $15K
84443 Thyroid stimulating hormone (TSH) 666 656 $14K
81002 2,727 2,666 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,871 1,789 $14K
73564 319 317 $13K
J7030 Infusion, normal saline solution , 1000 cc 973 927 $13K
87040 568 542 $12K
87186 1,028 1,005 $12K
71045 Radiologic examination, chest; single view 1,022 994 $12K
84702 533 432 $12K
93017 170 170 $11K
77065 Tomosynthesis, mammo 80 80 $11K
86403 403 398 $11K
86141 754 726 $11K
87077 1,093 1,065 $11K
76641 83 83 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 172 172 $10K
83735 1,153 1,085 $10K
73130 232 232 $9K
74018 314 304 $9K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 670 633 $9K
73502 225 224 $8K
82962 1,966 1,563 $8K
76857 110 109 $7K
J2765 Injection, metoclopramide hcl, up to 10 mg 816 771 $7K
77080 151 150 $7K
80061 Lipid panel 338 335 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg 755 722 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 630 612 $6K
J1170 Injection, hydromorphone, up to 4 mg 532 453 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 642 638 $6K
Z9725 137 132 $6K
87634 72 72 $6K
80179 297 285 $6K
72110 69 69 $5K
82652 96 96 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 375 375 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 375 375 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 446 237 $5K
J2785 Injection, regadenoson, 0.1 mg 12 12 $4K
85610 763 743 $4K
83036 Hemoglobin; glycosylated (A1C) 273 270 $4K
84145 137 137 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 390 384 $4K
80048 Basic metabolic panel (calcium, ionized) 341 324 $4K
86850 274 267 $3K
82728 158 154 $3K
84466 162 157 $3K
72040 77 77 $3K
73560 117 116 $3K
85730 383 376 $3K
82570 347 322 $3K
90715 40 40 $3K
73110 63 61 $3K
86901 616 592 $3K
J2060 Injection, lorazepam, 2 mg 309 299 $2K
85379 191 190 $2K
76882 142 142 $2K
82803 60 58 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 13 $2K
73140 79 78 $2K
85027 207 202 $2K
83540 175 170 $2K
73590 54 53 $2K
84703 131 130 $1K
Z7610 131 126 $1K
87806 34 34 $1K
J2270 Injection, morphine sulfate, up to 10 mg 122 122 $1K
85651 206 203 $1K
93350 13 13 $1K
84156 259 244 $1K
82247 155 105 $1K
S0164 Injection, pantoprazole sodium, 40 mg 74 69 $1K
76775 12 12 $1K
86900 289 281 $1K
82043 120 115 $953.53
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 93 89 $911.15
96367 15 15 $844.58
82248 103 86 $781.65
80069 64 52 $766.65
83655 62 62 $733.04
84100 105 95 $655.08
73080 13 13 $642.43
84439 43 43 $487.45
84153 15 15 $427.50
82550 57 57 $406.84
J7050 Infusion, normal saline solution, 250 cc 49 38 $373.77
82951 17 17 $350.03
0450 Emergency room services 12 12 $347.20
86592 53 53 $342.65
J3475 Injection, magnesium sulfate, per 500 mg 30 30 $335.53
J0131 Injection, acetaminophen, not otherwise specified,10 mg 12 12 $235.44
87210 25 25 $220.25
99156 56 56 $218.00
87070 12 12 $165.48
J2470 Injection, pantoprazole sodium, 40 mg 19 19 $146.30
87045 12 12 $117.04
82952 17 17 $106.59
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 13 13 $90.06
83970 12 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 14 14 $69.49
96379 803 564 $55.50
87046 12 12 $32.40
J3010 Injection, fentanyl citrate, 0.1 mg 29 29 $8.23
J2250 Injection, midazolam hydrochloride, per 1 mg 30 29 $8.20
J1171 Injection, hydromorphone, 0.1 mg 16 16 $2.89